hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|NV	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."	general_contract_provisions															
Boulder City  Hospital	7/8/2025	2.0.0	Boulder City Hospital	"999 Adams Blvd, Boulder City, NV 89005"	880065829	TRUE	De-Identified Minimum Reimbursement. Items and services that do not easily translate to an individual line are not included.															
description	code|1	code|1|type	code|2	code|2|type	code|3	code|3|type	modifiers	setting	drug_unit_of_measurement	drug_type_of_measurement	standard_charge|gross	standard_charge|discounted_cash	payer_name	plan_name	standard_charge|negotiated_dollar	standard_charge|negotiated_percentage	standard_charge|negotiated_algorithm	estimated_amount	standard_charge|methodology	standard_charge|min	standard_charge|max	additional_generic_notes
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Aetna	PPO	350		per diem	350	per diem	350	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Aetna Medicare	HMO	350		per diem	350	per diem	350	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Anthem Medicaid	HMO	250		per diem	1200	per diem	1200	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Cigna	PPO	837		per diem	837	per diem	837	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Coalition	PPO	950		per diem	779	per diem	779	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	HPN Medicaid	HMO	250		per diem	1200	per diem	1200	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Molina Medicaid	HMO	250		per diem	249	per diem	249	287	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Multiplan	PPO	809		per diem	809	per diem	809	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	One Health	PPO	1681		per diem	1681	per diem	1681	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	Teachers Trust	PPO	779		per diem	779	per diem	779	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			399	339	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			2940	2499	United Healthcare	PPO	1681		per diem	1681	per diem	1681	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			419	356	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			419	356	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	190	380	Coinsurance and deductible may apply
ROOM/BED: LTC P-Single			3050022	LOCAL	110	RC		Inpatient			419	356	Coventry	PPO	315		per diem	315	per diem	315	380	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Aetna	PPO	350		per diem	350	per diem	350	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Aetna Medicare	HMO	350		per diem	350	per diem	350	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Anthem Medicaid	HMO	250		per diem	1200	per diem	1200	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Cigna	PPO	837		per diem	837	per diem	837	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Coalition	PPO	950		per diem	779	per diem	779	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	HPN Medicaid	HMO	250		per diem	1200	per diem	1200	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Molina Medicaid	HMO	250		per diem	1200	per diem	1200	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Multiplan	PPO	809		per diem	809	per diem	809	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	One Health	PPO	1681		per diem	1681	per diem	1681	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	Teachers Trust	PPO	779		per diem	779	per diem	779	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			347	295	United Healthcare	PPO	1681		per diem	1681	per diem	1681	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			364	309	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			364	309	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	165	330	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled P-Single			3050040	LOCAL	110	RC		Inpatient			364	309	Coventry	PPO	315		per diem	3115	per diem	3115	330	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Aetna	PPO	2500		per diem	2500	per diem	2500	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Anthem Medicaid	HMO	1538		per diem	1538	per diem	1538	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Cigna	PPO	2631		per diem	2631	per diem	2631	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Coalition	PPO	2910		per diem	3096	per diem	3096	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	HPN Medicaid	HMO	1538		per diem	2800	per diem	2800	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Humana-Medicare Advantage	HMO	5109		per diem	5109	per diem	5109	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Molina Medicaid	HMO	1538		per diem	1538	per diem	1538	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Multiplan	PPO	3435		per diem	3435	per diem	3435	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	One Health	PPO	2747		per diem	2747	per diem	2747	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	P3	HMO	5109		per diem	5109	per diem	5109	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Select Health	HMO	3920		per diem	3920	per diem	3920	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	TriWest	PPO	3052		per diem	3052	per diem	3052	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	UHN-Universal Health Network	PPO	1472		per diem	1472	per diem	1472	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3205	2724	United Healthcare	PPO	2747		per diem	2747	per diem	2747	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Alignment Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	1526	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Blue Cross Blue Shield Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Coventry	PPO	875		per diem	875	per diem	875	3052	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Optum Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	3052	Coinsurance and deductible may apply
ROOM/BED: MST Camera Room			3020090	LOCAL	110	RC		Inpatient			3365	2860	Silversummit Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	3052	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Aetna	PPO	2500		per diem	2500	per diem	2500	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Anthem Medicaid	HMO	1538		per diem	1538	per diem	1538	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Cigna	PPO	2631		per diem	2631	per diem	2631	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Coalition	PPO	2910		per diem	3096	per diem	3096	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	HPN Medicaid	HMO	1538		per diem	1538	per diem	1538	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Humana-Medicare Advantage	HMO	5109		per diem	5109	per diem	5109	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Molina Medicaid	HMO	1538		per diem	1538	per diem	1538	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Multiplan	PPO	3435		per diem	3435	per diem	3435	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	One Health	PPO	2747		per diem	2747	per diem	2747	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	P3	HMO	5109		per diem	5109	per diem	5109	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Select Health	HMO	3920		per diem	3920	per diem	3920	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	TriWest	PPO	3052		per diem	3052	per diem	3052	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	UHN-Universal Health Network	PPO	1472		per diem	1472	per diem	1472	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2671	2271	United Healthcare	PPO	2747		per diem	2747	per diem	2747	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Alignment Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	1272	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Blue Cross Blue Shield Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Coventry	PPO	875		per diem	875	per diem	875	2544	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Optum Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2544	Coinsurance and deductible may apply
ROOM/BED: MST P-Single			3020091	LOCAL	110	RC		Inpatient			2805	2384	Silversummit Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2544	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Aetna	PPO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Aetna Medicare	HMO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Anthem Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Cigna	PPO	837		per diem	837	per diem	837	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Coalition	PPO	950		per diem	779	per diem	779	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	HPN Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Humana-Medicare Advantage	HMO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Molina Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Multiplan	PPO	809		per diem	809	per diem	809	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	One Health	PPO	1681		per diem	1681	per diem	1681	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	Teachers Trust	PPO	779		per diem	779	per diem	779	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			476	404	United Healthcare	PPO	1681		per diem	1681	per diem	1681	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			499	425	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	3000	per diem	600	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			499	425	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	2500	per diem	227	453	Coinsurance and deductible may apply
ROOM/BED: MST Skilled P-Single			4245005	LOCAL	110	RC		Inpatient			499	425	Coventry	PPO	315		per diem	315	per diem	315	453	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Aetna	PPO	2500		per diem	2500	per diem	2500	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Aetna Medicare	HMO	1547		per diem	1871	per diem	1871	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Anthem Medicaid	HMO	177		per diem	177	per diem	177	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Cigna	PPO	2631		per diem	2631	per diem	2631	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Coalition	PPO	2910		per diem	3096	per diem	3096	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Great West Healthcare (Mediversal)	PPO	2178		per diem	709	per diem	709	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	HPN Medicaid	HMO	177		per diem	1538	per diem	1538	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Humana-Medicare Advantage	HMO	4019		per diem	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Molina Medicaid	HMO	177		per diem	177	per diem	177	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Multiplan	PPO	3435		per diem	3435	per diem	3435	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	One Health	PPO	2747		per diem	2747	per diem	2747	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	P3	HMO	4019		per diem	5109	per diem	5109	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Select Health	HMO	3920		per diem	3920	per diem	3920	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	TriWest	PPO	2185		per diem	2185	per diem	2185	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	UHN-Universal Health Network	PPO	2350		per diem	2350	per diem	2350	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2054	1746	United Healthcare	PPO	2747		per diem	2747	per diem	2747	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Alignment Medicare	HMO	4019		39% of all negotiated rates	5109	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	978	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Blue Cross Blue Shield Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Coventry	PPO	875		per diem	875	per diem	875	1956	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Optum Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: MST Swing P-Single			3020092	LOCAL	110	RC		Inpatient			2156	1833	Silversummit Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Aetna	PPO	2500		per diem	2500	per diem	2500	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			2878	2446	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Anthem Medicaid	HMO	1538		per diem	1538	per diem	1538	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Cigna	PPO	2631		per diem	2631	per diem	2631	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Coalition	PPO	2910		per diem	3096	per diem	3096	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			2878	2446	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	HPN Medicaid	HMO	1538		per diem	1538	per diem	1538	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			2878	2446	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Humana-Medicare Advantage	HMO	5109		per diem	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			2878	2446	Humana-Medicare Advantage	HMO	5109		per diem	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Molina Medicaid	HMO	1538		per diem	1538	per diem	1538	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Multiplan	PPO	3435		per diem	3435	per diem	3435	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	One Health	PPO	2747		per diem	2747	per diem	2747	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	P3	HMO	5109		per diem	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Select Health	HMO	3920		per diem	3920	per diem	3920	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	TriWest	PPO	3052		per diem	3052	per diem	3052	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	UHN-Universal Health Network	PPO	1472		per diem	1472	per diem	1472	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			2878	2446	United Healthcare	PPO	2800		per diem	2747	per diem	2747	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Alignment Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			3022	2569	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	1371	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			3022	2569	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	1371	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Blue Cross Blue Shield Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Coventry	PPO	875		per diem	875	per diem	875	2741	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Telemetry P-Single			3020082	LOCAL	110	RC		Inpatient			3022	2569	Coventry	PPO	875		per diem	875	per diem	875	2741	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Optum Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: MST Telemetry P-Single			3020086	LOCAL	110	RC		Inpatient			3022	2569	Silversummit Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2741	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Aetna	PPO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Aetna Medicare	HMO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Anthem Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Cigna	PPO	837		per diem	837	per diem	837	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Coalition	PPO	950		per diem	779	per diem	779	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	HPN Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Humana-Medicare Advantage	HMO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Molina Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Multiplan	PPO	809		per diem	809	per diem	809	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	One Health	PPO	1681		per diem	1681	per diem	1681	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	Teachers Trust	PPO	779		per diem	779	per diem	779	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			476	404	United Healthcare	PPO	1200		per diem	1681	per diem	1681	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			499	425	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	3000	per diem	600	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			499	425	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	2500	per diem	227	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single			4245002	LOCAL	110	RC		Inpatient			499	425	Coventry	PPO	315		per diem	315	per diem	315	453	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Aetna	PPO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Aetna Medicare	HMO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Anthem Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Cigna	PPO	837		per diem	837	per diem	837	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Coalition	PPO	950		per diem	779	per diem	779	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	HPN Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Humana-Medicare Advantage	HMO	350		per diem	350	per diem	350	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Molina Medicaid	HMO	250		per diem	250	per diem	250	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Multiplan	PPO	809		per diem	809	per diem	809	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	One Health	PPO	1681		per diem	1681	per diem	1681	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	Teachers Trust	PPO	779		per diem	779	per diem	779	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			476	404	United Healthcare	PPO	1200		per diem	1681	per diem	1681	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			499	425	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	3000	per diem	600	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			499	425	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	2500	per diem	227	453	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled P-Single Overflow			4245004	LOCAL	110	RC		Inpatient			499	425	Coventry	PPO	315		per diem	315	per diem	315	453	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Aetna	PPO	2500		per diem	2500	per diem	2500	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Aetna Medicare	HMO	1547		per diem	1547	per diem	1547	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Anthem Medicaid	HMO	177		per diem	177	per diem	177	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Cigna	PPO	2631		per diem	2631	per diem	2631	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Coalition	PPO	2910		per diem	3096	per diem	3096	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	HPN Medicaid	HMO	177		per diem	1538	per diem	1538	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Humana-Medicare Advantage	HMO	4019		per diem	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Molina Medicaid	HMO	177		per diem	177	per diem	177	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Multiplan	PPO	3435		per diem	3435	per diem	3435	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	One Health	PPO	2747		per diem	2747	per diem	2747	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	P3	HMO	4019		per diem	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Select Health	HMO	3673		per diem	3673	per diem	3673	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	TriWest	PPO	2185		per diem	2185	per diem	2185	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	UHN-Universal Health Network	PPO	2350		per diem	2350	per diem	2350	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2054	1746	United Healthcare	PPO	2800		per diem	2747	per diem	2747	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Alignment Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	978	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Blue Cross Blue Shield Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Coventry	PPO	875		per diem	875	per diem	875	1956	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Optum Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
ROOM/BED: TRU Swing P-Single			3020093	LOCAL	110	RC		Inpatient			2156	1833	Silversummit Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1956	Coinsurance and deductible may apply
TRU Skilled P-Single			4245006	LOCAL	110	RC		outpatient			476	404	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	238	percent of total billed charges	238	476	
TRU Skilled P-Single			4245006	LOCAL	110	RC		Inpatient			476	404	Great West Healthcare (Mediversal)	PPO	2178		per diem	2177.77	per diem	362	453	Coinsurance and deductible may apply
ROOM/BED: Gero P-Single			3070010	LOCAL	114	RC		Inpatient			2671	2271	Aetna	PPO	1050		per diem	1050	per diem	1050	2544	Coinsurance and deductible may apply
ROOM/BED: Gero P-Single			3070010	LOCAL	114	RC		Inpatient			2671	2271	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	2544	Coinsurance and deductible may apply
ROOM/BED: Gero P-Single			3070010	LOCAL	114	RC		Inpatient			2671	2271	Multiplan	PPO	950		per diem	950	per diem	950	2544	Coinsurance and deductible may apply
ROOM/BED: Gero P-Single			3070010	LOCAL	114	RC		Inpatient			2671	2271	One Health	HMO	1084		per diem	1084	per diem	1084	2544	Coinsurance and deductible may apply
ROOM/BED: Gero P-Single			3070010	LOCAL	114	RC		Inpatient			2671	2271	Sierra Healthcare Options	PPO	1716		per diem	950	per diem	950	2544	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Aetna	PPO	350		per diem	350	per diem	350	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Aetna Medicare	HMO	350		per diem	350	per diem	350	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Anthem Medicaid	HMO	250		per diem	250	per diem	250	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Cigna	PPO	837		per diem	837	per diem	837	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Coalition	PPO	950		per diem	779	per diem	779	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	HPN Medicaid	HMO	250		per diem	250	per diem	250	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Molina Medicaid	HMO	250		per diem	250	per diem	250	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Multiplan	PPO	809		per diem	809	per diem	809	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	One Health	PPO	1681		per diem	1681	per diem	1681	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	Teachers Trust	PPO	779		per diem	779	per diem	779	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			341	290	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			358	305	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			358	305	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	163	325	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice P-Single			3050080	LOCAL	115	RC		Inpatient			358	305	Coventry	PPO	315		per diem	315	per diem	315	325	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Aetna	PPO	350		per diem	350	per diem	350	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Aetna Medicare	HMO	350		per diem	350	per diem	350	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Anthem Medicaid	HMO	250		per diem	250	per diem	250	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Cigna	PPO	837		per diem	837	per diem	837	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Coalition	PPO	950		per diem	779	per diem	779	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	HPN Medicaid	HMO	250		per diem	250	per diem	250	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Molina Medicaid	HMO	250		per diem	250	per diem	250	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Multiplan	PPO	809		per diem	809	per diem	809	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	Teachers Trust	PPO	779		per diem	779	per diem	779	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			276	235	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			290	246	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			290	246	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	132	263	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Single			3050050	LOCAL	115	RC		Inpatient			290	246	Coventry	PPO	315		per diem	315	per diem	315	263	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Aetna	PPO	350		per diem	350	per diem	350	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Anthem Medicaid	HMO	250		per diem	250	per diem	250	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Cigna	PPO	837		per diem	837	per diem	837	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Coalition	PPO	950		per diem	779	per diem	779	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	HPN Medicaid	HMO	250		per diem	250	per diem	250	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Humana-Medicare Advantage	HMO	350		per diem	350	per diem	350	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Molina Medicaid	HMO	250		per diem	250	per diem	250	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Multiplan	PPO	809		per diem	809	per diem	809	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	One Health	PPO	2747		per diem	2747	per diem	2747	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Select Health	HMO	3920		per diem	3920	per diem	3920	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	Teachers Trust	PPO	779		per diem	779	per diem	779	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			347	295	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Alignment Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	165	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Blue Cross Blue Shield Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Coventry	PPO	315		per diem	315	per diem	315	330	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Optum Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	330	Coinsurance and deductible may apply
ROOM/BED: MST Hospice P-Single			867365	LOCAL	115	RC		Inpatient			364	309	Silversummit Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	330	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Aetna	PPO	350		per diem	350	per diem	350	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Aetna Medicare	HMO	350		per diem	350	per diem	350	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Anthem Medicaid	HMO	250		per diem	250	per diem	250	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Cigna	PPO	837		per diem	837	per diem	837	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Coalition	PPO	950		per diem	779	per diem	779	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	HPN Medicaid	HMO	250		per diem	1538	per diem	1538	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Molina Medicaid	HMO	250		per diem	250	per diem	250	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Multiplan	PPO	809		per diem	809	per diem	809	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	Teachers Trust	PPO	779		per diem	779	per diem	779	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			258	220	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			271	231	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			271	231	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	123	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite Semi-Private			3050055	LOCAL	120	RC		Inpatient			271	231	Coventry	PPO	315		per diem	315	per diem	315	246	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Aetna	PPO	350		per diem	350	per diem	350	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Aetna Medicare	HMO	350		per diem	350	per diem	350	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Anthem Medicaid	HMO	250		per diem	250	per diem	250	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Cigna	PPO	837		per diem	837	per diem	837	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Coalition	PPO	950		per diem	779	per diem	779	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	HPN Medicaid	HMO	250		per diem	1538	per diem	1538	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Molina Medicaid	HMO	250		per diem	250	per diem	250	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Multiplan	PPO	809		per diem	809	per diem	809	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	One Health	PPO	1681		per diem	1681	per diem	1681	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	Teachers Trust	PPO	779		per diem	779	per diem	779	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			394	335	United Healthcare	PPO	1200	 	per diem	1681	per diem	1681	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			413	351	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			413	351	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	188	375	Coinsurance and deductible may apply
ROOM/BED: LTC Semi-Private			3050025	LOCAL	120	RC		Inpatient			413	351	Coventry	PPO	315		per diem	315	per diem	315	375	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Aetna	PPO	350		per diem	350	per diem	350	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Aetna Medicare	HMO	350		per diem	350	per diem	350	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Anthem Medicaid	HMO	250		per diem	250	per diem	250	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Cigna	PPO	837		per diem	837	per diem	837	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Coalition	PPO	950		per diem	779	per diem	779	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	HPN Medicaid	HMO	250		per diem	250	per diem	250	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Molina Medicaid	HMO	250		per diem	250	per diem	250	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Multiplan	PPO	809		per diem	809	per diem	809	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	One Health	PPO	1681		per diem	1681	per diem	1681	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	Teachers Trust	PPO	779		per diem	779	per diem	779	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			323	275	United Healthcare	PPO	1200	 	per diem	1681	per diem	1681	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			340	289	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			340	289	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	154	308	Coinsurance and deductible may apply
ROOM/BED: LTC Skilled Semi Private			3050043	LOCAL	120	RC		Inpatient			340	289	Coventry	PPO	315		per diem	315	per diem	315	308	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Aetna	PPO	2500		per diem	2500	per diem	2500	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Anthem Medicaid	HMO	1538		per diem	1538	per diem	1538	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Cigna	PPO	2631		per diem	2631	per diem	2631	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Coalition	PPO	2910		per diem	3096	per diem	3096	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	HPN Medicaid	HMO	1538		per diem	1538	per diem	1538	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Humana-Medicare Advantage	HMO	5109		per diem	5109	per diem	5109	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Molina Medicaid	HMO	1538		per diem	1538	per diem	1538	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Multiplan	PPO	3435		per diem	3435	per diem	3435	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	One Health	PPO	2747		per diem	2747	per diem	2747	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	P3	HMO	5109		per diem	5109	per diem	5109	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Select Health	HMO	3920		per diem	3920	per diem	3920	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	TriWest	PPO	3052		per diem	3052	per diem	3052	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	UHN-Universal Health Network	PPO	1472		per diem	1472	per diem	1472	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2539	2158	United Healthcare	PPO	2800		per diem	2747	per diem	2747	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Alignment Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	1209	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Blue Cross Blue Shield Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Coventry	PPO	875		per diem	875	per diem	875	2418	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Optum Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2418	Coinsurance and deductible may apply
ROOM/BED: MST Semi-Private			3020065	LOCAL	120	RC		Inpatient			2666	2266	Silversummit Medicare	HMO	5109		39% of all negotiated rates	5109	per diem	5109	2418	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Aetna	PPO	350		per diem	350	per diem	350	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Aetna Medicare	HMO	350		per diem	350	per diem	350	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Anthem Medicaid	HMO	250		per diem	250	per diem	250	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Cigna	PPO	837		per diem	837	per diem	837	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Coalition	PPO	950		per diem	779	per diem	779	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	HPN Medicaid	HMO	250		per diem	250	per diem	250	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Humana-Medicare Advantage	HMO	350		per diem	350	per diem	350	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Molina Medicaid	HMO	250		per diem	250	per diem	250	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Multiplan	PPO	809		per diem	809	per diem	809	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	One Health	PPO	1681		per diem	1681	per diem	1681	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	Teachers Trust	PPO	779		per diem	779	per diem	779	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			443	377	United Healthcare	PPO	1200		per diem	1681	per diem	1681	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			465	395	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	3000	per diem	600	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			465	395	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	2500	per diem	211	422	Coinsurance and deductible may apply
ROOM/BED: TRU Skilled Semi-Private			4245003	LOCAL	120	RC		Inpatient			465	395	Coventry	PPO	315		per diem	315	per diem	315	422	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Aetna	PPO	2500		per diem	2500	per diem	2500	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Aetna Medicare	HMO	1547		per diem	1547	per diem	1547	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Anthem Medicaid	HMO	177		per diem	177	per diem	177	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Cigna	PPO	2631		per diem	2631	per diem	2631	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Coalition	PPO	2910		per diem	3096	per diem	3096	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Great West Healthcare (Mediversal)	PPO	2178		per diem	2178	per diem	2178	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	HPN Medicaid	HMO	177		per diem	1538	per diem	1538	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Humana-Commerical	PPO	1850		per diem	1850	per diem	1850	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Humana-Medicare Advantage	HMO	4019		per diem	4019	per diem	4019	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Molina Medicaid	HMO	177		per diem	177	per diem	177	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Multiplan	PPO	3435		per diem	3435	per diem	3435	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	One Health	PPO	2747		per diem	2747	per diem	2747	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	P3	HMO	4019		per diem	4019	per diem	4019	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Saint Mary's Health Plan	PPO	1472		per diem	1472	per diem	1472	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Select Health	HMO	3673		per diem	3673	per diem	3673	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Sierra Healthcare Options	PPO	1716		per diem	1716	per diem	1716	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Sierra/HPN	HMO	2250		per diem	2250	per diem	2250	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Southpoint (Gaghan South)	PPO	2116		per diem	2116	per diem	2116	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	Teachers Trust	PPO	3096		per diem	3096	per diem	3096	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2063	1754	TriWest	PPO	2185		per diem	2185	per diem	2185	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	UHN-Universal Health Network	PPO	2350		per diem	2350	per diem	2350	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			1958	1665	United Healthcare	PPO	2800		per diem	2747	per diem	2747	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Alignment Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Anthem Blue Cross Blue Shield Indeminity	PPO	3000		per diem	3000	per diem	3000	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Anthem Blue Cross Blue Shield Pathway X	HMO	2500		per diem	2500	per diem	933	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Blue Cross Blue Shield Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Coventry	PPO	875		per diem	875	per diem	875	1865	"875 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Optum Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1865	Coinsurance and deductible may apply
ROOM/BED: TRU Swing Semi-Private			3080030	LOCAL	120	RC		Inpatient			2056	1748	Silversummit Medicare	HMO	4019		39% of all negotiated rates	4019	per diem	4019	1865	Coinsurance and deductible may apply
ROOM/BED: Gero Semi Private			3070020	LOCAL	124	RC		Inpatient			2539	2158	Aetna	PPO	1050		per diem	1050	per diem	1050	2418	Coinsurance and deductible may apply
ROOM/BED: Gero Semi Private			3070020	LOCAL	124	RC		Inpatient			2539	2158	Aetna Medicare	HMO	1871		per diem	1871	per diem	1871	2418	Coinsurance and deductible may apply
ROOM/BED: Gero Semi Private			3070020	LOCAL	124	RC		Inpatient			2539	2158	Multiplan	PPO	950		per diem	950	per diem	950	2418	Coinsurance and deductible may apply
ROOM/BED: Gero Semi Private			3070020	LOCAL	124	RC		Inpatient			2539	2158	One Health	HMO	1084		per diem	1084	per diem	1084	2418	Coinsurance and deductible may apply
ROOM/BED: Gero Semi Private			3070020	LOCAL	124	RC		Inpatient			2539	2158	Sierra Healthcare Options	PPO	1716		per diem	950	per diem	950	2418	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Aetna	PPO	350		per diem	350	per diem	350	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Aetna Medicare	HMO	350		per diem	350	per diem	350	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Anthem Medicaid	HMO	250		per diem	250	per diem	250	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Cigna	PPO	837		per diem	837	per diem	837	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Coalition	PPO	950		per diem	779	per diem	779	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	HPN Medicaid	HMO	250		per diem	250	per diem	250	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Molina Medicaid	HMO	250		per diem	250	per diem	250	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Multiplan	PPO	809		per diem	809	per diem	809	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	One Health	PPO	1681		per diem	1681	per diem	1681	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	Teachers Trust	PPO	779		per diem	779	per diem	779	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			336	286	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			353	300	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			353	300	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	160	320	Coinsurance and deductible may apply
ROOM/BED: LTC Hospice Semi-Private			3050085	LOCAL	125	RC		Inpatient			353	300	Coventry	PPO	315		per diem	315	per diem	315	320	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: LTC Respite P-Semi Private			3050070	LOCAL	125	RC		Inpatient			258	220	Aetna Medicare	HMO	350		per diem	350	per diem	350	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Semi Private			3050070	LOCAL	125	RC		Inpatient			258	220	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Semi Private			3050070	LOCAL	125	RC		Inpatient			271	231	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Semi Private			3050070	LOCAL	125	RC		Inpatient			271	231	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	123	246	Coinsurance and deductible may apply
ROOM/BED: LTC Respite P-Semi Private			3050070	LOCAL	125	RC		Inpatient			271	231	Coventry	PPO	315		per diem	315	per diem	315	246	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Aetna	PPO	350		per diem	350	per diem	350	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Aetna Medicare	HMO	350		per diem	350	per diem	350	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Anthem Medicaid	HMO	250		per diem	250	per diem	250	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Cigna	PPO	837		per diem	837	per diem	837	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Coalition	PPO	950		per diem	779	per diem	779	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Great West Healthcare (Mediversal)	PPO	709		per diem	709	per diem	709	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	HPN Medicaid	HMO	250		per diem	250	per diem	250	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Molina Medicaid	HMO	250		per diem	250	per diem	250	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Multiplan	PPO	809		per diem	809	per diem	809	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	One Health	PPO	1681		per diem	1681	per diem	1681	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Saint Mary's Health Plan	PPO	429		per diem	429	per diem	429	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	Teachers Trust	PPO	779		per diem	779	per diem	779	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	UHN-Universal Health Network	PPO	684		per diem	684	per diem	684	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			425	361	United Healthcare	PPO	1200		per diem	1681	per diem	1681	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			447	380	Anthem Blue Cross Blue Shield Indeminity	PPO	600		per diem	600	per diem	600	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			447	380	Anthem Blue Cross Blue Shield Pathway X	HMO	630		per diem	630	per diem	203	405	Coinsurance and deductible may apply
ROOM/BED: LTC Isolation P-Single			3050065	LOCAL	164	RC		Inpatient			447	380	Coventry	PPO	315		per diem	315	per diem	315	405	"315 per day or 25% form billed charges, whichever is the lesser pymnt"
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Aetna Medicare	HMO		26	26% of all negotiated rates	252	percent of total billed charges	252	340	
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	170	percent of total billed charges	170	340	
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Coventry	PPO		75	75% of all negotiated rates	85	percent of total billed charges	85	340	
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Humana-Commerical	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
BCH I 123			4077933	LOCAL	254	RC		outpatient			340	289	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Aetna Medicare	HMO		26	26% of all negotiated rates	216	percent of total billed charges	216	292	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	117	percent of total billed charges	117	292	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	146	percent of total billed charges	146	292	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Coventry	PPO		75	75% of all negotiated rates	73	percent of total billed charges	73	292	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	292	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	292	
BCH 99 MTCPYP Dose			4074652	LOCAL	255	RC		outpatient			292	248	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	178	percent of total billed charges	178	292	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Aetna	PPO		38	38% of all negotiated rates	715	percent of total billed charges	715	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Aetna Medicare	HMO		26	26% of all negotiated rates	853	percent of total billed charges	853	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Alignment Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	461	percent of total billed charges	461	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	576	percent of total billed charges	576	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Cigna	PPO		68	68% of all negotiated rates	369	percent of total billed charges	369	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Coalition	PPO		49	49% of all negotiated rates	588	percent of total billed charges	588	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Coventry	PPO		75	75% of all negotiated rates	288	percent of total billed charges	288	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	231	percent of total billed charges	231	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Humana-Commerical	PPO		70	70% of all negotiated rates	346	percent of total billed charges	346	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Multiplan	PPO		80	80% of all negotiated rates	231	percent of total billed charges	231	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	One Health	PPO		55	55% of all negotiated rates	519	percent of total billed charges	519	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Optum Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	P3	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	346	percent of total billed charges	346	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Select Health	HMO		41	41% of all negotiated rates	680	percent of total billed charges	680	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	767	percent of total billed charges	767	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Sierra/HPN	HMO		60	60% of all negotiated rates	461	percent of total billed charges	461	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Silversummit Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	749	percent of total billed charges	749	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Teachers Trust	PPO		65	65% of all negotiated rates	404	percent of total billed charges	404	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	TriWest	PPO		30	30% of all negotiated rates	807	percent of total billed charges	807	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	346	percent of total billed charges	346	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	United Healthcare	PPO		60	60% of all negotiated rates	461	percent of total billed charges	461	1153	
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	1098	Coinsurance and deductible may apply
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	1098	Coinsurance and deductible may apply
96360 IV HYDRATION INFUSION 31 CHARGE	96360	CPT	3272100	LOCAL	260	RC		outpatient			1153	980	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	1098	Coinsurance and deductible may apply
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Aetna	PPO		38	38% of all negotiated rates	262	percent of total billed charges	262	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Aetna Medicare	HMO		26	26% of all negotiated rates	313	percent of total billed charges	313	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Alignment Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	212	percent of total billed charges	212	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Cigna	PPO		68	68% of all negotiated rates	135	percent of total billed charges	135	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Coalition	PPO		49	49% of all negotiated rates	216	percent of total billed charges	216	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Coventry	PPO		75	75% of all negotiated rates	106	percent of total billed charges	106	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Humana-Commerical	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Multiplan	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	One Health	PPO		55	55% of all negotiated rates	190	percent of total billed charges	190	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Optum Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	P3	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Select Health	HMO		41	41% of all negotiated rates	250	percent of total billed charges	250	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	281	percent of total billed charges	281	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Sierra/HPN	HMO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Silversummit Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	275	percent of total billed charges	275	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Teachers Trust	PPO		65	65% of all negotiated rates	148	percent of total billed charges	148	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	TriWest	PPO		30	30% of all negotiated rates	296	percent of total billed charges	296	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	United Healthcare	PPO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	403	Coinsurance and deductible may apply
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	403	Coinsurance and deductible may apply
96361 IV HYDRATION INFUSION EA CHARGE	96361	CPT	3272110	LOCAL	260	RC		outpatient			423	360	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	403	Coinsurance and deductible may apply
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Aetna	PPO		38	38% of all negotiated rates	422	percent of total billed charges	422	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Coalition	PPO		49	49% of all negotiated rates	347	percent of total billed charges	347	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	648	Coinsurance and deductible may apply
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	648	Coinsurance and deductible may apply
96365 OUT PATIENT IV THERAPY ST CHARGE	96365	CPT	3026365	LOCAL	260	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	648	Coinsurance and deductible may apply
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Aetna	PPO		38	38% of all negotiated rates	85	percent of total billed charges	85	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Aetna Medicare	HMO		26	26% of all negotiated rates	102	percent of total billed charges	102	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Alignment Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	69	percent of total billed charges	69	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Cigna	PPO		68	68% of all negotiated rates	44	percent of total billed charges	44	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Coalition	PPO		49	49% of all negotiated rates	70	percent of total billed charges	70	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Coventry	PPO		75	75% of all negotiated rates	34	percent of total billed charges	34	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Humana-Commerical	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Multiplan	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	One Health	PPO		55	55% of all negotiated rates	62	percent of total billed charges	62	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Optum Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	P3	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Select Health	HMO		41	41% of all negotiated rates	81	percent of total billed charges	81	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	91	percent of total billed charges	91	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Sierra/HPN	HMO		60	60% of all negotiated rates	55	percent of total billed charges	55	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Silversummit Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	89	percent of total billed charges	89	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Teachers Trust	PPO		65	65% of all negotiated rates	48	percent of total billed charges	48	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	TriWest	PPO		30	30% of all negotiated rates	96	percent of total billed charges	96	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	United Healthcare	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	138	
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	131	Coinsurance and deductible may apply
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	131	Coinsurance and deductible may apply
96366 OUTPATIENT IV THERAPY ADD CHARGE	96366	CPT	3276366	LOCAL	260	RC		outpatient			138	117	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	131	Coinsurance and deductible may apply
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Aetna	PPO		38	38% of all negotiated rates	189	percent of total billed charges	189	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Alignment Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	122	percent of total billed charges	122	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Coalition	PPO		49	49% of all negotiated rates	155	percent of total billed charges	155	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Optum Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	P3	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Select Health	HMO		41	41% of all negotiated rates	180	percent of total billed charges	180	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Sierra/HPN	HMO		60	60% of all negotiated rates	122	percent of total billed charges	122	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Silversummit Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	198	percent of total billed charges	198	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Teachers Trust	PPO		65	65% of all negotiated rates	107	percent of total billed charges	107	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	TriWest	PPO		30	30% of all negotiated rates	213	percent of total billed charges	213	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	United Healthcare	PPO		60	60% of all negotiated rates	122	percent of total billed charges	122	305	
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	290	Coinsurance and deductible may apply
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	290	Coinsurance and deductible may apply
"96367 IV THERAPY PROPHYLAXIS,AD CHARGE"	96367	CPT	3275600	LOCAL	260	RC		outpatient			305	259	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	290	Coinsurance and deductible may apply
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Aetna	PPO		38	38% of all negotiated rates	163	percent of total billed charges	163	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Aetna Medicare	HMO		26	26% of all negotiated rates	194	percent of total billed charges	194	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Alignment Medicare	HMO		39	39% of all negotiated rates	160	percent of total billed charges	160	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	105	percent of total billed charges	105	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	131	percent of total billed charges	131	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	160	percent of total billed charges	160	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Cigna	PPO		68	68% of all negotiated rates	84	percent of total billed charges	84	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Coalition	PPO		49	49% of all negotiated rates	134	percent of total billed charges	134	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Coventry	PPO		75	75% of all negotiated rates	66	percent of total billed charges	66	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Humana-Commerical	PPO		70	70% of all negotiated rates	79	percent of total billed charges	79	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	160	percent of total billed charges	160	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Multiplan	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	One Health	PPO		55	55% of all negotiated rates	118	percent of total billed charges	118	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Optum Medicare	HMO		39	39% of all negotiated rates	160	percent of total billed charges	160	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	P3	HMO		39	39% of all negotiated rates	160	percent of total billed charges	160	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	79	percent of total billed charges	79	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Select Health	HMO		41	41% of all negotiated rates	155	percent of total billed charges	155	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	175	percent of total billed charges	175	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Sierra/HPN	HMO		60	60% of all negotiated rates	105	percent of total billed charges	105	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Silversummit Medicare	HMO		39	39% of all negotiated rates	160	percent of total billed charges	160	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	171	percent of total billed charges	171	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Teachers Trust	PPO		65	65% of all negotiated rates	92	percent of total billed charges	92	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	TriWest	PPO		30	30% of all negotiated rates	184	percent of total billed charges	184	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	79	percent of total billed charges	79	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	United Healthcare	PPO		60	60% of all negotiated rates	105	percent of total billed charges	105	263	
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	250	Coinsurance and deductible may apply
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	250	Coinsurance and deductible may apply
96372 ED SQ / INTRAMUSCULAR INJ	96372	CPT	3230783	LOCAL	260	RC		outpatient			263	223	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	250	Coinsurance and deductible may apply
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Aetna	PPO		38	38% of all negotiated rates	85	percent of total billed charges	85	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Aetna Medicare	HMO		26	26% of all negotiated rates	102	percent of total billed charges	102	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Alignment Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	69	percent of total billed charges	69	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Cigna	PPO		68	68% of all negotiated rates	44	percent of total billed charges	44	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Coalition	PPO		49	49% of all negotiated rates	70	percent of total billed charges	70	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Coventry	PPO		75	75% of all negotiated rates	34	percent of total billed charges	34	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Humana-Commerical	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Multiplan	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	One Health	PPO		55	55% of all negotiated rates	62	percent of total billed charges	62	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Optum Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	P3	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Select Health	HMO		41	41% of all negotiated rates	81	percent of total billed charges	81	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	91	percent of total billed charges	91	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Sierra/HPN	HMO		60	60% of all negotiated rates	55	percent of total billed charges	55	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Silversummit Medicare	HMO		39	39% of all negotiated rates	84	percent of total billed charges	84	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	89	percent of total billed charges	89	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Teachers Trust	PPO		65	65% of all negotiated rates	48	percent of total billed charges	48	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	TriWest	PPO		30	30% of all negotiated rates	96	percent of total billed charges	96	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	United Healthcare	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	138	
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	131	Coinsurance and deductible may apply
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	131	Coinsurance and deductible may apply
96372 OUT PATIENT IM/SQ INJECTI CHARGE	96372	CPT	3276372	LOCAL	260	RC		outpatient			138	117	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	131	Coinsurance and deductible may apply
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Aetna	PPO		38	38% of all negotiated rates	188	percent of total billed charges	188	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Alignment Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Coalition	PPO		49	49% of all negotiated rates	155	percent of total billed charges	155	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Optum Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	P3	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Select Health	HMO		41	41% of all negotiated rates	179	percent of total billed charges	179	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Silversummit Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	197	percent of total billed charges	197	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Teachers Trust	PPO		65	65% of all negotiated rates	106	percent of total billed charges	106	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	TriWest	PPO		30	30% of all negotiated rates	212	percent of total billed charges	212	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	United Healthcare	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	50	fee schedule	50	289	Coinsurance and deductible may apply
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	50	fee schedule	50	289	Coinsurance and deductible may apply
96374 IV PUSH SGL/INITIAL USE CHARGE	96374	CPT	3276360	LOCAL	260	RC		outpatient			303	258	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	50	fee schedule	50	289	Coinsurance and deductible may apply
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Aetna	PPO		38	38% of all negotiated rates	142	percent of total billed charges	142	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Aetna Medicare	HMO		26	26% of all negotiated rates	169	percent of total billed charges	169	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	114	percent of total billed charges	114	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Select Health	HMO		41	41% of all negotiated rates	135	percent of total billed charges	135	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	152	percent of total billed charges	152	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	TriWest	PPO		30	30% of all negotiated rates	160	percent of total billed charges	160	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	218	Coinsurance and deductible may apply
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	218	Coinsurance and deductible may apply
96523 IRR.OF IMPLNTD VENOUS DVC CHARGE	96523	CPT	3275500	LOCAL	260	RC		outpatient			229	195	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	218	Coinsurance and deductible may apply
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Aetna	PPO		38	38% of all negotiated rates	206	percent of total billed charges	206	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Aetna Medicare	HMO		26	26% of all negotiated rates	246	percent of total billed charges	246	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Alignment Medicare	HMO		39	39% of all negotiated rates	202	percent of total billed charges	202	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	166	percent of total billed charges	166	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	202	percent of total billed charges	202	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Cigna	PPO		68	68% of all negotiated rates	106	percent of total billed charges	106	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Coalition	PPO		49	49% of all negotiated rates	169	percent of total billed charges	169	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	66	percent of total billed charges	66	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	202	percent of total billed charges	202	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Multiplan	PPO		80	80% of all negotiated rates	66	percent of total billed charges	66	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	One Health	PPO		55	55% of all negotiated rates	149	percent of total billed charges	149	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Optum Medicare	HMO		39	39% of all negotiated rates	202	percent of total billed charges	202	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	P3	HMO		39	39% of all negotiated rates	202	percent of total billed charges	202	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Select Health	HMO		41	41% of all negotiated rates	196	percent of total billed charges	196	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	221	percent of total billed charges	221	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Sierra/HPN	HMO		60	60% of all negotiated rates	133	percent of total billed charges	133	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Silversummit Medicare	HMO		39	39% of all negotiated rates	202	percent of total billed charges	202	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	216	percent of total billed charges	216	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Teachers Trust	PPO		65	65% of all negotiated rates	116	percent of total billed charges	116	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	TriWest	PPO		30	30% of all negotiated rates	232	percent of total billed charges	232	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	United Healthcare	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	332	
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	316	Coinsurance and deductible may apply
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	316	Coinsurance and deductible may apply
ADDL DRUG INFUSION	96366	CPT	3236366	LOCAL	260	RC		outpatient			332	282	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	316	Coinsurance and deductible may apply
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Aetna	PPO		38	38% of all negotiated rates	279	percent of total billed charges	279	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Aetna Medicare	HMO		26	26% of all negotiated rates	333	percent of total billed charges	333	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Alignment Medicare	HMO		39	39% of all negotiated rates	274	percent of total billed charges	274	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	180	percent of total billed charges	180	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	225	percent of total billed charges	225	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	274	percent of total billed charges	274	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Cigna	PPO		68	68% of all negotiated rates	144	percent of total billed charges	144	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Coalition	PPO		49	49% of all negotiated rates	229	percent of total billed charges	229	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Coventry	PPO		75	75% of all negotiated rates	112	percent of total billed charges	112	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Humana-Commerical	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	274	percent of total billed charges	274	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Multiplan	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	One Health	PPO		55	55% of all negotiated rates	202	percent of total billed charges	202	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Optum Medicare	HMO		39	39% of all negotiated rates	274	percent of total billed charges	274	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	P3	HMO		39	39% of all negotiated rates	274	percent of total billed charges	274	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Select Health	HMO		41	41% of all negotiated rates	265	percent of total billed charges	265	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	299	percent of total billed charges	299	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Sierra/HPN	HMO		60	60% of all negotiated rates	180	percent of total billed charges	180	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Silversummit Medicare	HMO		39	39% of all negotiated rates	274	percent of total billed charges	274	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	292	percent of total billed charges	292	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Teachers Trust	PPO		65	65% of all negotiated rates	157	percent of total billed charges	157	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	TriWest	PPO		30	30% of all negotiated rates	315	percent of total billed charges	315	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	United Healthcare	PPO		60	60% of all negotiated rates	180	percent of total billed charges	180	449	
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	428	Coinsurance and deductible may apply
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	428	Coinsurance and deductible may apply
ADDL IV DRUG INFUSION 0-5	96367	CPT	3230051	LOCAL	260	RC		outpatient			449	382	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	428	Coinsurance and deductible may apply
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Aetna	PPO		38	38% of all negotiated rates	165	percent of total billed charges	165	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Aetna Medicare	HMO		26	26% of all negotiated rates	197	percent of total billed charges	197	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Alignment Medicare	HMO		39	39% of all negotiated rates	162	percent of total billed charges	162	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	106	percent of total billed charges	106	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	133	percent of total billed charges	133	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	162	percent of total billed charges	162	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Cigna	PPO		68	68% of all negotiated rates	85	percent of total billed charges	85	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Coalition	PPO		49	49% of all negotiated rates	135	percent of total billed charges	135	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Coventry	PPO		75	75% of all negotiated rates	66	percent of total billed charges	66	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Humana-Commerical	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	162	percent of total billed charges	162	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Multiplan	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	One Health	PPO		55	55% of all negotiated rates	120	percent of total billed charges	120	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Optum Medicare	HMO		39	39% of all negotiated rates	162	percent of total billed charges	162	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	P3	HMO		39	39% of all negotiated rates	162	percent of total billed charges	162	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Select Health	HMO		41	41% of all negotiated rates	157	percent of total billed charges	157	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	177	percent of total billed charges	177	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Sierra/HPN	HMO		60	60% of all negotiated rates	106	percent of total billed charges	106	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Silversummit Medicare	HMO		39	39% of all negotiated rates	162	percent of total billed charges	162	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	173	percent of total billed charges	173	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Teachers Trust	PPO		65	65% of all negotiated rates	93	percent of total billed charges	93	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	TriWest	PPO		30	30% of all negotiated rates	186	percent of total billed charges	186	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	United Healthcare	PPO		60	60% of all negotiated rates	106	percent of total billed charges	106	266	
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	253	Coinsurance and deductible may apply
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	253	Coinsurance and deductible may apply
ADDL IV DRUG INFUSION CON	96368	CPT	3230052	LOCAL	260	RC		outpatient			266	226	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	253	Coinsurance and deductible may apply
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Aetna	PPO		38	38% of all negotiated rates	70	percent of total billed charges	70	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Aetna Medicare	HMO		26	26% of all negotiated rates	84	percent of total billed charges	84	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Alignment Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	57	percent of total billed charges	57	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Coalition	PPO		49	49% of all negotiated rates	58	percent of total billed charges	58	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Humana-Commerical	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	One Health	PPO		55	55% of all negotiated rates	51	percent of total billed charges	51	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Optum Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	P3	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Select Health	HMO		41	41% of all negotiated rates	67	percent of total billed charges	67	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	75	percent of total billed charges	75	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Silversummit Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	74	percent of total billed charges	74	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	TriWest	PPO		30	30% of all negotiated rates	79	percent of total billed charges	79	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	108	Coinsurance and deductible may apply
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	108	Coinsurance and deductible may apply
"EA ADDL SEQ IV PUSH, SAME"	96376	CPT	3230056	LOCAL	260	RC		outpatient			113	96	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	108	Coinsurance and deductible may apply
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Aetna	PPO		38	38% of all negotiated rates	188	percent of total billed charges	188	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Alignment Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Coalition	PPO		49	49% of all negotiated rates	155	percent of total billed charges	155	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Optum Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	P3	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Select Health	HMO		41	41% of all negotiated rates	179	percent of total billed charges	179	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Silversummit Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	197	percent of total billed charges	197	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Teachers Trust	PPO		65	65% of all negotiated rates	106	percent of total billed charges	106	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	TriWest	PPO		30	30% of all negotiated rates	212	percent of total billed charges	212	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	United Healthcare	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	289	Coinsurance and deductible may apply
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	289	Coinsurance and deductible may apply
"EA. ADDL SEQ IV PUSH, DIF"	96375	CPT	3230054	LOCAL	260	RC		outpatient			303	258	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	289	Coinsurance and deductible may apply
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Aetna	PPO		38	38% of all negotiated rates	399	percent of total billed charges	399	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Aetna Medicare	HMO		26	26% of all negotiated rates	476	percent of total billed charges	476	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Alignment Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	322	percent of total billed charges	322	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Cigna	PPO		68	68% of all negotiated rates	206	percent of total billed charges	206	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Coalition	PPO		49	49% of all negotiated rates	328	percent of total billed charges	328	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Coventry	PPO		75	75% of all negotiated rates	161	percent of total billed charges	161	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	129	percent of total billed charges	129	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Humana-Commerical	PPO		70	70% of all negotiated rates	193	percent of total billed charges	193	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Multiplan	PPO		80	80% of all negotiated rates	129	percent of total billed charges	129	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	One Health	PPO		55	55% of all negotiated rates	290	percent of total billed charges	290	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Optum Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	P3	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	193	percent of total billed charges	193	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Select Health	HMO		41	41% of all negotiated rates	380	percent of total billed charges	380	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	428	percent of total billed charges	428	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Sierra/HPN	HMO		60	60% of all negotiated rates	257	percent of total billed charges	257	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Silversummit Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	418	percent of total billed charges	418	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Teachers Trust	PPO		65	65% of all negotiated rates	225	percent of total billed charges	225	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	TriWest	PPO		30	30% of all negotiated rates	451	percent of total billed charges	451	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	193	percent of total billed charges	193	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	United Healthcare	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	644	
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	613	Coinsurance and deductible may apply
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	613	Coinsurance and deductible may apply
EACH ADDT’L SEQ IV PUSH DIFFERENT DRUG	96375	CPT	3271110	LOCAL	260	RC		outpatient			644	547	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	613	Coinsurance and deductible may apply
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Aetna	PPO		38	38% of all negotiated rates	180	percent of total billed charges	180	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Aetna Medicare	HMO		26	26% of all negotiated rates	215	percent of total billed charges	215	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Alignment Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	145	percent of total billed charges	145	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Cigna	PPO		68	68% of all negotiated rates	93	percent of total billed charges	93	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Coalition	PPO		49	49% of all negotiated rates	148	percent of total billed charges	148	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Coventry	PPO		75	75% of all negotiated rates	73	percent of total billed charges	73	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	One Health	PPO		55	55% of all negotiated rates	131	percent of total billed charges	131	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Optum Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	P3	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Select Health	HMO		41	41% of all negotiated rates	172	percent of total billed charges	172	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	193	percent of total billed charges	193	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Silversummit Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	189	percent of total billed charges	189	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Teachers Trust	PPO		65	65% of all negotiated rates	102	percent of total billed charges	102	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	TriWest	PPO		30	30% of all negotiated rates	204	percent of total billed charges	204	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	277	Coinsurance and deductible may apply
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	277	Coinsurance and deductible may apply
EACH ADDT’L SEQ IV PUSH SAME DRUG	96376	CPT	3271120	LOCAL	260	RC		outpatient			291	247	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	277	Coinsurance and deductible may apply
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Aetna	PPO		38	38% of all negotiated rates	536	percent of total billed charges	536	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Aetna Medicare	HMO		26	26% of all negotiated rates	639	percent of total billed charges	639	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Alignment Medicare	HMO		39	39% of all negotiated rates	527	percent of total billed charges	527	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	346	percent of total billed charges	346	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	432	percent of total billed charges	432	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	527	percent of total billed charges	527	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Cigna	PPO		68	68% of all negotiated rates	277	percent of total billed charges	277	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Coalition	PPO		49	49% of all negotiated rates	441	percent of total billed charges	441	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Coventry	PPO		75	75% of all negotiated rates	216	percent of total billed charges	216	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	173	percent of total billed charges	173	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Humana-Commerical	PPO		70	70% of all negotiated rates	259	percent of total billed charges	259	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	527	percent of total billed charges	527	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Multiplan	PPO		80	80% of all negotiated rates	173	percent of total billed charges	173	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	One Health	PPO		55	55% of all negotiated rates	389	percent of total billed charges	389	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Optum Medicare	HMO		39	39% of all negotiated rates	527	percent of total billed charges	527	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	P3	HMO		39	39% of all negotiated rates	527	percent of total billed charges	527	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	259	percent of total billed charges	259	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Select Health	HMO		41	41% of all negotiated rates	510	percent of total billed charges	510	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	575	percent of total billed charges	575	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Sierra/HPN	HMO		60	60% of all negotiated rates	346	percent of total billed charges	346	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Silversummit Medicare	HMO		39	39% of all negotiated rates	527	percent of total billed charges	527	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	562	percent of total billed charges	562	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Teachers Trust	PPO		65	65% of all negotiated rates	302	percent of total billed charges	302	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	TriWest	PPO		30	30% of all negotiated rates	605	percent of total billed charges	605	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	259	percent of total billed charges	259	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	United Healthcare	PPO		60	60% of all negotiated rates	346	percent of total billed charges	346	864	
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	823	Coinsurance and deductible may apply
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	823	Coinsurance and deductible may apply
INITIAL IVPB UNDER 60 MIN	96365	CPT	3230094	LOCAL	260	RC		outpatient			864	735	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	823	Coinsurance and deductible may apply
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Aetna	PPO		38	38% of all negotiated rates	715	percent of total billed charges	715	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Aetna Medicare	HMO		26	26% of all negotiated rates	853	percent of total billed charges	853	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Alignment Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	461	percent of total billed charges	461	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	576	percent of total billed charges	576	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Cigna	PPO		68	68% of all negotiated rates	369	percent of total billed charges	369	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Coalition	PPO		49	49% of all negotiated rates	588	percent of total billed charges	588	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Coventry	PPO		75	75% of all negotiated rates	288	percent of total billed charges	288	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	231	percent of total billed charges	231	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Humana-Commerical	PPO		70	70% of all negotiated rates	346	percent of total billed charges	346	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Multiplan	PPO		80	80% of all negotiated rates	231	percent of total billed charges	231	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	One Health	PPO		55	55% of all negotiated rates	519	percent of total billed charges	519	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Optum Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	P3	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	346	percent of total billed charges	346	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Select Health	HMO		41	41% of all negotiated rates	680	percent of total billed charges	680	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	767	percent of total billed charges	767	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Sierra/HPN	HMO		60	60% of all negotiated rates	461	percent of total billed charges	461	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Silversummit Medicare	HMO		39	39% of all negotiated rates	703	percent of total billed charges	703	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	749	percent of total billed charges	749	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Teachers Trust	PPO		65	65% of all negotiated rates	404	percent of total billed charges	404	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	TriWest	PPO		30	30% of all negotiated rates	807	percent of total billed charges	807	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	346	percent of total billed charges	346	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	United Healthcare	PPO		60	60% of all negotiated rates	461	percent of total billed charges	461	1153	
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	1098	Coinsurance and deductible may apply
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	1098	Coinsurance and deductible may apply
IV HYDRATION INFUSIUON 31	96360	CPT	3230047	LOCAL	260	RC		outpatient			1153	980	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	1098	Coinsurance and deductible may apply
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Aetna	PPO		38	38% of all negotiated rates	262	percent of total billed charges	262	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Aetna Medicare	HMO		26	26% of all negotiated rates	313	percent of total billed charges	313	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Alignment Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	212	percent of total billed charges	212	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Cigna	PPO		68	68% of all negotiated rates	135	percent of total billed charges	135	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Coalition	PPO		49	49% of all negotiated rates	216	percent of total billed charges	216	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Coventry	PPO		75	75% of all negotiated rates	106	percent of total billed charges	106	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Humana-Commerical	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Multiplan	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	One Health	PPO		55	55% of all negotiated rates	190	percent of total billed charges	190	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Optum Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	P3	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Select Health	HMO		41	41% of all negotiated rates	250	percent of total billed charges	250	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	281	percent of total billed charges	281	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Sierra/HPN	HMO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Silversummit Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	275	percent of total billed charges	275	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Teachers Trust	PPO		65	65% of all negotiated rates	148	percent of total billed charges	148	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	TriWest	PPO		30	30% of all negotiated rates	296	percent of total billed charges	296	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	United Healthcare	PPO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	403	Coinsurance and deductible may apply
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	403	Coinsurance and deductible may apply
IV HYDRATION INFUSIUON EA	96361	CPT	3230049	LOCAL	260	RC		outpatient			423	360	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	403	Coinsurance and deductible may apply
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Aetna	PPO		38	38% of all negotiated rates	188	percent of total billed charges	188	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Alignment Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Coalition	PPO		49	49% of all negotiated rates	155	percent of total billed charges	155	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Optum Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	P3	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Select Health	HMO		41	41% of all negotiated rates	179	percent of total billed charges	179	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Silversummit Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	197	percent of total billed charges	197	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Teachers Trust	PPO		65	65% of all negotiated rates	106	percent of total billed charges	106	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	TriWest	PPO		30	30% of all negotiated rates	212	percent of total billed charges	212	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	United Healthcare	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	50	fee schedule	50	289	Coinsurance and deductible may apply
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	50	fee schedule	50	289	Coinsurance and deductible may apply
IV PUSH SGL/INITIAL USE D	96374	CPT	3230053	LOCAL	260	RC		outpatient			303	258	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	50	fee schedule	50	289	Coinsurance and deductible may apply
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Aetna	PPO		38	38% of all negotiated rates	393	percent of total billed charges	393	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Aetna Medicare	HMO		26	26% of all negotiated rates	469	percent of total billed charges	469	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Alignment Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	317	percent of total billed charges	317	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Cigna	PPO		68	68% of all negotiated rates	203	percent of total billed charges	203	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Coalition	PPO		49	49% of all negotiated rates	323	percent of total billed charges	323	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Humana-Commerical	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Multiplan	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	One Health	PPO		55	55% of all negotiated rates	285	percent of total billed charges	285	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Optum Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	P3	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Select Health	HMO		41	41% of all negotiated rates	374	percent of total billed charges	374	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	421	percent of total billed charges	421	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Sierra/HPN	HMO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Silversummit Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	412	percent of total billed charges	412	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Teachers Trust	PPO		65	65% of all negotiated rates	222	percent of total billed charges	222	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	TriWest	PPO		30	30% of all negotiated rates	443	percent of total billed charges	443	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	United Healthcare	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	603	Coinsurance and deductible may apply
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	603	Coinsurance and deductible may apply
OUTPT IV THERAPY START	96365	CPT	3276365	LOCAL	260	RC		outpatient			633	538	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	61	fee schedule	61	603	Coinsurance and deductible may apply
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Aetna	PPO		38	38% of all negotiated rates	53	percent of total billed charges	53	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Aetna Medicare	HMO		26	26% of all negotiated rates	63	percent of total billed charges	63	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Alignment Medicare	HMO		39	39% of all negotiated rates	52	percent of total billed charges	52	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	43	percent of total billed charges	43	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	52	percent of total billed charges	52	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Cigna	PPO		68	68% of all negotiated rates	27	percent of total billed charges	27	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Coalition	PPO		49	49% of all negotiated rates	43	percent of total billed charges	43	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Coventry	PPO		75	75% of all negotiated rates	21	percent of total billed charges	21	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	52	percent of total billed charges	52	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Multiplan	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	One Health	PPO		55	55% of all negotiated rates	38	percent of total billed charges	38	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Optum Medicare	HMO		39	39% of all negotiated rates	52	percent of total billed charges	52	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	P3	HMO		39	39% of all negotiated rates	52	percent of total billed charges	52	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Select Health	HMO		41	41% of all negotiated rates	50	percent of total billed charges	50	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	57	percent of total billed charges	57	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Sierra/HPN	HMO		60	60% of all negotiated rates	34	percent of total billed charges	34	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Silversummit Medicare	HMO		39	39% of all negotiated rates	52	percent of total billed charges	52	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	55	percent of total billed charges	55	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	Teachers Trust	PPO		65	65% of all negotiated rates	30	percent of total billed charges	30	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	TriWest	PPO		30	30% of all negotiated rates	60	percent of total billed charges	60	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	85	
PRIMARY IV SET			1500246	LOCAL	264	RC		outpatient			85	72	United Healthcare	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	85	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Aetna	PPO		38	38% of all negotiated rates	80	percent of total billed charges	80	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Aetna Medicare	HMO		26	26% of all negotiated rates	96	percent of total billed charges	96	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Alignment Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	65	percent of total billed charges	65	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Cigna	PPO		68	68% of all negotiated rates	41	percent of total billed charges	41	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Coalition	PPO		49	49% of all negotiated rates	66	percent of total billed charges	66	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Humana-Commerical	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	One Health	PPO		55	55% of all negotiated rates	58	percent of total billed charges	58	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Optum Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	P3	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Select Health	HMO		41	41% of all negotiated rates	76	percent of total billed charges	76	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	86	percent of total billed charges	86	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Sierra/HPN	HMO		60	60% of all negotiated rates	52	percent of total billed charges	52	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Silversummit Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	84	percent of total billed charges	84	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	Teachers Trust	PPO		65	65% of all negotiated rates	45	percent of total billed charges	45	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	TriWest	PPO		30	30% of all negotiated rates	90	percent of total billed charges	90	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	129	
ARM SLING (CHILD) SM			1500022	LOCAL	270	RC		outpatient			129	110	United Healthcare	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Aetna	PPO		38	38% of all negotiated rates	80	percent of total billed charges	80	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Aetna Medicare	HMO		26	26% of all negotiated rates	96	percent of total billed charges	96	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Alignment Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	65	percent of total billed charges	65	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Cigna	PPO		68	68% of all negotiated rates	41	percent of total billed charges	41	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Coalition	PPO		49	49% of all negotiated rates	66	percent of total billed charges	66	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Humana-Commerical	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	One Health	PPO		55	55% of all negotiated rates	58	percent of total billed charges	58	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Optum Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	P3	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Select Health	HMO		41	41% of all negotiated rates	76	percent of total billed charges	76	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	86	percent of total billed charges	86	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Sierra/HPN	HMO		60	60% of all negotiated rates	52	percent of total billed charges	52	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Silversummit Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	84	percent of total billed charges	84	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	Teachers Trust	PPO		65	65% of all negotiated rates	45	percent of total billed charges	45	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	TriWest	PPO		30	30% of all negotiated rates	90	percent of total billed charges	90	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	129	
ARM SLING UNIVERSAL			1500023	LOCAL	270	RC		outpatient			129	110	United Healthcare	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	129	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Aetna	PPO		38	38% of all negotiated rates	81	percent of total billed charges	81	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Aetna Medicare	HMO		26	26% of all negotiated rates	96	percent of total billed charges	96	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Alignment Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	65	percent of total billed charges	65	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Cigna	PPO		68	68% of all negotiated rates	42	percent of total billed charges	42	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Coalition	PPO		49	49% of all negotiated rates	66	percent of total billed charges	66	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Coventry	PPO		75	75% of all negotiated rates	33	percent of total billed charges	33	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Humana-Commerical	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	One Health	PPO		55	55% of all negotiated rates	59	percent of total billed charges	59	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Optum Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	P3	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Select Health	HMO		41	41% of all negotiated rates	77	percent of total billed charges	77	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	87	percent of total billed charges	87	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Sierra/HPN	HMO		60	60% of all negotiated rates	52	percent of total billed charges	52	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Silversummit Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	85	percent of total billed charges	85	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	Teachers Trust	PPO		65	65% of all negotiated rates	46	percent of total billed charges	46	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	TriWest	PPO		30	30% of all negotiated rates	91	percent of total billed charges	91	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	130	
MORGAN LENS			1500774	LOCAL	270	RC		outpatient			130	111	United Healthcare	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	130	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Aetna	PPO		38	38% of all negotiated rates	49	percent of total billed charges	49	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Aetna Medicare	HMO		26	26% of all negotiated rates	58	percent of total billed charges	58	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Alignment Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	39	percent of total billed charges	39	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Cigna	PPO		68	68% of all negotiated rates	25	percent of total billed charges	25	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Coalition	PPO		49	49% of all negotiated rates	40	percent of total billed charges	40	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Humana-Commerical	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	One Health	PPO		55	55% of all negotiated rates	35	percent of total billed charges	35	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Optum Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	P3	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Select Health	HMO		41	41% of all negotiated rates	46	percent of total billed charges	46	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	52	percent of total billed charges	52	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Sierra/HPN	HMO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Silversummit Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	51	percent of total billed charges	51	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	Teachers Trust	PPO		65	65% of all negotiated rates	28	percent of total billed charges	28	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	TriWest	PPO		30	30% of all negotiated rates	55	percent of total billed charges	55	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
ORTHO GLASS SPLINT 3 INCH			1500796	LOCAL	270	RC		outpatient			79	67	United Healthcare	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Aetna	PPO		38	38% of all negotiated rates	49	percent of total billed charges	49	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Aetna Medicare	HMO		26	26% of all negotiated rates	58	percent of total billed charges	58	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Alignment Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	39	percent of total billed charges	39	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Cigna	PPO		68	68% of all negotiated rates	25	percent of total billed charges	25	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Coalition	PPO		49	49% of all negotiated rates	40	percent of total billed charges	40	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Humana-Commerical	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	One Health	PPO		55	55% of all negotiated rates	35	percent of total billed charges	35	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Optum Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	P3	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Select Health	HMO		41	41% of all negotiated rates	46	percent of total billed charges	46	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	52	percent of total billed charges	52	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Sierra/HPN	HMO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Silversummit Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	51	percent of total billed charges	51	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	Teachers Trust	PPO		65	65% of all negotiated rates	28	percent of total billed charges	28	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	TriWest	PPO		30	30% of all negotiated rates	55	percent of total billed charges	55	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
ORTHO GLASS SPLINT 4 INCH			1500797	LOCAL	270	RC		outpatient			79	67	United Healthcare	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Aetna	PPO		38	38% of all negotiated rates	79	percent of total billed charges	79	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Aetna Medicare	HMO		26	26% of all negotiated rates	94	percent of total billed charges	94	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Alignment Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	64	percent of total billed charges	64	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Cigna	PPO		68	68% of all negotiated rates	41	percent of total billed charges	41	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Coalition	PPO		49	49% of all negotiated rates	65	percent of total billed charges	65	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	One Health	PPO		55	55% of all negotiated rates	57	percent of total billed charges	57	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Optum Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	P3	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Select Health	HMO		41	41% of all negotiated rates	75	percent of total billed charges	75	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	84	percent of total billed charges	84	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Sierra/HPN	HMO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Silversummit Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	83	percent of total billed charges	83	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	Teachers Trust	PPO		65	65% of all negotiated rates	44	percent of total billed charges	44	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	TriWest	PPO		30	30% of all negotiated rates	89	percent of total billed charges	89	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
S.C. IRRIGATION 3000ml.			1500729	LOCAL	270	RC		outpatient			127	108	United Healthcare	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SANITARY NAPKIN (O.B. PAD			1500255	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Aetna	PPO		38	38% of all negotiated rates	292	percent of total billed charges	292	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Aetna Medicare	HMO		26	26% of all negotiated rates	349	percent of total billed charges	349	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Alignment Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	236	percent of total billed charges	236	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Coalition	PPO		49	49% of all negotiated rates	240	percent of total billed charges	240	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Optum Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	P3	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	314	percent of total billed charges	314	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Sierra/HPN	HMO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Silversummit Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	TriWest	PPO		30	30% of all negotiated rates	330	percent of total billed charges	330	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
"SAW BLADE SAG (MED,WIDE)"			1500539	LOCAL	270	RC		outpatient			471	401	United Healthcare	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Aetna	PPO		38	38% of all negotiated rates	292	percent of total billed charges	292	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Aetna Medicare	HMO		26	26% of all negotiated rates	349	percent of total billed charges	349	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Alignment Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	236	percent of total billed charges	236	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Coalition	PPO		49	49% of all negotiated rates	240	percent of total billed charges	240	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Optum Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	P3	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	314	percent of total billed charges	314	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Sierra/HPN	HMO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Silversummit Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	TriWest	PPO		30	30% of all negotiated rates	330	percent of total billed charges	330	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
"SAW BLADE SAG (WIDE,THIN)"			1500540	LOCAL	270	RC		outpatient			471	401	United Healthcare	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Aetna	PPO		38	38% of all negotiated rates	141	percent of total billed charges	141	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Aetna Medicare	HMO		26	26% of all negotiated rates	168	percent of total billed charges	168	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Alignment Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	113	percent of total billed charges	113	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Coalition	PPO		49	49% of all negotiated rates	116	percent of total billed charges	116	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Humana-Commerical	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	One Health	PPO		55	55% of all negotiated rates	102	percent of total billed charges	102	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Optum Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	P3	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Select Health	HMO		41	41% of all negotiated rates	134	percent of total billed charges	134	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	151	percent of total billed charges	151	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Sierra/HPN	HMO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Silversummit Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	147	percent of total billed charges	147	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	Teachers Trust	PPO		65	65% of all negotiated rates	79	percent of total billed charges	79	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	TriWest	PPO		30	30% of all negotiated rates	159	percent of total billed charges	159	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #103			1500924	LOCAL	270	RC		outpatient			227	193	United Healthcare	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Aetna	PPO		38	38% of all negotiated rates	141	percent of total billed charges	141	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Aetna Medicare	HMO		26	26% of all negotiated rates	168	percent of total billed charges	168	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Alignment Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	113	percent of total billed charges	113	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Coalition	PPO		49	49% of all negotiated rates	116	percent of total billed charges	116	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Humana-Commerical	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	One Health	PPO		55	55% of all negotiated rates	102	percent of total billed charges	102	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Optum Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	P3	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Select Health	HMO		41	41% of all negotiated rates	134	percent of total billed charges	134	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	151	percent of total billed charges	151	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Sierra/HPN	HMO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Silversummit Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	147	percent of total billed charges	147	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	Teachers Trust	PPO		65	65% of all negotiated rates	79	percent of total billed charges	79	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	TriWest	PPO		30	30% of all negotiated rates	159	percent of total billed charges	159	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #114			1500925	LOCAL	270	RC		outpatient			227	193	United Healthcare	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Aetna	PPO		38	38% of all negotiated rates	141	percent of total billed charges	141	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Aetna Medicare	HMO		26	26% of all negotiated rates	168	percent of total billed charges	168	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Alignment Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	113	percent of total billed charges	113	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Coalition	PPO		49	49% of all negotiated rates	116	percent of total billed charges	116	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Humana-Commerical	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	One Health	PPO		55	55% of all negotiated rates	102	percent of total billed charges	102	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Optum Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	P3	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Select Health	HMO		41	41% of all negotiated rates	134	percent of total billed charges	134	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	151	percent of total billed charges	151	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Sierra/HPN	HMO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Silversummit Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	147	percent of total billed charges	147	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	Teachers Trust	PPO		65	65% of all negotiated rates	79	percent of total billed charges	79	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	TriWest	PPO		30	30% of all negotiated rates	159	percent of total billed charges	159	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #412			1500927	LOCAL	270	RC		outpatient			227	193	United Healthcare	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Aetna	PPO		38	38% of all negotiated rates	141	percent of total billed charges	141	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Aetna Medicare	HMO		26	26% of all negotiated rates	168	percent of total billed charges	168	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Alignment Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	113	percent of total billed charges	113	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Coalition	PPO		49	49% of all negotiated rates	116	percent of total billed charges	116	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Humana-Commerical	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	One Health	PPO		55	55% of all negotiated rates	102	percent of total billed charges	102	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Optum Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	P3	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Select Health	HMO		41	41% of all negotiated rates	134	percent of total billed charges	134	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	151	percent of total billed charges	151	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Sierra/HPN	HMO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Silversummit Medicare	HMO		39	39% of all negotiated rates	138	percent of total billed charges	138	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	147	percent of total billed charges	147	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	Teachers Trust	PPO		65	65% of all negotiated rates	79	percent of total billed charges	79	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	TriWest	PPO		30	30% of all negotiated rates	159	percent of total billed charges	159	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	68	percent of total billed charges	68	227	
SAW BLADE TPS #511			1500928	LOCAL	270	RC		outpatient			227	193	United Healthcare	PPO		60	60% of all negotiated rates	91	percent of total billed charges	91	227	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Aetna	PPO		38	38% of all negotiated rates	226	percent of total billed charges	226	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Aetna Medicare	HMO		26	26% of all negotiated rates	270	percent of total billed charges	270	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Alignment Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	182	percent of total billed charges	182	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Cigna	PPO		68	68% of all negotiated rates	117	percent of total billed charges	117	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Coalition	PPO		49	49% of all negotiated rates	186	percent of total billed charges	186	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Coventry	PPO		75	75% of all negotiated rates	91	percent of total billed charges	91	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	73	percent of total billed charges	73	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Humana-Commerical	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Multiplan	PPO		80	80% of all negotiated rates	73	percent of total billed charges	73	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	One Health	PPO		55	55% of all negotiated rates	164	percent of total billed charges	164	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Optum Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	P3	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Select Health	HMO		41	41% of all negotiated rates	215	percent of total billed charges	215	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	242	percent of total billed charges	242	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Sierra/HPN	HMO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Silversummit Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	237	percent of total billed charges	237	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	Teachers Trust	PPO		65	65% of all negotiated rates	128	percent of total billed charges	128	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	TriWest	PPO		30	30% of all negotiated rates	255	percent of total billed charges	255	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
SAW BLADE TPS 105			1500541	LOCAL	270	RC		outpatient			364	310	United Healthcare	PPO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Aetna	PPO		38	38% of all negotiated rates	226	percent of total billed charges	226	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Aetna Medicare	HMO		26	26% of all negotiated rates	270	percent of total billed charges	270	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Alignment Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	182	percent of total billed charges	182	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Cigna	PPO		68	68% of all negotiated rates	117	percent of total billed charges	117	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Coalition	PPO		49	49% of all negotiated rates	186	percent of total billed charges	186	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Coventry	PPO		75	75% of all negotiated rates	91	percent of total billed charges	91	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	73	percent of total billed charges	73	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Humana-Commerical	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Multiplan	PPO		80	80% of all negotiated rates	73	percent of total billed charges	73	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	One Health	PPO		55	55% of all negotiated rates	164	percent of total billed charges	164	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Optum Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	P3	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Select Health	HMO		41	41% of all negotiated rates	215	percent of total billed charges	215	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	242	percent of total billed charges	242	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Sierra/HPN	HMO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Silversummit Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	237	percent of total billed charges	237	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	Teachers Trust	PPO		65	65% of all negotiated rates	128	percent of total billed charges	128	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	TriWest	PPO		30	30% of all negotiated rates	255	percent of total billed charges	255	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
SAW BLADE TPS 414			1500538	LOCAL	270	RC		outpatient			364	310	United Healthcare	PPO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Aetna	PPO		38	38% of all negotiated rates	410	percent of total billed charges	410	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Aetna Medicare	HMO		26	26% of all negotiated rates	490	percent of total billed charges	490	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Alignment Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	265	percent of total billed charges	265	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	331	percent of total billed charges	331	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Cigna	PPO		68	68% of all negotiated rates	212	percent of total billed charges	212	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Coalition	PPO		49	49% of all negotiated rates	337	percent of total billed charges	337	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Coventry	PPO		75	75% of all negotiated rates	165	percent of total billed charges	165	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	132	percent of total billed charges	132	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Humana-Commerical	PPO		70	70% of all negotiated rates	198	percent of total billed charges	198	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Multiplan	PPO		80	80% of all negotiated rates	132	percent of total billed charges	132	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	One Health	PPO		55	55% of all negotiated rates	298	percent of total billed charges	298	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Optum Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	P3	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	198	percent of total billed charges	198	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Select Health	HMO		41	41% of all negotiated rates	390	percent of total billed charges	390	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	440	percent of total billed charges	440	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Sierra/HPN	HMO		60	60% of all negotiated rates	265	percent of total billed charges	265	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Silversummit Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	430	percent of total billed charges	430	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	Teachers Trust	PPO		65	65% of all negotiated rates	232	percent of total billed charges	232	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	TriWest	PPO		30	30% of all negotiated rates	463	percent of total billed charges	463	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	198	percent of total billed charges	198	662	
"SAW BLADE TPS, #111"			1500536	LOCAL	270	RC		outpatient			662	562	United Healthcare	PPO		60	60% of all negotiated rates	265	percent of total billed charges	265	662	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Aetna	PPO		38	38% of all negotiated rates	351	percent of total billed charges	351	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Aetna Medicare	HMO		26	26% of all negotiated rates	419	percent of total billed charges	419	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Alignment Medicare	HMO		39	39% of all negotiated rates	345	percent of total billed charges	345	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	226	percent of total billed charges	226	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	283	percent of total billed charges	283	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	345	percent of total billed charges	345	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Cigna	PPO		68	68% of all negotiated rates	181	percent of total billed charges	181	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Coalition	PPO		49	49% of all negotiated rates	289	percent of total billed charges	289	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Humana-Commerical	PPO		70	70% of all negotiated rates	170	percent of total billed charges	170	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	345	percent of total billed charges	345	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	One Health	PPO		55	55% of all negotiated rates	255	percent of total billed charges	255	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Optum Medicare	HMO		39	39% of all negotiated rates	345	percent of total billed charges	345	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	P3	HMO		39	39% of all negotiated rates	345	percent of total billed charges	345	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	170	percent of total billed charges	170	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Select Health	HMO		41	41% of all negotiated rates	334	percent of total billed charges	334	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	376	percent of total billed charges	376	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Sierra/HPN	HMO		60	60% of all negotiated rates	226	percent of total billed charges	226	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Silversummit Medicare	HMO		39	39% of all negotiated rates	345	percent of total billed charges	345	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	368	percent of total billed charges	368	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	Teachers Trust	PPO		65	65% of all negotiated rates	198	percent of total billed charges	198	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	TriWest	PPO		30	30% of all negotiated rates	396	percent of total billed charges	396	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	170	percent of total billed charges	170	566	
"SAW BLADE, OSCILLATING 40MMX11MM"			1501173	LOCAL	270	RC		outpatient			566	481	United Healthcare	PPO		60	60% of all negotiated rates	226	percent of total billed charges	226	566	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Aetna	PPO		38	38% of all negotiated rates	240	percent of total billed charges	240	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Aetna Medicare	HMO		26	26% of all negotiated rates	286	percent of total billed charges	286	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Alignment Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	155	percent of total billed charges	155	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	193	percent of total billed charges	193	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Cigna	PPO		68	68% of all negotiated rates	124	percent of total billed charges	124	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Coalition	PPO		49	49% of all negotiated rates	197	percent of total billed charges	197	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Coventry	PPO		75	75% of all negotiated rates	97	percent of total billed charges	97	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	77	percent of total billed charges	77	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Humana-Commerical	PPO		70	70% of all negotiated rates	116	percent of total billed charges	116	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Multiplan	PPO		80	80% of all negotiated rates	77	percent of total billed charges	77	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	One Health	PPO		55	55% of all negotiated rates	174	percent of total billed charges	174	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Optum Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	P3	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	116	percent of total billed charges	116	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Select Health	HMO		41	41% of all negotiated rates	228	percent of total billed charges	228	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	257	percent of total billed charges	257	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Sierra/HPN	HMO		60	60% of all negotiated rates	155	percent of total billed charges	155	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Silversummit Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	251	percent of total billed charges	251	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	Teachers Trust	PPO		65	65% of all negotiated rates	135	percent of total billed charges	135	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	TriWest	PPO		30	30% of all negotiated rates	270	percent of total billed charges	270	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	116	percent of total billed charges	116	386	
"SAW BLADE, TPS #225"			1500537	LOCAL	270	RC		outpatient			386	328	United Healthcare	PPO		60	60% of all negotiated rates	155	percent of total billed charges	155	386	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #10			1500256	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #11			1500257	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SCALPEL STERILE #15			1500258	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Aetna Medicare	HMO		26	26% of all negotiated rates	50	percent of total billed charges	50	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Alignment Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Optum Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	P3	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Silversummit Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	TriWest	PPO		30	30% of all negotiated rates	47	percent of total billed charges	47	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SCOPE BUDDY OLYMPUS TUBING			1501238	LOCAL	270	RC		outpatient			67	57	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Aetna Medicare	HMO		26	26% of all negotiated rates	14	percent of total billed charges	14	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	9	percent of total billed charges	9	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Select Health	HMO		41	41% of all negotiated rates	11	percent of total billed charges	11	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	12	percent of total billed charges	12	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	TriWest	PPO		30	30% of all negotiated rates	13	percent of total billed charges	13	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SCOPE BUDDY PLUS 24 HOUR TUBING			1501240	LOCAL	270	RC		outpatient			19	16	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Aetna Medicare	HMO		26	26% of all negotiated rates	50	percent of total billed charges	50	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Alignment Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Optum Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	P3	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Silversummit Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	TriWest	PPO		30	30% of all negotiated rates	47	percent of total billed charges	47	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SCOPE BUDDY PUMP TUBING			1501239	LOCAL	270	RC		outpatient			67	57	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SCOPE WARMER			1501056	LOCAL	270	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Aetna	PPO		38	38% of all negotiated rates	452	percent of total billed charges	452	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Aetna Medicare	HMO		26	26% of all negotiated rates	540	percent of total billed charges	540	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Alignment Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	292	percent of total billed charges	292	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	365	percent of total billed charges	365	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Cigna	PPO		68	68% of all negotiated rates	234	percent of total billed charges	234	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Coalition	PPO		49	49% of all negotiated rates	372	percent of total billed charges	372	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Coventry	PPO		75	75% of all negotiated rates	182	percent of total billed charges	182	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	146	percent of total billed charges	146	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Humana-Commerical	PPO		70	70% of all negotiated rates	219	percent of total billed charges	219	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Multiplan	PPO		80	80% of all negotiated rates	146	percent of total billed charges	146	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	One Health	PPO		55	55% of all negotiated rates	328	percent of total billed charges	328	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Optum Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	P3	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	219	percent of total billed charges	219	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Select Health	HMO		41	41% of all negotiated rates	431	percent of total billed charges	431	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	485	percent of total billed charges	485	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Sierra/HPN	HMO		60	60% of all negotiated rates	292	percent of total billed charges	292	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Silversummit Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	474	percent of total billed charges	474	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	Teachers Trust	PPO		65	65% of all negotiated rates	255	percent of total billed charges	255	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	TriWest	PPO		30	30% of all negotiated rates	511	percent of total billed charges	511	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	219	percent of total billed charges	219	730	
SCREW QUICKFIX CANC. 3.0X30MM			1501092	LOCAL	270	RC		outpatient			730	620	United Healthcare	PPO		60	60% of all negotiated rates	292	percent of total billed charges	292	730	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Aetna	PPO		38	38% of all negotiated rates	528	percent of total billed charges	528	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Aetna Medicare	HMO		26	26% of all negotiated rates	630	percent of total billed charges	630	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	426	percent of total billed charges	426	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Coalition	PPO		49	49% of all negotiated rates	434	percent of total billed charges	434	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Sierra/HPN	HMO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	554	percent of total billed charges	554	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	TriWest	PPO		30	30% of all negotiated rates	596	percent of total billed charges	596	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
SCREW VAL 3.0X12MM			1501095	LOCAL	270	RC		outpatient			852	724	United Healthcare	PPO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Aetna	PPO		38	38% of all negotiated rates	528	percent of total billed charges	528	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Aetna Medicare	HMO		26	26% of all negotiated rates	630	percent of total billed charges	630	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	426	percent of total billed charges	426	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Coalition	PPO		49	49% of all negotiated rates	434	percent of total billed charges	434	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Sierra/HPN	HMO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	554	percent of total billed charges	554	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	TriWest	PPO		30	30% of all negotiated rates	596	percent of total billed charges	596	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
SCREW VAL 3.0X18MM			1501096	LOCAL	270	RC		outpatient			852	724	United Healthcare	PPO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Aetna	PPO		38	38% of all negotiated rates	1795	percent of total billed charges	1795	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Aetna Medicare	HMO		26	26% of all negotiated rates	2143	percent of total billed charges	2143	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Alignment Medicare	HMO		39	39% of all negotiated rates	1766	percent of total billed charges	1766	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1158	percent of total billed charges	1158	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1448	percent of total billed charges	1448	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1766	percent of total billed charges	1766	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Cigna	PPO		68	68% of all negotiated rates	927	percent of total billed charges	927	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Coalition	PPO		49	49% of all negotiated rates	1477	percent of total billed charges	1477	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Coventry	PPO		75	75% of all negotiated rates	724	percent of total billed charges	724	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	579	percent of total billed charges	579	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Humana-Commerical	PPO		70	70% of all negotiated rates	869	percent of total billed charges	869	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1766	percent of total billed charges	1766	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Multiplan	PPO		80	80% of all negotiated rates	579	percent of total billed charges	579	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	One Health	PPO		55	55% of all negotiated rates	1303	percent of total billed charges	1303	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Optum Medicare	HMO		39	39% of all negotiated rates	1766	percent of total billed charges	1766	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	P3	HMO		39	39% of all negotiated rates	1766	percent of total billed charges	1766	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	869	percent of total billed charges	869	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Select Health	HMO		41	41% of all negotiated rates	1709	percent of total billed charges	1709	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1926	percent of total billed charges	1926	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Sierra/HPN	HMO		60	60% of all negotiated rates	1158	percent of total billed charges	1158	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Silversummit Medicare	HMO		39	39% of all negotiated rates	1766	percent of total billed charges	1766	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1882	percent of total billed charges	1882	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	Teachers Trust	PPO		65	65% of all negotiated rates	1014	percent of total billed charges	1014	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	TriWest	PPO		30	30% of all negotiated rates	2027	percent of total billed charges	2027	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	869	percent of total billed charges	869	2896	
SERFAS 3.5 (NON-SUCTION)			3214204	LOCAL	270	RC		outpatient			2896	2462	United Healthcare	PPO		60	60% of all negotiated rates	1158	percent of total billed charges	1158	2896	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Aetna	PPO		38	38% of all negotiated rates	1739	percent of total billed charges	1739	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Aetna Medicare	HMO		26	26% of all negotiated rates	2076	percent of total billed charges	2076	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Alignment Medicare	HMO		39	39% of all negotiated rates	1711	percent of total billed charges	1711	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1122	percent of total billed charges	1122	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1403	percent of total billed charges	1403	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1711	percent of total billed charges	1711	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Cigna	PPO		68	68% of all negotiated rates	898	percent of total billed charges	898	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Coalition	PPO		49	49% of all negotiated rates	1431	percent of total billed charges	1431	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Coventry	PPO		75	75% of all negotiated rates	701	percent of total billed charges	701	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	561	percent of total billed charges	561	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Humana-Commerical	PPO		70	70% of all negotiated rates	842	percent of total billed charges	842	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1711	percent of total billed charges	1711	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Multiplan	PPO		80	80% of all negotiated rates	561	percent of total billed charges	561	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	One Health	PPO		55	55% of all negotiated rates	1263	percent of total billed charges	1263	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Optum Medicare	HMO		39	39% of all negotiated rates	1711	percent of total billed charges	1711	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	P3	HMO		39	39% of all negotiated rates	1711	percent of total billed charges	1711	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	842	percent of total billed charges	842	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Select Health	HMO		41	41% of all negotiated rates	1655	percent of total billed charges	1655	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1866	percent of total billed charges	1866	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Sierra/HPN	HMO		60	60% of all negotiated rates	1122	percent of total billed charges	1122	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Silversummit Medicare	HMO		39	39% of all negotiated rates	1711	percent of total billed charges	1711	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1824	percent of total billed charges	1824	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	Teachers Trust	PPO		65	65% of all negotiated rates	982	percent of total billed charges	982	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	TriWest	PPO		30	30% of all negotiated rates	1964	percent of total billed charges	1964	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	842	percent of total billed charges	842	2806	
SERFAS WAND 3.5MM.			3214203	LOCAL	270	RC		outpatient			2806	2385	United Healthcare	PPO		60	60% of all negotiated rates	1122	percent of total billed charges	1122	2806	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Aetna	PPO		38	38% of all negotiated rates	775	percent of total billed charges	775	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Aetna Medicare	HMO		26	26% of all negotiated rates	925	percent of total billed charges	925	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Alignment Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	625	percent of total billed charges	625	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Cigna	PPO		68	68% of all negotiated rates	400	percent of total billed charges	400	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Coalition	PPO		49	49% of all negotiated rates	637	percent of total billed charges	637	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Coventry	PPO		75	75% of all negotiated rates	312	percent of total billed charges	312	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Humana-Commerical	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Multiplan	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	One Health	PPO		55	55% of all negotiated rates	562	percent of total billed charges	562	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Optum Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	P3	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Select Health	HMO		41	41% of all negotiated rates	737	percent of total billed charges	737	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	831	percent of total billed charges	831	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Sierra/HPN	HMO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Silversummit Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	812	percent of total billed charges	812	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	Teachers Trust	PPO		65	65% of all negotiated rates	437	percent of total billed charges	437	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	TriWest	PPO		30	30% of all negotiated rates	875	percent of total billed charges	875	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
SERFAS WAND 4.0 90-S MAX			1500568	LOCAL	270	RC		outpatient			1250	1062	United Healthcare	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SETOPRESS DRESSING			1500259	LOCAL	270	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Aetna	PPO		38	38% of all negotiated rates	818	percent of total billed charges	818	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Aetna Medicare	HMO		26	26% of all negotiated rates	977	percent of total billed charges	977	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Alignment Medicare	HMO		39	39% of all negotiated rates	805	percent of total billed charges	805	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	528	percent of total billed charges	528	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	660	percent of total billed charges	660	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	805	percent of total billed charges	805	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Coalition	PPO		49	49% of all negotiated rates	673	percent of total billed charges	673	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Coventry	PPO		75	75% of all negotiated rates	330	percent of total billed charges	330	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Humana-Commerical	PPO		70	70% of all negotiated rates	396	percent of total billed charges	396	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	805	percent of total billed charges	805	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	One Health	PPO		55	55% of all negotiated rates	594	percent of total billed charges	594	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Optum Medicare	HMO		39	39% of all negotiated rates	805	percent of total billed charges	805	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	P3	HMO		39	39% of all negotiated rates	805	percent of total billed charges	805	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	396	percent of total billed charges	396	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Select Health	HMO		41	41% of all negotiated rates	779	percent of total billed charges	779	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	878	percent of total billed charges	878	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Sierra/HPN	HMO		60	60% of all negotiated rates	528	percent of total billed charges	528	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Silversummit Medicare	HMO		39	39% of all negotiated rates	805	percent of total billed charges	805	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	858	percent of total billed charges	858	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	Teachers Trust	PPO		65	65% of all negotiated rates	462	percent of total billed charges	462	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	TriWest	PPO		30	30% of all negotiated rates	924	percent of total billed charges	924	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	396	percent of total billed charges	396	1320	
"SHAVER, AGRESSIVE PLUS"			3214209	LOCAL	270	RC		outpatient			1320	1122	United Healthcare	PPO		60	60% of all negotiated rates	528	percent of total billed charges	528	1320	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Aetna	PPO		38	38% of all negotiated rates	755	percent of total billed charges	755	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Aetna Medicare	HMO		26	26% of all negotiated rates	901	percent of total billed charges	901	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Alignment Medicare	HMO		39	39% of all negotiated rates	743	percent of total billed charges	743	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	487	percent of total billed charges	487	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	609	percent of total billed charges	609	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	743	percent of total billed charges	743	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Cigna	PPO		68	68% of all negotiated rates	390	percent of total billed charges	390	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Coalition	PPO		49	49% of all negotiated rates	621	percent of total billed charges	621	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Coventry	PPO		75	75% of all negotiated rates	305	percent of total billed charges	305	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Humana-Commerical	PPO		70	70% of all negotiated rates	365	percent of total billed charges	365	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	743	percent of total billed charges	743	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Multiplan	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	One Health	PPO		55	55% of all negotiated rates	548	percent of total billed charges	548	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Optum Medicare	HMO		39	39% of all negotiated rates	743	percent of total billed charges	743	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	P3	HMO		39	39% of all negotiated rates	743	percent of total billed charges	743	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	365	percent of total billed charges	365	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Select Health	HMO		41	41% of all negotiated rates	719	percent of total billed charges	719	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	810	percent of total billed charges	810	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Sierra/HPN	HMO		60	60% of all negotiated rates	487	percent of total billed charges	487	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Silversummit Medicare	HMO		39	39% of all negotiated rates	743	percent of total billed charges	743	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	792	percent of total billed charges	792	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	Teachers Trust	PPO		65	65% of all negotiated rates	426	percent of total billed charges	426	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	TriWest	PPO		30	30% of all negotiated rates	853	percent of total billed charges	853	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	365	percent of total billed charges	365	1218	
"SHAVER, SLOTTED WHISKER"			3213457	LOCAL	270	RC		outpatient			1218	1035	United Healthcare	PPO		60	60% of all negotiated rates	487	percent of total billed charges	487	1218	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Aetna	PPO		38	38% of all negotiated rates	290	percent of total billed charges	290	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Aetna Medicare	HMO		26	26% of all negotiated rates	346	percent of total billed charges	346	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Alignment Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	234	percent of total billed charges	234	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Cigna	PPO		68	68% of all negotiated rates	150	percent of total billed charges	150	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Coalition	PPO		49	49% of all negotiated rates	238	percent of total billed charges	238	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Coventry	PPO		75	75% of all negotiated rates	117	percent of total billed charges	117	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Humana-Commerical	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Multiplan	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	One Health	PPO		55	55% of all negotiated rates	210	percent of total billed charges	210	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Optum Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	P3	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Select Health	HMO		41	41% of all negotiated rates	276	percent of total billed charges	276	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	311	percent of total billed charges	311	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Sierra/HPN	HMO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Silversummit Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	304	percent of total billed charges	304	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	Teachers Trust	PPO		65	65% of all negotiated rates	164	percent of total billed charges	164	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	TriWest	PPO		30	30% of all negotiated rates	327	percent of total billed charges	327	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
SHOULDER SUSP KITS			1500533	LOCAL	270	RC		outpatient			467	397	United Healthcare	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMMOBILIZER SMALL FEMALE			1500871	LOCAL	270	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SHUR CLENS 20ML			1500269	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SKIN SLEEVE, ARM REG."			1500271	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SKIN SLEEVE, LARGE ARM"			1500272	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Aetna	PPO		38	38% of all negotiated rates	38	percent of total billed charges	38	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Aetna Medicare	HMO		26	26% of all negotiated rates	45	percent of total billed charges	45	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Alignment Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	30	percent of total billed charges	30	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Coalition	PPO		49	49% of all negotiated rates	31	percent of total billed charges	31	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	One Health	PPO		55	55% of all negotiated rates	27	percent of total billed charges	27	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Optum Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	P3	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Select Health	HMO		41	41% of all negotiated rates	36	percent of total billed charges	36	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	40	percent of total billed charges	40	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Silversummit Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	40	percent of total billed charges	40	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	TriWest	PPO		30	30% of all negotiated rates	43	percent of total billed charges	43	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
"SKIN STAPLER, REGULAR"			1500275	LOCAL	270	RC		outpatient			61	52	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Aetna	PPO		38	38% of all negotiated rates	38	percent of total billed charges	38	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Aetna Medicare	HMO		26	26% of all negotiated rates	45	percent of total billed charges	45	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Alignment Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	30	percent of total billed charges	30	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Coalition	PPO		49	49% of all negotiated rates	31	percent of total billed charges	31	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	One Health	PPO		55	55% of all negotiated rates	27	percent of total billed charges	27	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Optum Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	P3	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Select Health	HMO		41	41% of all negotiated rates	36	percent of total billed charges	36	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	40	percent of total billed charges	40	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Silversummit Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	40	percent of total billed charges	40	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	TriWest	PPO		30	30% of all negotiated rates	43	percent of total billed charges	43	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
"SKIN STAPLER, WIDE"			1500276	LOCAL	270	RC		outpatient			61	52	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Aetna	PPO		38	38% of all negotiated rates	81	percent of total billed charges	81	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Aetna Medicare	HMO		26	26% of all negotiated rates	97	percent of total billed charges	97	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Alignment Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	53	percent of total billed charges	53	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	66	percent of total billed charges	66	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Cigna	PPO		68	68% of all negotiated rates	42	percent of total billed charges	42	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Coalition	PPO		49	49% of all negotiated rates	67	percent of total billed charges	67	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Coventry	PPO		75	75% of all negotiated rates	33	percent of total billed charges	33	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Humana-Commerical	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	One Health	PPO		55	55% of all negotiated rates	59	percent of total billed charges	59	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Optum Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	P3	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Select Health	HMO		41	41% of all negotiated rates	77	percent of total billed charges	77	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	87	percent of total billed charges	87	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Sierra/HPN	HMO		60	60% of all negotiated rates	53	percent of total billed charges	53	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Silversummit Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	85	percent of total billed charges	85	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	Teachers Trust	PPO		65	65% of all negotiated rates	46	percent of total billed charges	46	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	TriWest	PPO		30	30% of all negotiated rates	92	percent of total billed charges	92	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	131	
SKINTEGRITY HYDROGEL			1500277	LOCAL	270	RC		outpatient			131	112	United Healthcare	PPO		60	60% of all negotiated rates	53	percent of total billed charges	53	131	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Aetna	PPO		38	38% of all negotiated rates	63	percent of total billed charges	63	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Aetna Medicare	HMO		26	26% of all negotiated rates	75	percent of total billed charges	75	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Alignment Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	41	percent of total billed charges	41	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	51	percent of total billed charges	51	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Coalition	PPO		49	49% of all negotiated rates	52	percent of total billed charges	52	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Coventry	PPO		75	75% of all negotiated rates	25	percent of total billed charges	25	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	One Health	PPO		55	55% of all negotiated rates	46	percent of total billed charges	46	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Optum Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	P3	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Select Health	HMO		41	41% of all negotiated rates	60	percent of total billed charges	60	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	68	percent of total billed charges	68	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Sierra/HPN	HMO		60	60% of all negotiated rates	41	percent of total billed charges	41	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Silversummit Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	66	percent of total billed charges	66	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	Teachers Trust	PPO		65	65% of all negotiated rates	36	percent of total billed charges	36	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	TriWest	PPO		30	30% of all negotiated rates	71	percent of total billed charges	71	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	102	
SLOTTED HEAD POSITIONER			3212342	LOCAL	270	RC		outpatient			102	87	United Healthcare	PPO		60	60% of all negotiated rates	41	percent of total billed charges	41	102	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Aetna	PPO		38	38% of all negotiated rates	357	percent of total billed charges	357	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Aetna Medicare	HMO		26	26% of all negotiated rates	426	percent of total billed charges	426	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Alignment Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	288	percent of total billed charges	288	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Cigna	PPO		68	68% of all negotiated rates	184	percent of total billed charges	184	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Coalition	PPO		49	49% of all negotiated rates	293	percent of total billed charges	293	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Coventry	PPO		75	75% of all negotiated rates	144	percent of total billed charges	144	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Humana-Commerical	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Multiplan	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	One Health	PPO		55	55% of all negotiated rates	259	percent of total billed charges	259	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Optum Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	P3	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Select Health	HMO		41	41% of all negotiated rates	339	percent of total billed charges	339	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	383	percent of total billed charges	383	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Sierra/HPN	HMO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Silversummit Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	374	percent of total billed charges	374	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	Teachers Trust	PPO		65	65% of all negotiated rates	201	percent of total billed charges	201	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	TriWest	PPO		30	30% of all negotiated rates	403	percent of total billed charges	403	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
SMARTSTITCH PERFECTPASSER SUTURE CARTRIDGE			1500903	LOCAL	270	RC		outpatient			575	489	United Healthcare	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Aetna	PPO		38	38% of all negotiated rates	279	percent of total billed charges	279	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Aetna Medicare	HMO		26	26% of all negotiated rates	333	percent of total billed charges	333	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Alignment Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	180	percent of total billed charges	180	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	225	percent of total billed charges	225	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Cigna	PPO		68	68% of all negotiated rates	144	percent of total billed charges	144	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Coalition	PPO		49	49% of all negotiated rates	230	percent of total billed charges	230	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Coventry	PPO		75	75% of all negotiated rates	113	percent of total billed charges	113	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Humana-Commerical	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Multiplan	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	One Health	PPO		55	55% of all negotiated rates	203	percent of total billed charges	203	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Optum Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	P3	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Select Health	HMO		41	41% of all negotiated rates	266	percent of total billed charges	266	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	300	percent of total billed charges	300	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Sierra/HPN	HMO		60	60% of all negotiated rates	180	percent of total billed charges	180	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Silversummit Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	293	percent of total billed charges	293	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	Teachers Trust	PPO		65	65% of all negotiated rates	158	percent of total billed charges	158	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	TriWest	PPO		30	30% of all negotiated rates	315	percent of total billed charges	315	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	450	
SMARTSTITCH PP CONNECTOR			1500902	LOCAL	270	RC		outpatient			450	383	United Healthcare	PPO		60	60% of all negotiated rates	180	percent of total billed charges	180	450	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Aetna	PPO		38	38% of all negotiated rates	357	percent of total billed charges	357	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Aetna Medicare	HMO		26	26% of all negotiated rates	426	percent of total billed charges	426	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Alignment Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	288	percent of total billed charges	288	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Cigna	PPO		68	68% of all negotiated rates	184	percent of total billed charges	184	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Coalition	PPO		49	49% of all negotiated rates	293	percent of total billed charges	293	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Coventry	PPO		75	75% of all negotiated rates	144	percent of total billed charges	144	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Humana-Commerical	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Multiplan	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	One Health	PPO		55	55% of all negotiated rates	259	percent of total billed charges	259	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Optum Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	P3	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Select Health	HMO		41	41% of all negotiated rates	339	percent of total billed charges	339	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	383	percent of total billed charges	383	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Sierra/HPN	HMO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Silversummit Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	374	percent of total billed charges	374	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	Teachers Trust	PPO		65	65% of all negotiated rates	201	percent of total billed charges	201	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	TriWest	PPO		30	30% of all negotiated rates	403	percent of total billed charges	403	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
SMARTSTITCH PP MW BLACK COBRAID			1500900	LOCAL	270	RC		outpatient			575	489	United Healthcare	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE DISPOSABLE (ALL)			1500554	LOCAL	270	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE HEXAGONAL			1500558	LOCAL	270	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE OVAL LARGE			1500555	LOCAL	270	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE SMALL			1500556	LOCAL	270	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
SNARE SPIRAL			1500553	LOCAL	270	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
"SNARE, OVAL STANDARD"			1500557	LOCAL	270	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Aetna	PPO		38	38% of all negotiated rates	2375	percent of total billed charges	2375	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Aetna Medicare	HMO		26	26% of all negotiated rates	2834	percent of total billed charges	2834	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Alignment Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1532	percent of total billed charges	1532	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1915	percent of total billed charges	1915	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Cigna	PPO		68	68% of all negotiated rates	1226	percent of total billed charges	1226	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Coalition	PPO		49	49% of all negotiated rates	1954	percent of total billed charges	1954	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Coventry	PPO		75	75% of all negotiated rates	958	percent of total billed charges	958	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	766	percent of total billed charges	766	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Humana-Commerical	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Multiplan	PPO		80	80% of all negotiated rates	766	percent of total billed charges	766	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	One Health	PPO		55	55% of all negotiated rates	1724	percent of total billed charges	1724	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Optum Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	P3	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Select Health	HMO		41	41% of all negotiated rates	2260	percent of total billed charges	2260	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2547	percent of total billed charges	2547	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Sierra/HPN	HMO		60	60% of all negotiated rates	1532	percent of total billed charges	1532	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Silversummit Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2490	percent of total billed charges	2490	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	Teachers Trust	PPO		65	65% of all negotiated rates	1341	percent of total billed charges	1341	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	TriWest	PPO		30	30% of all negotiated rates	2681	percent of total billed charges	2681	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3830	
SPACEMAKER PRO DISSECTION KIT			1501040	LOCAL	270	RC		outpatient			3830	3256	United Healthcare	PPO		60	60% of all negotiated rates	1532	percent of total billed charges	1532	3830	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SPECIMEN CONTAINER 4oz			1500595	LOCAL	270	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Aetna	PPO		38	38% of all negotiated rates	1444	percent of total billed charges	1444	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Aetna Medicare	HMO		26	26% of all negotiated rates	1723	percent of total billed charges	1723	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Alignment Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1164	percent of total billed charges	1164	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Cigna	PPO		68	68% of all negotiated rates	745	percent of total billed charges	745	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Coalition	PPO		49	49% of all negotiated rates	1188	percent of total billed charges	1188	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Coventry	PPO		75	75% of all negotiated rates	582	percent of total billed charges	582	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Humana-Commerical	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Multiplan	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	One Health	PPO		55	55% of all negotiated rates	1048	percent of total billed charges	1048	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Optum Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	P3	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Select Health	HMO		41	41% of all negotiated rates	1374	percent of total billed charges	1374	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1549	percent of total billed charges	1549	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Sierra/HPN	HMO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Silversummit Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1514	percent of total billed charges	1514	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	Teachers Trust	PPO		65	65% of all negotiated rates	815	percent of total billed charges	815	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	TriWest	PPO		30	30% of all negotiated rates	1630	percent of total billed charges	1630	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW 5.5MM. PLUS W/PP MW BLACK COBRAID			1500906	LOCAL	270	RC		outpatient			2329	1980	United Healthcare	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Aetna	PPO		38	38% of all negotiated rates	1444	percent of total billed charges	1444	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Aetna Medicare	HMO		26	26% of all negotiated rates	1723	percent of total billed charges	1723	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Alignment Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1164	percent of total billed charges	1164	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Cigna	PPO		68	68% of all negotiated rates	745	percent of total billed charges	745	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Coalition	PPO		49	49% of all negotiated rates	1188	percent of total billed charges	1188	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Coventry	PPO		75	75% of all negotiated rates	582	percent of total billed charges	582	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Humana-Commerical	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Multiplan	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	One Health	PPO		55	55% of all negotiated rates	1048	percent of total billed charges	1048	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Optum Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	P3	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Select Health	HMO		41	41% of all negotiated rates	1374	percent of total billed charges	1374	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1549	percent of total billed charges	1549	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Sierra/HPN	HMO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Silversummit Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1514	percent of total billed charges	1514	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	Teachers Trust	PPO		65	65% of all negotiated rates	815	percent of total billed charges	815	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	TriWest	PPO		30	30% of all negotiated rates	1630	percent of total billed charges	1630	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW PLUS W/MC MGW COBRAID			1500901	LOCAL	270	RC		outpatient			2329	1980	United Healthcare	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Aetna	PPO		38	38% of all negotiated rates	1444	percent of total billed charges	1444	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Aetna Medicare	HMO		26	26% of all negotiated rates	1723	percent of total billed charges	1723	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Alignment Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1164	percent of total billed charges	1164	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Cigna	PPO		68	68% of all negotiated rates	745	percent of total billed charges	745	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Coalition	PPO		49	49% of all negotiated rates	1188	percent of total billed charges	1188	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Coventry	PPO		75	75% of all negotiated rates	582	percent of total billed charges	582	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Humana-Commerical	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Multiplan	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	One Health	PPO		55	55% of all negotiated rates	1048	percent of total billed charges	1048	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Optum Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	P3	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Select Health	HMO		41	41% of all negotiated rates	1374	percent of total billed charges	1374	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1549	percent of total billed charges	1549	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Sierra/HPN	HMO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Silversummit Medicare	HMO		39	39% of all negotiated rates	1421	percent of total billed charges	1421	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1514	percent of total billed charges	1514	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	Teachers Trust	PPO		65	65% of all negotiated rates	815	percent of total billed charges	815	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	TriWest	PPO		30	30% of all negotiated rates	1630	percent of total billed charges	1630	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2329	
SPEEDSCREW PLUS W/PP MGW COBRAID			1500905	LOCAL	270	RC		outpatient			2329	1980	United Healthcare	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2329	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 18X3 1/2			1500278	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 20X3 1/2			1500279	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX5			1500434	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22gX7			1500435	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 22X3 1/2			1500280	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPINAL NEEDLE 25X3 1/2			1500281	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SPLASH SHIELD			1500282	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SPONGE LAP			1500601	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Aetna	PPO		38	38% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Aetna Medicare	HMO		26	26% of all negotiated rates	23	percent of total billed charges	23	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Alignment Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	15	percent of total billed charges	15	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Cigna	PPO		68	68% of all negotiated rates	10	percent of total billed charges	10	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Coalition	PPO		49	49% of all negotiated rates	16	percent of total billed charges	16	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	One Health	PPO		55	55% of all negotiated rates	14	percent of total billed charges	14	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Optum Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	P3	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Select Health	HMO		41	41% of all negotiated rates	18	percent of total billed charges	18	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	20	percent of total billed charges	20	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Sierra/HPN	HMO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Silversummit Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	20	percent of total billed charges	20	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	Teachers Trust	PPO		65	65% of all negotiated rates	11	percent of total billed charges	11	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	TriWest	PPO		30	30% of all negotiated rates	21	percent of total billed charges	21	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SPONGE NEURO			1500405	LOCAL	270	RC		outpatient			30	26	United Healthcare	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SPONGE PEANUT			1500604	LOCAL	270	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SPONGE RAYTEC			1500602	LOCAL	270	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SPONGE TONSIL MEDIUM			1500414	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
"SPONGE, LAP"			1500696	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Aetna	PPO		38	38% of all negotiated rates	460	percent of total billed charges	460	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Aetna Medicare	HMO		26	26% of all negotiated rates	549	percent of total billed charges	549	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Alignment Medicare	HMO		39	39% of all negotiated rates	452	percent of total billed charges	452	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	297	percent of total billed charges	297	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	371	percent of total billed charges	371	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	452	percent of total billed charges	452	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Cigna	PPO		68	68% of all negotiated rates	237	percent of total billed charges	237	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Coalition	PPO		49	49% of all negotiated rates	378	percent of total billed charges	378	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Coventry	PPO		75	75% of all negotiated rates	185	percent of total billed charges	185	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	148	percent of total billed charges	148	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Humana-Commerical	PPO		70	70% of all negotiated rates	222	percent of total billed charges	222	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	452	percent of total billed charges	452	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Multiplan	PPO		80	80% of all negotiated rates	148	percent of total billed charges	148	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	One Health	PPO		55	55% of all negotiated rates	334	percent of total billed charges	334	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Optum Medicare	HMO		39	39% of all negotiated rates	452	percent of total billed charges	452	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	P3	HMO		39	39% of all negotiated rates	452	percent of total billed charges	452	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	222	percent of total billed charges	222	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Select Health	HMO		41	41% of all negotiated rates	437	percent of total billed charges	437	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	493	percent of total billed charges	493	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Sierra/HPN	HMO		60	60% of all negotiated rates	297	percent of total billed charges	297	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Silversummit Medicare	HMO		39	39% of all negotiated rates	452	percent of total billed charges	452	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	482	percent of total billed charges	482	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	Teachers Trust	PPO		65	65% of all negotiated rates	259	percent of total billed charges	259	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	TriWest	PPO		30	30% of all negotiated rates	519	percent of total billed charges	519	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	222	percent of total billed charges	222	741	
STAPER RELOAD TR35B			1500514	LOCAL	270	RC		outpatient			741	630	United Healthcare	PPO		60	60% of all negotiated rates	297	percent of total billed charges	297	741	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Aetna	PPO		38	38% of all negotiated rates	4732	percent of total billed charges	4732	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Aetna Medicare	HMO		26	26% of all negotiated rates	5648	percent of total billed charges	5648	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Alignment Medicare	HMO		39	39% of all negotiated rates	4656	percent of total billed charges	4656	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3053	percent of total billed charges	3053	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3816	percent of total billed charges	3816	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4656	percent of total billed charges	4656	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Cigna	PPO		68	68% of all negotiated rates	2442	percent of total billed charges	2442	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Coalition	PPO		49	49% of all negotiated rates	3893	percent of total billed charges	3893	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Coventry	PPO		75	75% of all negotiated rates	1908	percent of total billed charges	1908	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1526	percent of total billed charges	1526	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Humana-Commerical	PPO		70	70% of all negotiated rates	2290	percent of total billed charges	2290	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4656	percent of total billed charges	4656	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Multiplan	PPO		80	80% of all negotiated rates	1526	percent of total billed charges	1526	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	One Health	PPO		55	55% of all negotiated rates	3435	percent of total billed charges	3435	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Optum Medicare	HMO		39	39% of all negotiated rates	4656	percent of total billed charges	4656	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	P3	HMO		39	39% of all negotiated rates	4656	percent of total billed charges	4656	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2290	percent of total billed charges	2290	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Select Health	HMO		41	41% of all negotiated rates	4503	percent of total billed charges	4503	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5076	percent of total billed charges	5076	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Sierra/HPN	HMO		60	60% of all negotiated rates	3053	percent of total billed charges	3053	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Silversummit Medicare	HMO		39	39% of all negotiated rates	4656	percent of total billed charges	4656	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4961	percent of total billed charges	4961	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	Teachers Trust	PPO		65	65% of all negotiated rates	2671	percent of total billed charges	2671	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	TriWest	PPO		30	30% of all negotiated rates	5343	percent of total billed charges	5343	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2290	percent of total billed charges	2290	7632	
STAPLE DYNANITE W/INSTRUMENTS			1501074	LOCAL	270	RC		outpatient			7632	6488	United Healthcare	PPO		60	60% of all negotiated rates	3053	percent of total billed charges	3053	7632	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Aetna	PPO		38	38% of all negotiated rates	1110	percent of total billed charges	1110	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Aetna Medicare	HMO		26	26% of all negotiated rates	1325	percent of total billed charges	1325	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Alignment Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	716	percent of total billed charges	716	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	895	percent of total billed charges	895	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Cigna	PPO		68	68% of all negotiated rates	573	percent of total billed charges	573	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Coalition	PPO		49	49% of all negotiated rates	913	percent of total billed charges	913	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Coventry	PPO		75	75% of all negotiated rates	448	percent of total billed charges	448	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	358	percent of total billed charges	358	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Humana-Commerical	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Multiplan	PPO		80	80% of all negotiated rates	358	percent of total billed charges	358	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	One Health	PPO		55	55% of all negotiated rates	806	percent of total billed charges	806	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Optum Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	P3	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Select Health	HMO		41	41% of all negotiated rates	1056	percent of total billed charges	1056	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1191	percent of total billed charges	1191	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Sierra/HPN	HMO		60	60% of all negotiated rates	716	percent of total billed charges	716	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Silversummit Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1164	percent of total billed charges	1164	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	Teachers Trust	PPO		65	65% of all negotiated rates	627	percent of total billed charges	627	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	TriWest	PPO		30	30% of all negotiated rates	1253	percent of total billed charges	1253	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1790	
STAPLER ATS-45			1500515	LOCAL	270	RC		outpatient			1790	1522	United Healthcare	PPO		60	60% of all negotiated rates	716	percent of total billed charges	716	1790	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Aetna	PPO		38	38% of all negotiated rates	596	percent of total billed charges	596	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Aetna Medicare	HMO		26	26% of all negotiated rates	712	percent of total billed charges	712	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Alignment Medicare	HMO		39	39% of all negotiated rates	587	percent of total billed charges	587	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	385	percent of total billed charges	385	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	481	percent of total billed charges	481	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	587	percent of total billed charges	587	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Cigna	PPO		68	68% of all negotiated rates	308	percent of total billed charges	308	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Coalition	PPO		49	49% of all negotiated rates	491	percent of total billed charges	491	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Coventry	PPO		75	75% of all negotiated rates	240	percent of total billed charges	240	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	192	percent of total billed charges	192	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Humana-Commerical	PPO		70	70% of all negotiated rates	289	percent of total billed charges	289	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	587	percent of total billed charges	587	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Multiplan	PPO		80	80% of all negotiated rates	192	percent of total billed charges	192	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	One Health	PPO		55	55% of all negotiated rates	433	percent of total billed charges	433	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Optum Medicare	HMO		39	39% of all negotiated rates	587	percent of total billed charges	587	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	P3	HMO		39	39% of all negotiated rates	587	percent of total billed charges	587	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	289	percent of total billed charges	289	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Select Health	HMO		41	41% of all negotiated rates	567	percent of total billed charges	567	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	640	percent of total billed charges	640	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Sierra/HPN	HMO		60	60% of all negotiated rates	385	percent of total billed charges	385	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Silversummit Medicare	HMO		39	39% of all negotiated rates	587	percent of total billed charges	587	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	625	percent of total billed charges	625	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	Teachers Trust	PPO		65	65% of all negotiated rates	337	percent of total billed charges	337	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	TriWest	PPO		30	30% of all negotiated rates	673	percent of total billed charges	673	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	289	percent of total billed charges	289	962	
STAPLER RELOAD TLC 75			1500510	LOCAL	270	RC		outpatient			962	818	United Healthcare	PPO		60	60% of all negotiated rates	385	percent of total billed charges	385	962	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Aetna	PPO		38	38% of all negotiated rates	374	percent of total billed charges	374	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Aetna Medicare	HMO		26	26% of all negotiated rates	447	percent of total billed charges	447	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Alignment Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	242	percent of total billed charges	242	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	302	percent of total billed charges	302	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Cigna	PPO		68	68% of all negotiated rates	193	percent of total billed charges	193	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Coalition	PPO		49	49% of all negotiated rates	308	percent of total billed charges	308	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Coventry	PPO		75	75% of all negotiated rates	151	percent of total billed charges	151	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Humana-Commerical	PPO		70	70% of all negotiated rates	181	percent of total billed charges	181	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Multiplan	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	One Health	PPO		55	55% of all negotiated rates	272	percent of total billed charges	272	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Optum Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	P3	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	181	percent of total billed charges	181	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Select Health	HMO		41	41% of all negotiated rates	356	percent of total billed charges	356	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	401	percent of total billed charges	401	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Sierra/HPN	HMO		60	60% of all negotiated rates	242	percent of total billed charges	242	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Silversummit Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	392	percent of total billed charges	392	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	Teachers Trust	PPO		65	65% of all negotiated rates	211	percent of total billed charges	211	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	TriWest	PPO		30	30% of all negotiated rates	423	percent of total billed charges	423	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	181	percent of total billed charges	181	604	
"STAPLER RELOAD, TCR75"			1500511	LOCAL	270	RC		outpatient			604	513	United Healthcare	PPO		60	60% of all negotiated rates	242	percent of total billed charges	242	604	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Aetna	PPO		38	38% of all negotiated rates	702	percent of total billed charges	702	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Aetna Medicare	HMO		26	26% of all negotiated rates	838	percent of total billed charges	838	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Alignment Medicare	HMO		39	39% of all negotiated rates	690	percent of total billed charges	690	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	453	percent of total billed charges	453	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	566	percent of total billed charges	566	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	690	percent of total billed charges	690	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Cigna	PPO		68	68% of all negotiated rates	362	percent of total billed charges	362	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Coalition	PPO		49	49% of all negotiated rates	577	percent of total billed charges	577	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Coventry	PPO		75	75% of all negotiated rates	283	percent of total billed charges	283	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	226	percent of total billed charges	226	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Humana-Commerical	PPO		70	70% of all negotiated rates	340	percent of total billed charges	340	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	690	percent of total billed charges	690	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Multiplan	PPO		80	80% of all negotiated rates	226	percent of total billed charges	226	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	One Health	PPO		55	55% of all negotiated rates	509	percent of total billed charges	509	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Optum Medicare	HMO		39	39% of all negotiated rates	690	percent of total billed charges	690	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	P3	HMO		39	39% of all negotiated rates	690	percent of total billed charges	690	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	340	percent of total billed charges	340	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Select Health	HMO		41	41% of all negotiated rates	668	percent of total billed charges	668	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	753	percent of total billed charges	753	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Sierra/HPN	HMO		60	60% of all negotiated rates	453	percent of total billed charges	453	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Silversummit Medicare	HMO		39	39% of all negotiated rates	690	percent of total billed charges	690	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	736	percent of total billed charges	736	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	Teachers Trust	PPO		65	65% of all negotiated rates	396	percent of total billed charges	396	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	TriWest	PPO		30	30% of all negotiated rates	792	percent of total billed charges	792	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	340	percent of total billed charges	340	1132	
"STAPLER RELOAD, TR35W"			1500513	LOCAL	270	RC		outpatient			1132	962	United Healthcare	PPO		60	60% of all negotiated rates	453	percent of total billed charges	453	1132	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Aetna	PPO		38	38% of all negotiated rates	326	percent of total billed charges	326	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Aetna Medicare	HMO		26	26% of all negotiated rates	389	percent of total billed charges	389	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Alignment Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	210	percent of total billed charges	210	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	263	percent of total billed charges	263	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Cigna	PPO		68	68% of all negotiated rates	168	percent of total billed charges	168	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Coalition	PPO		49	49% of all negotiated rates	268	percent of total billed charges	268	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Coventry	PPO		75	75% of all negotiated rates	131	percent of total billed charges	131	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	105	percent of total billed charges	105	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Humana-Commerical	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Multiplan	PPO		80	80% of all negotiated rates	105	percent of total billed charges	105	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	One Health	PPO		55	55% of all negotiated rates	236	percent of total billed charges	236	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Optum Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	P3	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Select Health	HMO		41	41% of all negotiated rates	310	percent of total billed charges	310	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	349	percent of total billed charges	349	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Sierra/HPN	HMO		60	60% of all negotiated rates	210	percent of total billed charges	210	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Silversummit Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	341	percent of total billed charges	341	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	Teachers Trust	PPO		65	65% of all negotiated rates	184	percent of total billed charges	184	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	TriWest	PPO		30	30% of all negotiated rates	368	percent of total billed charges	368	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	525	
"STAPLER RELOAD, TRT75"			1500512	LOCAL	270	RC		outpatient			525	446	United Healthcare	PPO		60	60% of all negotiated rates	210	percent of total billed charges	210	525	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Aetna	PPO		38	38% of all negotiated rates	62	percent of total billed charges	62	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Aetna Medicare	HMO		26	26% of all negotiated rates	75	percent of total billed charges	75	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Alignment Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	50	percent of total billed charges	50	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Cigna	PPO		68	68% of all negotiated rates	32	percent of total billed charges	32	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Coalition	PPO		49	49% of all negotiated rates	51	percent of total billed charges	51	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Coventry	PPO		75	75% of all negotiated rates	25	percent of total billed charges	25	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Humana-Commerical	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	One Health	PPO		55	55% of all negotiated rates	45	percent of total billed charges	45	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Optum Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	P3	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Select Health	HMO		41	41% of all negotiated rates	59	percent of total billed charges	59	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	67	percent of total billed charges	67	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Sierra/HPN	HMO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Silversummit Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	66	percent of total billed charges	66	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	Teachers Trust	PPO		65	65% of all negotiated rates	35	percent of total billed charges	35	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	TriWest	PPO		30	30% of all negotiated rates	71	percent of total billed charges	71	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
STAPLER SKIN			1500605	LOCAL	270	RC		outpatient			101	86	United Healthcare	PPO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Aetna	PPO		38	38% of all negotiated rates	130	percent of total billed charges	130	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Aetna Medicare	HMO		26	26% of all negotiated rates	155	percent of total billed charges	155	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Alignment Medicare	HMO		39	39% of all negotiated rates	128	percent of total billed charges	128	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	84	percent of total billed charges	84	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	105	percent of total billed charges	105	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	128	percent of total billed charges	128	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Cigna	PPO		68	68% of all negotiated rates	67	percent of total billed charges	67	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Coalition	PPO		49	49% of all negotiated rates	107	percent of total billed charges	107	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Coventry	PPO		75	75% of all negotiated rates	53	percent of total billed charges	53	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	42	percent of total billed charges	42	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Humana-Commerical	PPO		70	70% of all negotiated rates	63	percent of total billed charges	63	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	128	percent of total billed charges	128	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Multiplan	PPO		80	80% of all negotiated rates	42	percent of total billed charges	42	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	One Health	PPO		55	55% of all negotiated rates	95	percent of total billed charges	95	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Optum Medicare	HMO		39	39% of all negotiated rates	128	percent of total billed charges	128	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	P3	HMO		39	39% of all negotiated rates	128	percent of total billed charges	128	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	63	percent of total billed charges	63	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Select Health	HMO		41	41% of all negotiated rates	124	percent of total billed charges	124	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	140	percent of total billed charges	140	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Sierra/HPN	HMO		60	60% of all negotiated rates	84	percent of total billed charges	84	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Silversummit Medicare	HMO		39	39% of all negotiated rates	128	percent of total billed charges	128	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	137	percent of total billed charges	137	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	Teachers Trust	PPO		65	65% of all negotiated rates	74	percent of total billed charges	74	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	TriWest	PPO		30	30% of all negotiated rates	147	percent of total billed charges	147	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	63	percent of total billed charges	63	210	
STAR SLEEVE VELCRO			1501291	LOCAL	270	RC		outpatient			210	179	United Healthcare	PPO		60	60% of all negotiated rates	84	percent of total billed charges	84	210	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
STAT LOCK FOLEY			1501158	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Alignment Medicare	HMO		39	39% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Optum Medicare	HMO		39	39% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	P3	HMO		39	39% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Silversummit Medicare	HMO		39	39% of all negotiated rates	16	percent of total billed charges	16	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	17	percent of total billed charges	17	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	26	
STAT-PACK TURNOVER KIT			1501236	LOCAL	270	RC		outpatient			26	22	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	26	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/2			1500284	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/4			1500285	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
STERI STRIP 1/8			1500286	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
STETHOSCOPE DISP.			1500287	LOCAL	270	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Aetna	PPO		38	38% of all negotiated rates	133	percent of total billed charges	133	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Aetna Medicare	HMO		26	26% of all negotiated rates	159	percent of total billed charges	159	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Alignment Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	86	percent of total billed charges	86	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	108	percent of total billed charges	108	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Cigna	PPO		68	68% of all negotiated rates	69	percent of total billed charges	69	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Coalition	PPO		49	49% of all negotiated rates	110	percent of total billed charges	110	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Coventry	PPO		75	75% of all negotiated rates	54	percent of total billed charges	54	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Humana-Commerical	PPO		70	70% of all negotiated rates	65	percent of total billed charges	65	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Multiplan	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	One Health	PPO		55	55% of all negotiated rates	97	percent of total billed charges	97	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Optum Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	P3	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	65	percent of total billed charges	65	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Select Health	HMO		41	41% of all negotiated rates	127	percent of total billed charges	127	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	143	percent of total billed charges	143	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Sierra/HPN	HMO		60	60% of all negotiated rates	86	percent of total billed charges	86	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Silversummit Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	140	percent of total billed charges	140	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	Teachers Trust	PPO		65	65% of all negotiated rates	75	percent of total billed charges	75	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	TriWest	PPO		30	30% of all negotiated rates	151	percent of total billed charges	151	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	65	percent of total billed charges	65	215	
STIMUPLEX NEEDLE 20gX6			3215058	LOCAL	270	RC		outpatient			215	183	United Healthcare	PPO		60	60% of all negotiated rates	86	percent of total billed charges	86	215	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Aetna	PPO		38	38% of all negotiated rates	39	percent of total billed charges	39	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Aetna Medicare	HMO		26	26% of all negotiated rates	47	percent of total billed charges	47	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Alignment Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	25	percent of total billed charges	25	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	32	percent of total billed charges	32	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Cigna	PPO		68	68% of all negotiated rates	20	percent of total billed charges	20	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Coalition	PPO		49	49% of all negotiated rates	32	percent of total billed charges	32	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Coventry	PPO		75	75% of all negotiated rates	16	percent of total billed charges	16	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Humana-Commerical	PPO		70	70% of all negotiated rates	19	percent of total billed charges	19	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	One Health	PPO		55	55% of all negotiated rates	28	percent of total billed charges	28	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Optum Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	P3	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	19	percent of total billed charges	19	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Select Health	HMO		41	41% of all negotiated rates	37	percent of total billed charges	37	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	42	percent of total billed charges	42	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Sierra/HPN	HMO		60	60% of all negotiated rates	25	percent of total billed charges	25	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Silversummit Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	41	percent of total billed charges	41	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	Teachers Trust	PPO		65	65% of all negotiated rates	22	percent of total billed charges	22	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	TriWest	PPO		30	30% of all negotiated rates	44	percent of total billed charges	44	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	19	percent of total billed charges	19	63	
STIMUPLEX NEEDLE 20X4			1501171	LOCAL	270	RC		outpatient			63	54	United Healthcare	PPO		60	60% of all negotiated rates	25	percent of total billed charges	25	63	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Aetna	PPO		38	38% of all negotiated rates	106	percent of total billed charges	106	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Aetna Medicare	HMO		26	26% of all negotiated rates	127	percent of total billed charges	127	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Alignment Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	86	percent of total billed charges	86	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Cigna	PPO		68	68% of all negotiated rates	55	percent of total billed charges	55	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Coalition	PPO		49	49% of all negotiated rates	87	percent of total billed charges	87	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Coventry	PPO		75	75% of all negotiated rates	43	percent of total billed charges	43	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Humana-Commerical	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Multiplan	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	One Health	PPO		55	55% of all negotiated rates	77	percent of total billed charges	77	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Optum Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	P3	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Select Health	HMO		41	41% of all negotiated rates	101	percent of total billed charges	101	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	114	percent of total billed charges	114	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Sierra/HPN	HMO		60	60% of all negotiated rates	68	percent of total billed charges	68	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Silversummit Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	111	percent of total billed charges	111	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	Teachers Trust	PPO		65	65% of all negotiated rates	60	percent of total billed charges	60	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	TriWest	PPO		30	30% of all negotiated rates	120	percent of total billed charges	120	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	171	
STIMUPLEX NEEDLE 21Gx4			3215059	LOCAL	270	RC		outpatient			171	145	United Healthcare	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	171	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Aetna	PPO		38	38% of all negotiated rates	79	percent of total billed charges	79	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Aetna Medicare	HMO		26	26% of all negotiated rates	95	percent of total billed charges	95	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Alignment Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	64	percent of total billed charges	64	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Cigna	PPO		68	68% of all negotiated rates	41	percent of total billed charges	41	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Coalition	PPO		49	49% of all negotiated rates	65	percent of total billed charges	65	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	One Health	PPO		55	55% of all negotiated rates	58	percent of total billed charges	58	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Optum Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	P3	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Select Health	HMO		41	41% of all negotiated rates	76	percent of total billed charges	76	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	85	percent of total billed charges	85	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Sierra/HPN	HMO		60	60% of all negotiated rates	51	percent of total billed charges	51	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Silversummit Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	83	percent of total billed charges	83	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	Teachers Trust	PPO		65	65% of all negotiated rates	45	percent of total billed charges	45	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	TriWest	PPO		30	30% of all negotiated rates	90	percent of total billed charges	90	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	128	
STIMUPLEX NEEDLE 22GX2			3215060	LOCAL	270	RC		outpatient			128	109	United Healthcare	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	128	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Aetna	PPO		38	38% of all negotiated rates	111	percent of total billed charges	111	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Aetna Medicare	HMO		26	26% of all negotiated rates	132	percent of total billed charges	132	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Alignment Medicare	HMO		39	39% of all negotiated rates	109	percent of total billed charges	109	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	89	percent of total billed charges	89	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	109	percent of total billed charges	109	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Cigna	PPO		68	68% of all negotiated rates	57	percent of total billed charges	57	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Coalition	PPO		49	49% of all negotiated rates	91	percent of total billed charges	91	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Coventry	PPO		75	75% of all negotiated rates	45	percent of total billed charges	45	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	36	percent of total billed charges	36	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Humana-Commerical	PPO		70	70% of all negotiated rates	54	percent of total billed charges	54	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	109	percent of total billed charges	109	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Multiplan	PPO		80	80% of all negotiated rates	36	percent of total billed charges	36	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	One Health	PPO		55	55% of all negotiated rates	80	percent of total billed charges	80	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Optum Medicare	HMO		39	39% of all negotiated rates	109	percent of total billed charges	109	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	P3	HMO		39	39% of all negotiated rates	109	percent of total billed charges	109	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	54	percent of total billed charges	54	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Select Health	HMO		41	41% of all negotiated rates	105	percent of total billed charges	105	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	119	percent of total billed charges	119	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Sierra/HPN	HMO		60	60% of all negotiated rates	71	percent of total billed charges	71	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Silversummit Medicare	HMO		39	39% of all negotiated rates	109	percent of total billed charges	109	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	116	percent of total billed charges	116	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	Teachers Trust	PPO		65	65% of all negotiated rates	62	percent of total billed charges	62	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	TriWest	PPO		30	30% of all negotiated rates	125	percent of total billed charges	125	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	54	percent of total billed charges	54	179	
STIMUPLEX NEEDLE 22GX3			3215061	LOCAL	270	RC		outpatient			179	152	United Healthcare	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	179	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
"STOMAHESIVE PASTE, 1/2 oz"			1500288	LOCAL	270	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Coalition	PPO		49	49% of all negotiated rates	18	percent of total billed charges	18	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
STRAIGHT CATH TRAY			1500289	LOCAL	270	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Aetna	PPO		38	38% of all negotiated rates	656	percent of total billed charges	656	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Aetna Medicare	HMO		26	26% of all negotiated rates	782	percent of total billed charges	782	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Alignment Medicare	HMO		39	39% of all negotiated rates	645	percent of total billed charges	645	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	423	percent of total billed charges	423	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	529	percent of total billed charges	529	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	645	percent of total billed charges	645	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Cigna	PPO		68	68% of all negotiated rates	338	percent of total billed charges	338	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Coalition	PPO		49	49% of all negotiated rates	539	percent of total billed charges	539	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Coventry	PPO		75	75% of all negotiated rates	264	percent of total billed charges	264	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	211	percent of total billed charges	211	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Humana-Commerical	PPO		70	70% of all negotiated rates	317	percent of total billed charges	317	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	645	percent of total billed charges	645	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Multiplan	PPO		80	80% of all negotiated rates	211	percent of total billed charges	211	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	One Health	PPO		55	55% of all negotiated rates	476	percent of total billed charges	476	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Optum Medicare	HMO		39	39% of all negotiated rates	645	percent of total billed charges	645	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	P3	HMO		39	39% of all negotiated rates	645	percent of total billed charges	645	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	317	percent of total billed charges	317	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Select Health	HMO		41	41% of all negotiated rates	624	percent of total billed charges	624	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	703	percent of total billed charges	703	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Sierra/HPN	HMO		60	60% of all negotiated rates	423	percent of total billed charges	423	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Silversummit Medicare	HMO		39	39% of all negotiated rates	645	percent of total billed charges	645	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	687	percent of total billed charges	687	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	Teachers Trust	PPO		65	65% of all negotiated rates	370	percent of total billed charges	370	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	TriWest	PPO		30	30% of all negotiated rates	740	percent of total billed charges	740	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	317	percent of total billed charges	317	1057	
STRAIGHT SHOT BLADE CURVE			1500661	LOCAL	270	RC		outpatient			1057	899	United Healthcare	PPO		60	60% of all negotiated rates	423	percent of total billed charges	423	1057	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Aetna	PPO		38	38% of all negotiated rates	139	percent of total billed charges	139	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Aetna Medicare	HMO		26	26% of all negotiated rates	166	percent of total billed charges	166	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Alignment Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	112	percent of total billed charges	112	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Cigna	PPO		68	68% of all negotiated rates	72	percent of total billed charges	72	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Coalition	PPO		49	49% of all negotiated rates	114	percent of total billed charges	114	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Coventry	PPO		75	75% of all negotiated rates	56	percent of total billed charges	56	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Humana-Commerical	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	One Health	PPO		55	55% of all negotiated rates	101	percent of total billed charges	101	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Optum Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	P3	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Select Health	HMO		41	41% of all negotiated rates	132	percent of total billed charges	132	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	149	percent of total billed charges	149	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Sierra/HPN	HMO		60	60% of all negotiated rates	89	percent of total billed charges	89	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Silversummit Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	145	percent of total billed charges	145	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	Teachers Trust	PPO		65	65% of all negotiated rates	78	percent of total billed charges	78	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	TriWest	PPO		30	30% of all negotiated rates	157	percent of total billed charges	157	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	224	
STRAIGHT SHOT TUBING			1500662	LOCAL	270	RC		outpatient			224	190	United Healthcare	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	224	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
STRAP ARMBOARD			3215495	LOCAL	270	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Aetna	PPO		38	38% of all negotiated rates	311	percent of total billed charges	311	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Aetna Medicare	HMO		26	26% of all negotiated rates	371	percent of total billed charges	371	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Alignment Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	250	percent of total billed charges	250	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Cigna	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Coalition	PPO		49	49% of all negotiated rates	255	percent of total billed charges	255	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Coventry	PPO		75	75% of all negotiated rates	125	percent of total billed charges	125	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Humana-Commerical	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Multiplan	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	One Health	PPO		55	55% of all negotiated rates	225	percent of total billed charges	225	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Optum Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	P3	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Select Health	HMO		41	41% of all negotiated rates	296	percent of total billed charges	296	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	333	percent of total billed charges	333	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Sierra/HPN	HMO		60	60% of all negotiated rates	200	percent of total billed charges	200	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Silversummit Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	326	percent of total billed charges	326	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	Teachers Trust	PPO		65	65% of all negotiated rates	175	percent of total billed charges	175	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	TriWest	PPO		30	30% of all negotiated rates	351	percent of total billed charges	351	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	501	
STRYKER PUMP TUBING			1500571	LOCAL	270	RC		outpatient			501	426	United Healthcare	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	501	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Aetna	PPO		38	38% of all negotiated rates	193	percent of total billed charges	193	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Aetna Medicare	HMO		26	26% of all negotiated rates	230	percent of total billed charges	230	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Alignment Medicare	HMO		39	39% of all negotiated rates	190	percent of total billed charges	190	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	124	percent of total billed charges	124	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	155	percent of total billed charges	155	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	190	percent of total billed charges	190	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Cigna	PPO		68	68% of all negotiated rates	99	percent of total billed charges	99	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Coalition	PPO		49	49% of all negotiated rates	159	percent of total billed charges	159	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Coventry	PPO		75	75% of all negotiated rates	78	percent of total billed charges	78	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Humana-Commerical	PPO		70	70% of all negotiated rates	93	percent of total billed charges	93	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	190	percent of total billed charges	190	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Multiplan	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	One Health	PPO		55	55% of all negotiated rates	140	percent of total billed charges	140	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Optum Medicare	HMO		39	39% of all negotiated rates	190	percent of total billed charges	190	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	P3	HMO		39	39% of all negotiated rates	190	percent of total billed charges	190	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	93	percent of total billed charges	93	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Select Health	HMO		41	41% of all negotiated rates	183	percent of total billed charges	183	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	207	percent of total billed charges	207	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Sierra/HPN	HMO		60	60% of all negotiated rates	124	percent of total billed charges	124	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Silversummit Medicare	HMO		39	39% of all negotiated rates	190	percent of total billed charges	190	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	202	percent of total billed charges	202	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	Teachers Trust	PPO		65	65% of all negotiated rates	109	percent of total billed charges	109	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	TriWest	PPO		30	30% of all negotiated rates	218	percent of total billed charges	218	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	93	percent of total billed charges	93	311	
STRYKER SURGILAV			1500569	LOCAL	270	RC		outpatient			311	264	United Healthcare	PPO		60	60% of all negotiated rates	124	percent of total billed charges	124	311	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Aetna	PPO		38	38% of all negotiated rates	337	percent of total billed charges	337	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Coalition	PPO		49	49% of all negotiated rates	277	percent of total billed charges	277	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
STRYKER TOMCAT SHAVER 4.0			1500570	LOCAL	270	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUCTION CANISTER 1500ML.			1501201	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUCTION CANISTER 3000CC.			1501118	LOCAL	270	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Aetna	PPO		38	38% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Aetna Medicare	HMO		26	26% of all negotiated rates	7	percent of total billed charges	7	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH 8FR			1500290	LOCAL	270	RC		outpatient			9	8	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Aetna	PPO		38	38% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Aetna Medicare	HMO		26	26% of all negotiated rates	7	percent of total billed charges	7	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATH KIT 14FR W/G			1500291	LOCAL	270	RC		outpatient			9	8	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 10fr.			1500292	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Aetna	PPO		38	38% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Aetna Medicare	HMO		26	26% of all negotiated rates	7	percent of total billed charges	7	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6	percent of total billed charges	6	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SUCTION CATHETER 12fr.			1500293	LOCAL	270	RC		outpatient			9	8	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 14fr.			1500294	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION CATHETER 18 FR			1500295	LOCAL	270	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SUCTION CONN. TUBE 1/4X10			1500296	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Aetna	PPO		38	38% of all negotiated rates	18	percent of total billed charges	18	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Aetna Medicare	HMO		26	26% of all negotiated rates	21	percent of total billed charges	21	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	One Health	PPO		55	55% of all negotiated rates	13	percent of total billed charges	13	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Select Health	HMO		41	41% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	19	percent of total billed charges	19	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	TriWest	PPO		30	30% of all negotiated rates	20	percent of total billed charges	20	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
SUCTION LINER 1500CC.			1500297	LOCAL	270	RC		outpatient			28	24	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Aetna	PPO		38	38% of all negotiated rates	70	percent of total billed charges	70	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Aetna Medicare	HMO		26	26% of all negotiated rates	84	percent of total billed charges	84	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Alignment Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	57	percent of total billed charges	57	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Coalition	PPO		49	49% of all negotiated rates	58	percent of total billed charges	58	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Humana-Commerical	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	One Health	PPO		55	55% of all negotiated rates	51	percent of total billed charges	51	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Optum Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	P3	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Select Health	HMO		41	41% of all negotiated rates	67	percent of total billed charges	67	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	75	percent of total billed charges	75	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Silversummit Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	74	percent of total billed charges	74	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	TriWest	PPO		30	30% of all negotiated rates	79	percent of total billed charges	79	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
SUCTION TIP FRAZIER			1500617	LOCAL	270	RC		outpatient			113	96	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUCTION TIP POOLE			1500559	LOCAL	270	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Aetna	PPO		38	38% of all negotiated rates	63	percent of total billed charges	63	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Aetna Medicare	HMO		26	26% of all negotiated rates	75	percent of total billed charges	75	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Alignment Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	41	percent of total billed charges	41	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	51	percent of total billed charges	51	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Coalition	PPO		49	49% of all negotiated rates	52	percent of total billed charges	52	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Coventry	PPO		75	75% of all negotiated rates	25	percent of total billed charges	25	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	One Health	PPO		55	55% of all negotiated rates	46	percent of total billed charges	46	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Optum Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	P3	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Select Health	HMO		41	41% of all negotiated rates	60	percent of total billed charges	60	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	68	percent of total billed charges	68	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Sierra/HPN	HMO		60	60% of all negotiated rates	41	percent of total billed charges	41	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Silversummit Medicare	HMO		39	39% of all negotiated rates	62	percent of total billed charges	62	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	66	percent of total billed charges	66	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	Teachers Trust	PPO		65	65% of all negotiated rates	36	percent of total billed charges	36	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	TriWest	PPO		30	30% of all negotiated rates	71	percent of total billed charges	71	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	102	
SUCTION/COAGULATOR 8 FR			1500583	LOCAL	270	RC		outpatient			102	87	United Healthcare	PPO		60	60% of all negotiated rates	41	percent of total billed charges	41	102	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Aetna	PPO		38	38% of all negotiated rates	61	percent of total billed charges	61	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Aetna Medicare	HMO		26	26% of all negotiated rates	72	percent of total billed charges	72	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Alignment Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	49	percent of total billed charges	49	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Coalition	PPO		49	49% of all negotiated rates	50	percent of total billed charges	50	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	One Health	PPO		55	55% of all negotiated rates	44	percent of total billed charges	44	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Optum Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	P3	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Select Health	HMO		41	41% of all negotiated rates	58	percent of total billed charges	58	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	65	percent of total billed charges	65	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Silversummit Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER LARGE			1500299	LOCAL	270	RC		outpatient			98	83	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Aetna	PPO		38	38% of all negotiated rates	61	percent of total billed charges	61	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Aetna Medicare	HMO		26	26% of all negotiated rates	72	percent of total billed charges	72	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Alignment Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	49	percent of total billed charges	49	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Coalition	PPO		49	49% of all negotiated rates	50	percent of total billed charges	50	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	One Health	PPO		55	55% of all negotiated rates	44	percent of total billed charges	44	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Optum Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	P3	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Select Health	HMO		41	41% of all negotiated rates	58	percent of total billed charges	58	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	65	percent of total billed charges	65	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Silversummit Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER MEDIUM			1500300	LOCAL	270	RC		outpatient			98	83	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Aetna	PPO		38	38% of all negotiated rates	61	percent of total billed charges	61	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Aetna Medicare	HMO		26	26% of all negotiated rates	72	percent of total billed charges	72	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Alignment Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	49	percent of total billed charges	49	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Coalition	PPO		49	49% of all negotiated rates	50	percent of total billed charges	50	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	One Health	PPO		55	55% of all negotiated rates	44	percent of total billed charges	44	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Optum Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	P3	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Select Health	HMO		41	41% of all negotiated rates	58	percent of total billed charges	58	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	65	percent of total billed charges	65	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Silversummit Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SUPPORTER SMALL			1500301	LOCAL	270	RC		outpatient			98	83	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Aetna	PPO		38	38% of all negotiated rates	147	percent of total billed charges	147	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Aetna Medicare	HMO		26	26% of all negotiated rates	176	percent of total billed charges	176	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Alignment Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	119	percent of total billed charges	119	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Coalition	PPO		49	49% of all negotiated rates	121	percent of total billed charges	121	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	One Health	PPO		55	55% of all negotiated rates	107	percent of total billed charges	107	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Optum Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	P3	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Select Health	HMO		41	41% of all negotiated rates	140	percent of total billed charges	140	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	158	percent of total billed charges	158	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Silversummit Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	TriWest	PPO		30	30% of all negotiated rates	166	percent of total billed charges	166	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	237	
SURGICEL 2X3			1501282	LOCAL	270	RC		outpatient			237	202	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	237	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Aetna	PPO		38	38% of all negotiated rates	391	percent of total billed charges	391	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Aetna Medicare	HMO		26	26% of all negotiated rates	466	percent of total billed charges	466	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Alignment Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	315	percent of total billed charges	315	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Coalition	PPO		49	49% of all negotiated rates	321	percent of total billed charges	321	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Optum Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	P3	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	419	percent of total billed charges	419	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	TriWest	PPO		30	30% of all negotiated rates	441	percent of total billed charges	441	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
SURGICEL 4X8			1500608	LOCAL	270	RC		outpatient			630	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Aetna	PPO		38	38% of all negotiated rates	56	percent of total billed charges	56	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Aetna Medicare	HMO		26	26% of all negotiated rates	67	percent of total billed charges	67	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Alignment Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	36	percent of total billed charges	36	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	45	percent of total billed charges	45	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Cigna	PPO		68	68% of all negotiated rates	29	percent of total billed charges	29	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Coalition	PPO		49	49% of all negotiated rates	46	percent of total billed charges	46	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Coventry	PPO		75	75% of all negotiated rates	23	percent of total billed charges	23	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Humana-Commerical	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	One Health	PPO		55	55% of all negotiated rates	41	percent of total billed charges	41	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Optum Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	P3	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Select Health	HMO		41	41% of all negotiated rates	53	percent of total billed charges	53	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	60	percent of total billed charges	60	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Sierra/HPN	HMO		60	60% of all negotiated rates	36	percent of total billed charges	36	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Silversummit Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	59	percent of total billed charges	59	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	Teachers Trust	PPO		65	65% of all negotiated rates	32	percent of total billed charges	32	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	TriWest	PPO		30	30% of all negotiated rates	63	percent of total billed charges	63	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	90	
SURGIFOAM SPONGE 2X6			1501053	LOCAL	270	RC		outpatient			90	77	United Healthcare	PPO		60	60% of all negotiated rates	36	percent of total billed charges	36	90	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 0 CT-1			1500478	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 0 CTX			1500486	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Aetna	PPO		38	38% of all negotiated rates	45	percent of total billed charges	45	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Aetna Medicare	HMO		26	26% of all negotiated rates	54	percent of total billed charges	54	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Alignment Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	29	percent of total billed charges	29	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	36	percent of total billed charges	36	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Cigna	PPO		68	68% of all negotiated rates	23	percent of total billed charges	23	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Coalition	PPO		49	49% of all negotiated rates	37	percent of total billed charges	37	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Coventry	PPO		75	75% of all negotiated rates	18	percent of total billed charges	18	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Humana-Commerical	PPO		70	70% of all negotiated rates	22	percent of total billed charges	22	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	One Health	PPO		55	55% of all negotiated rates	33	percent of total billed charges	33	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Optum Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	P3	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	22	percent of total billed charges	22	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Select Health	HMO		41	41% of all negotiated rates	43	percent of total billed charges	43	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	48	percent of total billed charges	48	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Sierra/HPN	HMO		60	60% of all negotiated rates	29	percent of total billed charges	29	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Silversummit Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	47	percent of total billed charges	47	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	Teachers Trust	PPO		65	65% of all negotiated rates	25	percent of total billed charges	25	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	TriWest	PPO		30	30% of all negotiated rates	51	percent of total billed charges	51	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	22	percent of total billed charges	22	72	
SUTURE CHROMIC 1 48G			1500672	LOCAL	270	RC		outpatient			72	62	United Healthcare	PPO		60	60% of all negotiated rates	29	percent of total billed charges	29	72	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 1 CT-1 925			1500479	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 2-0 CT-1 8			1500480	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 2-0 SH G123H			1500700	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 3-0 RB-1 U			1500483	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 3-0 SH			1500481	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Aetna	PPO		38	38% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Coalition	PPO		49	49% of all negotiated rates	23	percent of total billed charges	23	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	30	percent of total billed charges	30	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE CHROMIC 4-0 1643G			1500671	LOCAL	270	RC		outpatient			45	38	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Aetna	PPO		38	38% of all negotiated rates	79	percent of total billed charges	79	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Aetna Medicare	HMO		26	26% of all negotiated rates	94	percent of total billed charges	94	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Alignment Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	64	percent of total billed charges	64	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Cigna	PPO		68	68% of all negotiated rates	41	percent of total billed charges	41	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Coalition	PPO		49	49% of all negotiated rates	65	percent of total billed charges	65	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	One Health	PPO		55	55% of all negotiated rates	57	percent of total billed charges	57	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Optum Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	P3	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Select Health	HMO		41	41% of all negotiated rates	75	percent of total billed charges	75	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	84	percent of total billed charges	84	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Sierra/HPN	HMO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Silversummit Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	83	percent of total billed charges	83	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	Teachers Trust	PPO		65	65% of all negotiated rates	44	percent of total billed charges	44	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	TriWest	PPO		30	30% of all negotiated rates	89	percent of total billed charges	89	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
SUTURE CHROMIC 4-0 1793G			1500674	LOCAL	270	RC		outpatient			127	108	United Healthcare	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 PS-2			1500482	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE CHROMIC 4-0 PS4C 2			1500484	LOCAL	270	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 RB-1 U			1500487	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE CHROMIC 4-0 SH-1 G			1500485	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Aetna Medicare	HMO		26	26% of all negotiated rates	88	percent of total billed charges	88	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Alignment Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	59	percent of total billed charges	59	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	One Health	PPO		55	55% of all negotiated rates	53	percent of total billed charges	53	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Optum Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	P3	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Select Health	HMO		41	41% of all negotiated rates	70	percent of total billed charges	70	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	79	percent of total billed charges	79	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Silversummit Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	77	percent of total billed charges	77	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	TriWest	PPO		30	30% of all negotiated rates	83	percent of total billed charges	83	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
SUTURE CHROMIC 5-0 1766G			1500675	LOCAL	270	RC		outpatient			119	101	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
SUTURE CHROMIC 6-0 PS-3 1			1500488	LOCAL	270	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Aetna	PPO		38	38% of all negotiated rates	57	percent of total billed charges	57	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Aetna Medicare	HMO		26	26% of all negotiated rates	68	percent of total billed charges	68	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Alignment Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	46	percent of total billed charges	46	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Cigna	PPO		68	68% of all negotiated rates	29	percent of total billed charges	29	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Coalition	PPO		49	49% of all negotiated rates	47	percent of total billed charges	47	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Coventry	PPO		75	75% of all negotiated rates	23	percent of total billed charges	23	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Humana-Commerical	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	One Health	PPO		55	55% of all negotiated rates	41	percent of total billed charges	41	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Optum Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	P3	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Select Health	HMO		41	41% of all negotiated rates	54	percent of total billed charges	54	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	61	percent of total billed charges	61	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Sierra/HPN	HMO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Silversummit Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	59	percent of total billed charges	59	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	Teachers Trust	PPO		65	65% of all negotiated rates	32	percent of total billed charges	32	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	TriWest	PPO		30	30% of all negotiated rates	64	percent of total billed charges	64	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
SUTURE ETHIBOND 0 CX45D			1500500	LOCAL	270	RC		outpatient			91	78	United Healthcare	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 (CTX)			1500501	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 CT-1			1500503	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 1 X518H			1500685	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Aetna	PPO		38	38% of all negotiated rates	132	percent of total billed charges	132	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Aetna Medicare	HMO		26	26% of all negotiated rates	157	percent of total billed charges	157	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Alignment Medicare	HMO		39	39% of all negotiated rates	129	percent of total billed charges	129	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	106	percent of total billed charges	106	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	129	percent of total billed charges	129	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Cigna	PPO		68	68% of all negotiated rates	68	percent of total billed charges	68	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Coalition	PPO		49	49% of all negotiated rates	108	percent of total billed charges	108	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Coventry	PPO		75	75% of all negotiated rates	53	percent of total billed charges	53	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	42	percent of total billed charges	42	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Humana-Commerical	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	129	percent of total billed charges	129	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Multiplan	PPO		80	80% of all negotiated rates	42	percent of total billed charges	42	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	One Health	PPO		55	55% of all negotiated rates	95	percent of total billed charges	95	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Optum Medicare	HMO		39	39% of all negotiated rates	129	percent of total billed charges	129	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	P3	HMO		39	39% of all negotiated rates	129	percent of total billed charges	129	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Select Health	HMO		41	41% of all negotiated rates	125	percent of total billed charges	125	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	141	percent of total billed charges	141	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Sierra/HPN	HMO		60	60% of all negotiated rates	85	percent of total billed charges	85	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Silversummit Medicare	HMO		39	39% of all negotiated rates	129	percent of total billed charges	129	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	138	percent of total billed charges	138	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	Teachers Trust	PPO		65	65% of all negotiated rates	74	percent of total billed charges	74	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	TriWest	PPO		30	30% of all negotiated rates	148	percent of total billed charges	148	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	212	
SUTURE ETHIBOND 2 MO-7 MS			1500502	LOCAL	270	RC		outpatient			212	180	United Healthcare	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	212	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Aetna	PPO		38	38% of all negotiated rates	48	percent of total billed charges	48	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Aetna Medicare	HMO		26	26% of all negotiated rates	57	percent of total billed charges	57	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Alignment Medicare	HMO		39	39% of all negotiated rates	47	percent of total billed charges	47	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	31	percent of total billed charges	31	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	39	percent of total billed charges	39	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	47	percent of total billed charges	47	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Cigna	PPO		68	68% of all negotiated rates	25	percent of total billed charges	25	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Coalition	PPO		49	49% of all negotiated rates	40	percent of total billed charges	40	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	47	percent of total billed charges	47	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	One Health	PPO		55	55% of all negotiated rates	35	percent of total billed charges	35	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Optum Medicare	HMO		39	39% of all negotiated rates	47	percent of total billed charges	47	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	P3	HMO		39	39% of all negotiated rates	47	percent of total billed charges	47	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Select Health	HMO		41	41% of all negotiated rates	46	percent of total billed charges	46	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	52	percent of total billed charges	52	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Sierra/HPN	HMO		60	60% of all negotiated rates	31	percent of total billed charges	31	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Silversummit Medicare	HMO		39	39% of all negotiated rates	47	percent of total billed charges	47	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	51	percent of total billed charges	51	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	Teachers Trust	PPO		65	65% of all negotiated rates	27	percent of total billed charges	27	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	TriWest	PPO		30	30% of all negotiated rates	54	percent of total billed charges	54	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	78	
SUTURE ETHIBOND 2-0 CX26D			1500686	LOCAL	270	RC		outpatient			78	66	United Healthcare	PPO		60	60% of all negotiated rates	31	percent of total billed charges	31	78	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHIBOND 4-0 X204H			1500681	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SUTURE ETHIBOND, 2-0, CT-2  X411H"			1500708	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"SUTURE ETHIBOND, 2-0, OS-4 X519H"			1500707	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 1673H			1500714	LOCAL	270	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 3-0 FS-1 6			1500717	LOCAL	270	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 3-0 PS-1			1500494	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE ETHILON 4-0 FS-2 6			1500716	LOCAL	270	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 4-0 P-3			1500711	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"SUTURE ETHILON 4-0, PS-2 CLEAR 1611G"			1500705	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE ETHILON 5-0 1855G			1500677	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 P3			1500718	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 5-0 PS-2 1666H			1500702	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE ETHILON 5-0 PS-3 1			1500495	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 6-0 P-1 69			1500497	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE ETHILON 6-0 P-3 16			1500715	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Aetna	PPO		38	38% of all negotiated rates	147	percent of total billed charges	147	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Aetna Medicare	HMO		26	26% of all negotiated rates	176	percent of total billed charges	176	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Alignment Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	119	percent of total billed charges	119	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Coalition	PPO		49	49% of all negotiated rates	121	percent of total billed charges	121	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	One Health	PPO		55	55% of all negotiated rates	107	percent of total billed charges	107	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Optum Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	P3	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Select Health	HMO		41	41% of all negotiated rates	140	percent of total billed charges	140	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	158	percent of total billed charges	158	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Silversummit Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	TriWest	PPO		30	30% of all negotiated rates	166	percent of total billed charges	166	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	237	
SUTURE FIBERWIRE #5			1500499	LOCAL	270	RC		outpatient			237	202	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	237	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Aetna	PPO		38	38% of all negotiated rates	78	percent of total billed charges	78	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Aetna Medicare	HMO		26	26% of all negotiated rates	93	percent of total billed charges	93	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Alignment Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	63	percent of total billed charges	63	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Cigna	PPO		68	68% of all negotiated rates	40	percent of total billed charges	40	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Coalition	PPO		49	49% of all negotiated rates	64	percent of total billed charges	64	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	One Health	PPO		55	55% of all negotiated rates	57	percent of total billed charges	57	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Optum Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	P3	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Select Health	HMO		41	41% of all negotiated rates	74	percent of total billed charges	74	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	84	percent of total billed charges	84	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Sierra/HPN	HMO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Silversummit Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	82	percent of total billed charges	82	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	Teachers Trust	PPO		65	65% of all negotiated rates	44	percent of total billed charges	44	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	TriWest	PPO		30	30% of all negotiated rates	88	percent of total billed charges	88	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
SUTURE FIBERWIRE 2 TAPER			1500498	LOCAL	270	RC		outpatient			126	107	United Healthcare	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Aetna	PPO		38	38% of all negotiated rates	86	percent of total billed charges	86	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Aetna Medicare	HMO		26	26% of all negotiated rates	103	percent of total billed charges	103	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Alignment Medicare	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	69	percent of total billed charges	69	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Cigna	PPO		68	68% of all negotiated rates	44	percent of total billed charges	44	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Coalition	PPO		49	49% of all negotiated rates	71	percent of total billed charges	71	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Coventry	PPO		75	75% of all negotiated rates	35	percent of total billed charges	35	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Humana-Commerical	PPO		70	70% of all negotiated rates	42	percent of total billed charges	42	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Multiplan	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	One Health	PPO		55	55% of all negotiated rates	62	percent of total billed charges	62	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Optum Medicare	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	P3	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	42	percent of total billed charges	42	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Select Health	HMO		41	41% of all negotiated rates	82	percent of total billed charges	82	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	92	percent of total billed charges	92	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Sierra/HPN	HMO		60	60% of all negotiated rates	55	percent of total billed charges	55	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Silversummit Medicare	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	90	percent of total billed charges	90	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	Teachers Trust	PPO		65	65% of all negotiated rates	49	percent of total billed charges	49	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	TriWest	PPO		30	30% of all negotiated rates	97	percent of total billed charges	97	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	42	percent of total billed charges	42	139	
SUTURE GORE-TEX THX-36			1500525	LOCAL	270	RC		outpatient			139	118	United Healthcare	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	139	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Aetna	PPO		38	38% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Aetna Medicare	HMO		26	26% of all negotiated rates	31	percent of total billed charges	31	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Alignment Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	21	percent of total billed charges	21	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	One Health	PPO		55	55% of all negotiated rates	19	percent of total billed charges	19	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Optum Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	P3	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Select Health	HMO		41	41% of all negotiated rates	25	percent of total billed charges	25	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	28	percent of total billed charges	28	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Sierra/HPN	HMO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Silversummit Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE MERSILENE 3-0 R832H			3215252	LOCAL	270	RC		outpatient			42	36	United Healthcare	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE MERSILENE 3-0R647H			3215255	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Aetna Medicare	HMO		26	26% of all negotiated rates	50	percent of total billed charges	50	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Alignment Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Optum Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	P3	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Silversummit Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	TriWest	PPO		30	30% of all negotiated rates	47	percent of total billed charges	47	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
SUTURE MERSILENE 4-0R691G			3215258	LOCAL	270	RC		outpatient			67	57	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Aetna	PPO		38	38% of all negotiated rates	328	percent of total billed charges	328	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Aetna Medicare	HMO		26	26% of all negotiated rates	392	percent of total billed charges	392	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Alignment Medicare	HMO		39	39% of all negotiated rates	323	percent of total billed charges	323	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	212	percent of total billed charges	212	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	265	percent of total billed charges	265	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	323	percent of total billed charges	323	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Cigna	PPO		68	68% of all negotiated rates	169	percent of total billed charges	169	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Coalition	PPO		49	49% of all negotiated rates	270	percent of total billed charges	270	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Coventry	PPO		75	75% of all negotiated rates	132	percent of total billed charges	132	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Humana-Commerical	PPO		70	70% of all negotiated rates	159	percent of total billed charges	159	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	323	percent of total billed charges	323	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Multiplan	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	One Health	PPO		55	55% of all negotiated rates	238	percent of total billed charges	238	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Optum Medicare	HMO		39	39% of all negotiated rates	323	percent of total billed charges	323	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	P3	HMO		39	39% of all negotiated rates	323	percent of total billed charges	323	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	159	percent of total billed charges	159	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Select Health	HMO		41	41% of all negotiated rates	312	percent of total billed charges	312	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	352	percent of total billed charges	352	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Sierra/HPN	HMO		60	60% of all negotiated rates	212	percent of total billed charges	212	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Silversummit Medicare	HMO		39	39% of all negotiated rates	323	percent of total billed charges	323	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	344	percent of total billed charges	344	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	Teachers Trust	PPO		65	65% of all negotiated rates	185	percent of total billed charges	185	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	TriWest	PPO		30	30% of all negotiated rates	370	percent of total billed charges	370	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	159	percent of total billed charges	159	529	
SUTURE MERSILENE 5 RS20			3215297	LOCAL	270	RC		outpatient			529	450	United Healthcare	PPO		60	60% of all negotiated rates	212	percent of total billed charges	212	529	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 2-0 Y227H			1500680	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 3-0 SH			1500522	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 3-0 Y936H			1500687	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 PC3 Y845G			1500703	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 PS2 Y496G			1500523	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE MONOCRYL 4-0 Y845G			1500678	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE NYLON 5-0 P-3 690G			1500496	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
SUTURE NYLON 8-0 1716G			1500673	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Aetna	PPO		38	38% of all negotiated rates	41	percent of total billed charges	41	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Aetna Medicare	HMO		26	26% of all negotiated rates	49	percent of total billed charges	49	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Select Health	HMO		41	41% of all negotiated rates	39	percent of total billed charges	39	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	44	percent of total billed charges	44	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	43	percent of total billed charges	43	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS 0 CT-X			1500529	LOCAL	270	RC		outpatient			66	56	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Aetna	PPO		38	38% of all negotiated rates	41	percent of total billed charges	41	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Aetna Medicare	HMO		26	26% of all negotiated rates	49	percent of total billed charges	49	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Select Health	HMO		41	41% of all negotiated rates	39	percent of total billed charges	39	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	44	percent of total billed charges	44	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	43	percent of total billed charges	43	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II #1 CT-1			1500528	LOCAL	270	RC		outpatient			66	56	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Aetna	PPO		38	38% of all negotiated rates	41	percent of total billed charges	41	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Aetna Medicare	HMO		26	26% of all negotiated rates	49	percent of total billed charges	49	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Select Health	HMO		41	41% of all negotiated rates	39	percent of total billed charges	39	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	44	percent of total billed charges	44	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	43	percent of total billed charges	43	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II 1 TP-1			1500530	LOCAL	270	RC		outpatient			66	56	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Aetna	PPO		38	38% of all negotiated rates	41	percent of total billed charges	41	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Aetna Medicare	HMO		26	26% of all negotiated rates	49	percent of total billed charges	49	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Select Health	HMO		41	41% of all negotiated rates	39	percent of total billed charges	39	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	44	percent of total billed charges	44	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	43	percent of total billed charges	43	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
SUTURE PDS II 3-0 PS-2			1500527	LOCAL	270	RC		outpatient			66	56	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE PERMAHAND 2-0			1501246	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE PLAIN GUT 2-0 843H			1500688	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE PLAIN GUT 2-0 N863			1500693	LOCAL	270	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE PLAIN GUT 4-0 H821			1500689	LOCAL	270	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Aetna	PPO		38	38% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Coalition	PPO		49	49% of all negotiated rates	23	percent of total billed charges	23	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	30	percent of total billed charges	30	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
SUTURE PLAIN GUT 5-0 686G			1500679	LOCAL	270	RC		outpatient			45	38	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Aetna	PPO		38	38% of all negotiated rates	32	percent of total billed charges	32	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Aetna Medicare	HMO		26	26% of all negotiated rates	38	percent of total billed charges	38	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Alignment Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	26	percent of total billed charges	26	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Coalition	PPO		49	49% of all negotiated rates	26	percent of total billed charges	26	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	One Health	PPO		55	55% of all negotiated rates	23	percent of total billed charges	23	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Optum Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	P3	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Select Health	HMO		41	41% of all negotiated rates	30	percent of total billed charges	30	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	34	percent of total billed charges	34	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Silversummit Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	33	percent of total billed charges	33	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	TriWest	PPO		30	30% of all negotiated rates	36	percent of total billed charges	36	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
SUTURE PLAIN GUT 6-0 1916			1500690	LOCAL	270	RC		outpatient			51	44	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 1 CT-1			1500465	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Aetna	PPO		38	38% of all negotiated rates	120	percent of total billed charges	120	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Aetna Medicare	HMO		26	26% of all negotiated rates	143	percent of total billed charges	143	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Alignment Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	77	percent of total billed charges	77	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	97	percent of total billed charges	97	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Cigna	PPO		68	68% of all negotiated rates	62	percent of total billed charges	62	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Coalition	PPO		49	49% of all negotiated rates	99	percent of total billed charges	99	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Coventry	PPO		75	75% of all negotiated rates	48	percent of total billed charges	48	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	39	percent of total billed charges	39	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Humana-Commerical	PPO		70	70% of all negotiated rates	58	percent of total billed charges	58	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Multiplan	PPO		80	80% of all negotiated rates	39	percent of total billed charges	39	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	One Health	PPO		55	55% of all negotiated rates	87	percent of total billed charges	87	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Optum Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	P3	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	58	percent of total billed charges	58	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Select Health	HMO		41	41% of all negotiated rates	114	percent of total billed charges	114	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	128	percent of total billed charges	128	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Sierra/HPN	HMO		60	60% of all negotiated rates	77	percent of total billed charges	77	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Silversummit Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	126	percent of total billed charges	126	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	Teachers Trust	PPO		65	65% of all negotiated rates	68	percent of total billed charges	68	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	TriWest	PPO		30	30% of all negotiated rates	135	percent of total billed charges	135	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	58	percent of total billed charges	58	193	
SUTURE PROLENE 1 D6958			1500694	LOCAL	270	RC		outpatient			193	164	United Healthcare	PPO		60	60% of all negotiated rates	77	percent of total billed charges	77	193	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE PROLENE 2-0 8533H			1500692	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 FS 868			1500467	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 2-0 SH 883			1500466	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FS-2 8			1500468	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 3-0 FSL			1500470	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Aetna	PPO		38	38% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Aetna Medicare	HMO		26	26% of all negotiated rates	44	percent of total billed charges	44	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Alignment Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	29	percent of total billed charges	29	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Coalition	PPO		49	49% of all negotiated rates	30	percent of total billed charges	30	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	One Health	PPO		55	55% of all negotiated rates	26	percent of total billed charges	26	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Optum Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	P3	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Select Health	HMO		41	41% of all negotiated rates	35	percent of total billed charges	35	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	39	percent of total billed charges	39	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Silversummit Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	38	percent of total billed charges	38	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	TriWest	PPO		30	30% of all negotiated rates	41	percent of total billed charges	41	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
SUTURE PROLENE 4-0 FS-1			1500473	LOCAL	270	RC		outpatient			59	50	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 4-0 FS-2 8683G			1500472	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Coalition	PPO		49	49% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 4-0 P-3 86			1500469	LOCAL	270	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE PROLENE 4-0 PS-2 8			1500471	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE 5-0 P-3 86			1500474	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Aetna	PPO		38	38% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Aetna Medicare	HMO		26	26% of all negotiated rates	64	percent of total billed charges	64	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Alignment Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	43	percent of total billed charges	43	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Coalition	PPO		49	49% of all negotiated rates	44	percent of total billed charges	44	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Multiplan	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	One Health	PPO		55	55% of all negotiated rates	39	percent of total billed charges	39	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Optum Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	P3	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Select Health	HMO		41	41% of all negotiated rates	51	percent of total billed charges	51	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	57	percent of total billed charges	57	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Sierra/HPN	HMO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Silversummit Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	56	percent of total billed charges	56	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	Teachers Trust	PPO		65	65% of all negotiated rates	30	percent of total billed charges	30	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	TriWest	PPO		30	30% of all negotiated rates	60	percent of total billed charges	60	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE PROLENE 6-0 BV-1			1500477	LOCAL	270	RC		outpatient			86	73	United Healthcare	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Aetna Medicare	HMO		26	26% of all negotiated rates	28	percent of total billed charges	28	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Alignment Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	19	percent of total billed charges	19	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Optum Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	P3	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	25	percent of total billed charges	25	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Silversummit Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	25	percent of total billed charges	25	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SUTURE PROLENE 6-0 P-1 86			1500719	LOCAL	270	RC		outpatient			38	32	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Aetna Medicare	HMO		26	26% of all negotiated rates	28	percent of total billed charges	28	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Alignment Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	19	percent of total billed charges	19	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Optum Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	P3	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	25	percent of total billed charges	25	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Silversummit Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	25	percent of total billed charges	25	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SUTURE PROLENE 6-0 P-3 86			1500475	LOCAL	270	RC		outpatient			38	32	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Aetna	PPO		38	38% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Aetna Medicare	HMO		26	26% of all negotiated rates	64	percent of total billed charges	64	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Alignment Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	43	percent of total billed charges	43	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Coalition	PPO		49	49% of all negotiated rates	44	percent of total billed charges	44	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Multiplan	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	One Health	PPO		55	55% of all negotiated rates	39	percent of total billed charges	39	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Optum Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	P3	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Select Health	HMO		41	41% of all negotiated rates	51	percent of total billed charges	51	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	57	percent of total billed charges	57	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Sierra/HPN	HMO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Silversummit Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	56	percent of total billed charges	56	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	Teachers Trust	PPO		65	65% of all negotiated rates	30	percent of total billed charges	30	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	TriWest	PPO		30	30% of all negotiated rates	60	percent of total billed charges	60	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE PROLENE 7-0 BV-1			1500476	LOCAL	270	RC		outpatient			86	73	United Healthcare	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE PROLENE SH 8832H			1500701	LOCAL	270	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Aetna	PPO		38	38% of all negotiated rates	18	percent of total billed charges	18	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Aetna Medicare	HMO		26	26% of all negotiated rates	21	percent of total billed charges	21	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	One Health	PPO		55	55% of all negotiated rates	13	percent of total billed charges	13	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Select Health	HMO		41	41% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	19	percent of total billed charges	19	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	TriWest	PPO		30	30% of all negotiated rates	20	percent of total billed charges	20	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
"SUTURE REMOVAL TRAY, PT"			1500303	LOCAL	270	RC		outpatient			28	24	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 0 CT-1 424H			1500491	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Aetna	PPO		38	38% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Aetna Medicare	HMO		26	26% of all negotiated rates	40	percent of total billed charges	40	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Alignment Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	27	percent of total billed charges	27	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Cigna	PPO		68	68% of all negotiated rates	17	percent of total billed charges	17	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Coalition	PPO		49	49% of all negotiated rates	27	percent of total billed charges	27	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Humana-Commerical	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	One Health	PPO		55	55% of all negotiated rates	24	percent of total billed charges	24	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Optum Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	P3	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Select Health	HMO		41	41% of all negotiated rates	32	percent of total billed charges	32	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	36	percent of total billed charges	36	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Silversummit Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	35	percent of total billed charges	35	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	Teachers Trust	PPO		65	65% of all negotiated rates	19	percent of total billed charges	19	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	TriWest	PPO		30	30% of all negotiated rates	37	percent of total billed charges	37	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
SUTURE SILK 0 M834G			1500676	LOCAL	270	RC		outpatient			54	46	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 0 SH K834H			1500490	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 2-0 SH K833H			1500492	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE SILK 4-0 SH K831H			1500493	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Aetna	PPO		38	38% of all negotiated rates	43	percent of total billed charges	43	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	35	percent of total billed charges	35	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Humana-Commerical	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Select Health	HMO		41	41% of all negotiated rates	41	percent of total billed charges	41	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	46	percent of total billed charges	46	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Sierra/HPN	HMO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	45	percent of total billed charges	45	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	TriWest	PPO		30	30% of all negotiated rates	49	percent of total billed charges	49	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
SUTURE SURG.STEEL 4-0540G			1500682	LOCAL	270	RC		outpatient			69	59	United Healthcare	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
SUTURE TICRON 3-0 3109-43			1500683	LOCAL	270	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Aetna	PPO		38	38% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Aetna Medicare	HMO		26	26% of all negotiated rates	48	percent of total billed charges	48	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Coalition	PPO		49	49% of all negotiated rates	33	percent of total billed charges	33	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Coventry	PPO		75	75% of all negotiated rates	16	percent of total billed charges	16	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	One Health	PPO		55	55% of all negotiated rates	29	percent of total billed charges	29	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Select Health	HMO		41	41% of all negotiated rates	38	percent of total billed charges	38	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	43	percent of total billed charges	43	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	42	percent of total billed charges	42	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
SUTURE TICRON 4-0 2862-34			1500684	LOCAL	270	RC		outpatient			65	55	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE TIES SILK 0 24''SA-			1500489	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Aetna	PPO		38	38% of all negotiated rates	33	percent of total billed charges	33	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Aetna Medicare	HMO		26	26% of all negotiated rates	39	percent of total billed charges	39	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Alignment Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	26	percent of total billed charges	26	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Cigna	PPO		68	68% of all negotiated rates	17	percent of total billed charges	17	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Coalition	PPO		49	49% of all negotiated rates	27	percent of total billed charges	27	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Humana-Commerical	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	One Health	PPO		55	55% of all negotiated rates	24	percent of total billed charges	24	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Optum Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	P3	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Select Health	HMO		41	41% of all negotiated rates	31	percent of total billed charges	31	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	35	percent of total billed charges	35	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Silversummit Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	34	percent of total billed charges	34	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	TriWest	PPO		30	30% of all negotiated rates	37	percent of total billed charges	37	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
SUTURE TIES VICRYL 0 18''J			1500461	LOCAL	270	RC		outpatient			53	45	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Aetna	PPO		38	38% of all negotiated rates	32	percent of total billed charges	32	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Aetna Medicare	HMO		26	26% of all negotiated rates	38	percent of total billed charges	38	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Alignment Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	26	percent of total billed charges	26	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Coalition	PPO		49	49% of all negotiated rates	26	percent of total billed charges	26	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	One Health	PPO		55	55% of all negotiated rates	23	percent of total billed charges	23	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Optum Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	P3	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Select Health	HMO		41	41% of all negotiated rates	30	percent of total billed charges	30	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	34	percent of total billed charges	34	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Silversummit Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	33	percent of total billed charges	33	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	TriWest	PPO		30	30% of all negotiated rates	36	percent of total billed charges	36	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
SUTURE TIES VICRYL 3-0 J9			1500463	LOCAL	270	RC		outpatient			51	44	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Aetna	PPO		38	38% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Aetna Medicare	HMO		26	26% of all negotiated rates	44	percent of total billed charges	44	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Alignment Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	29	percent of total billed charges	29	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Coalition	PPO		49	49% of all negotiated rates	30	percent of total billed charges	30	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	One Health	PPO		55	55% of all negotiated rates	26	percent of total billed charges	26	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Optum Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	P3	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Select Health	HMO		41	41% of all negotiated rates	35	percent of total billed charges	35	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	39	percent of total billed charges	39	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Silversummit Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	38	percent of total billed charges	38	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	TriWest	PPO		30	30% of all negotiated rates	41	percent of total billed charges	41	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
SUTURE TIES VICRYL 4-0 18			1500464	LOCAL	270	RC		outpatient			59	50	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL  CT-1 J946H			1500699	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CP-1			1500567	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CP-2			1500441	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-1			1500443	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-1 CR/8			1500442	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 CT-2 J270			1500440	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 J381H			1500691	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 0 UR-6			1500531	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 1 CT-1			1500438	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Aetna	PPO		38	38% of all negotiated rates	50	percent of total billed charges	50	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Aetna Medicare	HMO		26	26% of all negotiated rates	60	percent of total billed charges	60	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Alignment Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	40	percent of total billed charges	40	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Coalition	PPO		49	49% of all negotiated rates	41	percent of total billed charges	41	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Humana-Commerical	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	One Health	PPO		55	55% of all negotiated rates	36	percent of total billed charges	36	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Optum Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	P3	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Sierra/HPN	HMO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Silversummit Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	Teachers Trust	PPO		65	65% of all negotiated rates	28	percent of total billed charges	28	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
SUTURE VICRYL 1 CT-1 CR/8			1500722	LOCAL	270	RC		outpatient			81	69	United Healthcare	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 1 CTX J977H			1500439	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CP-1 J2			1500448	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Aetna	PPO		38	38% of all negotiated rates	62	percent of total billed charges	62	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Aetna Medicare	HMO		26	26% of all negotiated rates	75	percent of total billed charges	75	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Alignment Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	50	percent of total billed charges	50	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Cigna	PPO		68	68% of all negotiated rates	32	percent of total billed charges	32	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Coalition	PPO		49	49% of all negotiated rates	51	percent of total billed charges	51	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Coventry	PPO		75	75% of all negotiated rates	25	percent of total billed charges	25	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Humana-Commerical	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	One Health	PPO		55	55% of all negotiated rates	45	percent of total billed charges	45	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Optum Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	P3	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Select Health	HMO		41	41% of all negotiated rates	59	percent of total billed charges	59	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	67	percent of total billed charges	67	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Sierra/HPN	HMO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Silversummit Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	66	percent of total billed charges	66	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	Teachers Trust	PPO		65	65% of all negotiated rates	35	percent of total billed charges	35	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	TriWest	PPO		30	30% of all negotiated rates	71	percent of total billed charges	71	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
SUTURE VICRYL 2-0 CP-2			1500447	LOCAL	270	RC		outpatient			101	86	United Healthcare	PPO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CP-2 J8			1500446	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CT-1 J2			1500445	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 CT-2			1500444	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE VICRYL 2-0 CT-2 PO			1500451	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Aetna	PPO		38	38% of all negotiated rates	33	percent of total billed charges	33	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Aetna Medicare	HMO		26	26% of all negotiated rates	39	percent of total billed charges	39	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Alignment Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	26	percent of total billed charges	26	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Cigna	PPO		68	68% of all negotiated rates	17	percent of total billed charges	17	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Coalition	PPO		49	49% of all negotiated rates	27	percent of total billed charges	27	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Humana-Commerical	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	One Health	PPO		55	55% of all negotiated rates	24	percent of total billed charges	24	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Optum Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	P3	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Select Health	HMO		41	41% of all negotiated rates	31	percent of total billed charges	31	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	35	percent of total billed charges	35	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Silversummit Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	34	percent of total billed charges	34	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	TriWest	PPO		30	30% of all negotiated rates	37	percent of total billed charges	37	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
SUTURE VICRYL 2-0 J911T			1500450	LOCAL	270	RC		outpatient			53	45	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 2-0 SH J417			1500449	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"SUTURE VICRYL 2-0, FS-1 J443H"			1500704	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 CP-2 J8			1500456	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 CT-1 J2			1500452	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 FS-2			1500455	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 PS-2 18			1500454	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 3-0 SH J416			1500453	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Aetna	PPO		38	38% of all negotiated rates	49	percent of total billed charges	49	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Aetna Medicare	HMO		26	26% of all negotiated rates	58	percent of total billed charges	58	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Alignment Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	39	percent of total billed charges	39	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Cigna	PPO		68	68% of all negotiated rates	25	percent of total billed charges	25	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Coalition	PPO		49	49% of all negotiated rates	40	percent of total billed charges	40	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Humana-Commerical	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	One Health	PPO		55	55% of all negotiated rates	35	percent of total billed charges	35	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Optum Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	P3	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Select Health	HMO		41	41% of all negotiated rates	46	percent of total billed charges	46	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	52	percent of total billed charges	52	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Sierra/HPN	HMO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Silversummit Medicare	HMO		39	39% of all negotiated rates	48	percent of total billed charges	48	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	51	percent of total billed charges	51	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	Teachers Trust	PPO		65	65% of all negotiated rates	28	percent of total billed charges	28	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	TriWest	PPO		30	30% of all negotiated rates	55	percent of total billed charges	55	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	79	
SUTURE VICRYL 3-0 SH P/O			1500457	LOCAL	270	RC		outpatient			79	67	United Healthcare	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	79	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"SUTURE VICRYL 3-0, CT-2, J232H"			1500709	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 FS-2			1500458	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 P3 J494			1500460	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 4-0 SH J415			1500459	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 P-2			1500462	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 P-3 J49			1500721	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE VICRYL 5-0 PC-3			1500712	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE VICRYL 6-0 P-1			1501242	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5	percent of total billed charges	5	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	TriWest	PPO		30	30% of all negotiated rates	5	percent of total billed charges	5	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SUTURE: 4-0 VICRYL PLUS SH NEEDLE			1501142	LOCAL	270	RC		outpatient			7	6	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Aetna Medicare	HMO		26	26% of all negotiated rates	14	percent of total billed charges	14	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	9	percent of total billed charges	9	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Select Health	HMO		41	41% of all negotiated rates	11	percent of total billed charges	11	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	TriWest	PPO		30	30% of all negotiated rates	13	percent of total billed charges	13	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: PERMAHAND 3-0			1501247	LOCAL	270	RC		outpatient			19	16	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Aetna	PPO		38	38% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Aetna Medicare	HMO		26	26% of all negotiated rates	44	percent of total billed charges	44	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Alignment Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	30	percent of total billed charges	30	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Coalition	PPO		49	49% of all negotiated rates	31	percent of total billed charges	31	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	One Health	PPO		55	55% of all negotiated rates	27	percent of total billed charges	27	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Optum Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	P3	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Select Health	HMO		41	41% of all negotiated rates	35	percent of total billed charges	35	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	40	percent of total billed charges	40	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Silversummit Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	39	percent of total billed charges	39	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	TriWest	PPO		30	30% of all negotiated rates	42	percent of total billed charges	42	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	60	
SUTURE: VICRYL 3-0 J104T			1501248	LOCAL	270	RC		outpatient			60	51	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	60	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Aetna Medicare	HMO		26	26% of all negotiated rates	14	percent of total billed charges	14	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	9	percent of total billed charges	9	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Select Health	HMO		41	41% of all negotiated rates	11	percent of total billed charges	11	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	12	percent of total billed charges	12	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	TriWest	PPO		30	30% of all negotiated rates	13	percent of total billed charges	13	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
SUTURE: VICRYL 3-0 J219H			1501254	LOCAL	270	RC		outpatient			19	16	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Aetna	PPO		38	38% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Aetna Medicare	HMO		26	26% of all negotiated rates	7	percent of total billed charges	7	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 20CC L.L.			1500304	LOCAL	270	RC		outpatient			9	8	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SYRINGE 30CC L.L.			1500305	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SYRINGE 60CC L.L.			1500307	LOCAL	270	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Aetna	PPO		38	38% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	14	percent of total billed charges	14	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
SYRINGE ASEPTO			1500596	LOCAL	270	RC		outpatient			21	18	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SYRINGE PULSATOR ANES.			3214533	LOCAL	270	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
"SYRINGE, 10cc. CONTROL"			1500735	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Aetna	PPO		38	38% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Aetna Medicare	HMO		26	26% of all negotiated rates	40	percent of total billed charges	40	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Alignment Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	27	percent of total billed charges	27	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Cigna	PPO		68	68% of all negotiated rates	17	percent of total billed charges	17	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Coalition	PPO		49	49% of all negotiated rates	27	percent of total billed charges	27	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Humana-Commerical	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	One Health	PPO		55	55% of all negotiated rates	24	percent of total billed charges	24	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Optum Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	P3	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Select Health	HMO		41	41% of all negotiated rates	32	percent of total billed charges	32	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	36	percent of total billed charges	36	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Silversummit Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	35	percent of total billed charges	35	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	Teachers Trust	PPO		65	65% of all negotiated rates	19	percent of total billed charges	19	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	TriWest	PPO		30	30% of all negotiated rates	37	percent of total billed charges	37	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
T-ADAPTER			3212309	LOCAL	270	RC		outpatient			54	46	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Aetna	PPO		38	38% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Aetna Medicare	HMO		26	26% of all negotiated rates	23	percent of total billed charges	23	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Alignment Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	15	percent of total billed charges	15	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Cigna	PPO		68	68% of all negotiated rates	10	percent of total billed charges	10	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Coalition	PPO		49	49% of all negotiated rates	16	percent of total billed charges	16	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	One Health	PPO		55	55% of all negotiated rates	14	percent of total billed charges	14	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Optum Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	P3	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Select Health	HMO		41	41% of all negotiated rates	18	percent of total billed charges	18	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	20	percent of total billed charges	20	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Sierra/HPN	HMO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Silversummit Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	20	percent of total billed charges	20	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	Teachers Trust	PPO		65	65% of all negotiated rates	11	percent of total billed charges	11	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	TriWest	PPO		30	30% of all negotiated rates	21	percent of total billed charges	21	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
TAPE UNBILICAL -U11T			1500524	LOCAL	270	RC		outpatient			30	26	United Healthcare	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Aetna	PPO		38	38% of all negotiated rates	18	percent of total billed charges	18	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Aetna Medicare	HMO		26	26% of all negotiated rates	21	percent of total billed charges	21	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	One Health	PPO		55	55% of all negotiated rates	13	percent of total billed charges	13	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Select Health	HMO		41	41% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	19	percent of total billed charges	19	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	TriWest	PPO		30	30% of all negotiated rates	20	percent of total billed charges	20	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
"TED HOSE, KNEE XXXL"			1501207	LOCAL	270	RC		outpatient			28	24	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
"TED HOSE, KNEE XXXL REGULAR"			1501061	LOCAL	270	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE LARGE LONG			1500308	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE LARGE REGULAR			1500309	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE MEDIUM LONG			1500310	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE MEDIUM REGULAR			1500311	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE SMALL LONG			1500312	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE X-LARGE LONG			1500313	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE X-LARGE REGULAR			1500314	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED KNEE XXL-REG			1500315	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
"TED KNEE, SMALL REGULAR"			1500316	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE LONG			1500317	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE REGULAR			1500318	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH LARGE SHORT			1500319	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM LONG			1500320	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM REGULAR			1500321	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH MEDIUM SHORT			1500322	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL LONG			1500323	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL REGULAR			1500324	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH SMALL SHORT			1500325	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH X-LARGE LONG			1500326	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TED THIGH X-LARGE REGULAR			1500327	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Aetna	PPO		38	38% of all negotiated rates	50	percent of total billed charges	50	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Aetna Medicare	HMO		26	26% of all negotiated rates	60	percent of total billed charges	60	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Alignment Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	40	percent of total billed charges	40	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Coalition	PPO		49	49% of all negotiated rates	41	percent of total billed charges	41	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Humana-Commerical	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	One Health	PPO		55	55% of all negotiated rates	36	percent of total billed charges	36	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Optum Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	P3	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Sierra/HPN	HMO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Silversummit Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	Teachers Trust	PPO		65	65% of all negotiated rates	28	percent of total billed charges	28	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
"TEGO, DIALYSIS CONNECTOR"			1500328	LOCAL	270	RC		outpatient			81	69	United Healthcare	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Aetna Medicare	HMO		26	26% of all negotiated rates	6	percent of total billed charges	6	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Alignment Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Optum Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	P3	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Select Health	HMO		41	41% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Silversummit Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	TriWest	PPO		30	30% of all negotiated rates	6	percent of total billed charges	6	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X4 (STERILE)			1500330	LOCAL	270	RC		outpatient			8	7	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Aetna Medicare	HMO		26	26% of all negotiated rates	6	percent of total billed charges	6	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Alignment Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Optum Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	P3	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Select Health	HMO		41	41% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Silversummit Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	TriWest	PPO		30	30% of all negotiated rates	6	percent of total billed charges	6	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
TELFA 3X8 (STERILE)			1500331	LOCAL	270	RC		outpatient			8	7	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Aetna	PPO		38	38% of all negotiated rates	57	percent of total billed charges	57	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Aetna Medicare	HMO		26	26% of all negotiated rates	68	percent of total billed charges	68	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Alignment Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	46	percent of total billed charges	46	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Cigna	PPO		68	68% of all negotiated rates	29	percent of total billed charges	29	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Coalition	PPO		49	49% of all negotiated rates	47	percent of total billed charges	47	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Coventry	PPO		75	75% of all negotiated rates	23	percent of total billed charges	23	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Humana-Commerical	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	One Health	PPO		55	55% of all negotiated rates	41	percent of total billed charges	41	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Optum Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	P3	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Select Health	HMO		41	41% of all negotiated rates	54	percent of total billed charges	54	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	61	percent of total billed charges	61	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Sierra/HPN	HMO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Silversummit Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	59	percent of total billed charges	59	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	Teachers Trust	PPO		65	65% of all negotiated rates	32	percent of total billed charges	32	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	TriWest	PPO		30	30% of all negotiated rates	64	percent of total billed charges	64	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
"THERAHONEY GEL, 1.5 oz."			1500333	LOCAL	270	RC		outpatient			91	78	United Healthcare	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Aetna	PPO		38	38% of all negotiated rates	83	percent of total billed charges	83	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Aetna Medicare	HMO		26	26% of all negotiated rates	99	percent of total billed charges	99	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Alignment Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	54	percent of total billed charges	54	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	67	percent of total billed charges	67	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Cigna	PPO		68	68% of all negotiated rates	43	percent of total billed charges	43	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Coalition	PPO		49	49% of all negotiated rates	69	percent of total billed charges	69	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Coventry	PPO		75	75% of all negotiated rates	34	percent of total billed charges	34	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Humana-Commerical	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Multiplan	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	One Health	PPO		55	55% of all negotiated rates	60	percent of total billed charges	60	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Optum Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	P3	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Select Health	HMO		41	41% of all negotiated rates	79	percent of total billed charges	79	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	89	percent of total billed charges	89	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Sierra/HPN	HMO		60	60% of all negotiated rates	54	percent of total billed charges	54	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Silversummit Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	87	percent of total billed charges	87	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	Teachers Trust	PPO		65	65% of all negotiated rates	47	percent of total billed charges	47	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	TriWest	PPO		30	30% of all negotiated rates	94	percent of total billed charges	94	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	134	
THERMACARE QUILTS TC-1050			1500547	LOCAL	270	RC		outpatient			134	114	United Healthcare	PPO		60	60% of all negotiated rates	54	percent of total billed charges	54	134	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Aetna	PPO		38	38% of all negotiated rates	113	percent of total billed charges	113	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Aetna Medicare	HMO		26	26% of all negotiated rates	135	percent of total billed charges	135	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Alignment Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	91	percent of total billed charges	91	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Cigna	PPO		68	68% of all negotiated rates	58	percent of total billed charges	58	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Coalition	PPO		49	49% of all negotiated rates	93	percent of total billed charges	93	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Coventry	PPO		75	75% of all negotiated rates	46	percent of total billed charges	46	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Humana-Commerical	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Multiplan	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	One Health	PPO		55	55% of all negotiated rates	82	percent of total billed charges	82	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Optum Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	P3	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Select Health	HMO		41	41% of all negotiated rates	108	percent of total billed charges	108	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	121	percent of total billed charges	121	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Sierra/HPN	HMO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Silversummit Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	119	percent of total billed charges	119	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	Teachers Trust	PPO		65	65% of all negotiated rates	64	percent of total billed charges	64	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	TriWest	PPO		30	30% of all negotiated rates	128	percent of total billed charges	128	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
THORA/PARACENTESIS TRAY			1500334	LOCAL	270	RC		outpatient			183	155	United Healthcare	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
"THUMB SPICA, LONG"			1500748	LOCAL	270	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
"THUMB SPICA, SHORT"			1500747	LOCAL	270	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Aetna	PPO		38	38% of all negotiated rates	4956	percent of total billed charges	4956	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Aetna Medicare	HMO		26	26% of all negotiated rates	5915	percent of total billed charges	5915	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Alignment Medicare	HMO		39	39% of all negotiated rates	4876	percent of total billed charges	4876	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3197	percent of total billed charges	3197	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3997	percent of total billed charges	3997	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4876	percent of total billed charges	4876	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Cigna	PPO		68	68% of all negotiated rates	2558	percent of total billed charges	2558	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Coalition	PPO		49	49% of all negotiated rates	4077	percent of total billed charges	4077	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Coventry	PPO		75	75% of all negotiated rates	1998	percent of total billed charges	1998	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1599	percent of total billed charges	1599	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Humana-Commerical	PPO		70	70% of all negotiated rates	2398	percent of total billed charges	2398	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4876	percent of total billed charges	4876	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Multiplan	PPO		80	80% of all negotiated rates	1599	percent of total billed charges	1599	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	One Health	PPO		55	55% of all negotiated rates	3597	percent of total billed charges	3597	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Optum Medicare	HMO		39	39% of all negotiated rates	4876	percent of total billed charges	4876	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	P3	HMO		39	39% of all negotiated rates	4876	percent of total billed charges	4876	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2398	percent of total billed charges	2398	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Select Health	HMO		41	41% of all negotiated rates	4716	percent of total billed charges	4716	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5316	percent of total billed charges	5316	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Sierra/HPN	HMO		60	60% of all negotiated rates	3197	percent of total billed charges	3197	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Silversummit Medicare	HMO		39	39% of all negotiated rates	4876	percent of total billed charges	4876	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5196	percent of total billed charges	5196	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	Teachers Trust	PPO		65	65% of all negotiated rates	2798	percent of total billed charges	2798	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	TriWest	PPO		30	30% of all negotiated rates	5596	percent of total billed charges	5596	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2398	percent of total billed charges	2398	7994	
TISSUE LINK			3213211	LOCAL	270	RC		outpatient			7994	6795	United Healthcare	PPO		60	60% of all negotiated rates	3197	percent of total billed charges	3197	7994	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Aetna	PPO		38	38% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Aetna Medicare	HMO		26	26% of all negotiated rates	23	percent of total billed charges	23	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Alignment Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	15	percent of total billed charges	15	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Cigna	PPO		68	68% of all negotiated rates	10	percent of total billed charges	10	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Coalition	PPO		49	49% of all negotiated rates	16	percent of total billed charges	16	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	One Health	PPO		55	55% of all negotiated rates	14	percent of total billed charges	14	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Optum Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	P3	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Select Health	HMO		41	41% of all negotiated rates	18	percent of total billed charges	18	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	20	percent of total billed charges	20	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Sierra/HPN	HMO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Silversummit Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	20	percent of total billed charges	20	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	Teachers Trust	PPO		65	65% of all negotiated rates	11	percent of total billed charges	11	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	TriWest	PPO		30	30% of all negotiated rates	21	percent of total billed charges	21	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
TOOTHETTE			1500335	LOCAL	270	RC		outpatient			30	26	United Healthcare	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Aetna	PPO		38	38% of all negotiated rates	138	percent of total billed charges	138	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Aetna Medicare	HMO		26	26% of all negotiated rates	165	percent of total billed charges	165	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Alignment Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	111	percent of total billed charges	111	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Cigna	PPO		68	68% of all negotiated rates	71	percent of total billed charges	71	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Coalition	PPO		49	49% of all negotiated rates	114	percent of total billed charges	114	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Coventry	PPO		75	75% of all negotiated rates	56	percent of total billed charges	56	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Humana-Commerical	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	One Health	PPO		55	55% of all negotiated rates	100	percent of total billed charges	100	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Optum Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	P3	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Select Health	HMO		41	41% of all negotiated rates	131	percent of total billed charges	131	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	148	percent of total billed charges	148	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Sierra/HPN	HMO		60	60% of all negotiated rates	89	percent of total billed charges	89	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Silversummit Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	145	percent of total billed charges	145	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	Teachers Trust	PPO		65	65% of all negotiated rates	78	percent of total billed charges	78	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	TriWest	PPO		30	30% of all negotiated rates	156	percent of total billed charges	156	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	223	
TORPEDO 3.5MMX7.CM			1501224	LOCAL	270	RC		outpatient			223	189	United Healthcare	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	223	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Aetna	PPO		38	38% of all negotiated rates	188	percent of total billed charges	188	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Alignment Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Coalition	PPO		49	49% of all negotiated rates	155	percent of total billed charges	155	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Optum Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	P3	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Select Health	HMO		41	41% of all negotiated rates	179	percent of total billed charges	179	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Silversummit Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	197	percent of total billed charges	197	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	Teachers Trust	PPO		65	65% of all negotiated rates	106	percent of total billed charges	106	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	TriWest	PPO		30	30% of all negotiated rates	212	percent of total billed charges	212	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
TOURNIQUET 12x2 DISP.			3215196	LOCAL	270	RC		outpatient			303	258	United Healthcare	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Aetna	PPO		38	38% of all negotiated rates	210	percent of total billed charges	210	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Aetna Medicare	HMO		26	26% of all negotiated rates	250	percent of total billed charges	250	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Alignment Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	135	percent of total billed charges	135	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	169	percent of total billed charges	169	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Cigna	PPO		68	68% of all negotiated rates	108	percent of total billed charges	108	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Coalition	PPO		49	49% of all negotiated rates	172	percent of total billed charges	172	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Coventry	PPO		75	75% of all negotiated rates	85	percent of total billed charges	85	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Humana-Commerical	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Multiplan	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	One Health	PPO		55	55% of all negotiated rates	152	percent of total billed charges	152	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Optum Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	P3	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Select Health	HMO		41	41% of all negotiated rates	199	percent of total billed charges	199	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	225	percent of total billed charges	225	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Sierra/HPN	HMO		60	60% of all negotiated rates	135	percent of total billed charges	135	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Silversummit Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	220	percent of total billed charges	220	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	Teachers Trust	PPO		65	65% of all negotiated rates	118	percent of total billed charges	118	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	TriWest	PPO		30	30% of all negotiated rates	237	percent of total billed charges	237	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	338	
TOURNIQUET 18x3 DISP.			1501128	LOCAL	270	RC		outpatient			338	287	United Healthcare	PPO		60	60% of all negotiated rates	135	percent of total billed charges	135	338	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Aetna	PPO		38	38% of all negotiated rates	335	percent of total billed charges	335	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Aetna Medicare	HMO		26	26% of all negotiated rates	400	percent of total billed charges	400	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Alignment Medicare	HMO		39	39% of all negotiated rates	330	percent of total billed charges	330	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	216	percent of total billed charges	216	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	270	percent of total billed charges	270	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	330	percent of total billed charges	330	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Cigna	PPO		68	68% of all negotiated rates	173	percent of total billed charges	173	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Coalition	PPO		49	49% of all negotiated rates	276	percent of total billed charges	276	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Coventry	PPO		75	75% of all negotiated rates	135	percent of total billed charges	135	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	108	percent of total billed charges	108	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Humana-Commerical	PPO		70	70% of all negotiated rates	162	percent of total billed charges	162	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	330	percent of total billed charges	330	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Multiplan	PPO		80	80% of all negotiated rates	108	percent of total billed charges	108	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	One Health	PPO		55	55% of all negotiated rates	243	percent of total billed charges	243	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Optum Medicare	HMO		39	39% of all negotiated rates	330	percent of total billed charges	330	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	P3	HMO		39	39% of all negotiated rates	330	percent of total billed charges	330	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	162	percent of total billed charges	162	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Select Health	HMO		41	41% of all negotiated rates	319	percent of total billed charges	319	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	360	percent of total billed charges	360	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Sierra/HPN	HMO		60	60% of all negotiated rates	216	percent of total billed charges	216	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Silversummit Medicare	HMO		39	39% of all negotiated rates	330	percent of total billed charges	330	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	351	percent of total billed charges	351	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	Teachers Trust	PPO		65	65% of all negotiated rates	189	percent of total billed charges	189	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	TriWest	PPO		30	30% of all negotiated rates	379	percent of total billed charges	379	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	162	percent of total billed charges	162	541	
TOURNIQUET 18x5.5 DISP.			3215201	LOCAL	270	RC		outpatient			541	460	United Healthcare	PPO		60	60% of all negotiated rates	216	percent of total billed charges	216	541	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Aetna	PPO		38	38% of all negotiated rates	370	percent of total billed charges	370	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Aetna Medicare	HMO		26	26% of all negotiated rates	442	percent of total billed charges	442	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Alignment Medicare	HMO		39	39% of all negotiated rates	364	percent of total billed charges	364	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	239	percent of total billed charges	239	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	299	percent of total billed charges	299	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	364	percent of total billed charges	364	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Cigna	PPO		68	68% of all negotiated rates	191	percent of total billed charges	191	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Coalition	PPO		49	49% of all negotiated rates	305	percent of total billed charges	305	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Coventry	PPO		75	75% of all negotiated rates	149	percent of total billed charges	149	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Humana-Commerical	PPO		70	70% of all negotiated rates	179	percent of total billed charges	179	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	364	percent of total billed charges	364	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Multiplan	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	One Health	PPO		55	55% of all negotiated rates	269	percent of total billed charges	269	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Optum Medicare	HMO		39	39% of all negotiated rates	364	percent of total billed charges	364	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	P3	HMO		39	39% of all negotiated rates	364	percent of total billed charges	364	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	179	percent of total billed charges	179	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Select Health	HMO		41	41% of all negotiated rates	352	percent of total billed charges	352	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	397	percent of total billed charges	397	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Sierra/HPN	HMO		60	60% of all negotiated rates	239	percent of total billed charges	239	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Silversummit Medicare	HMO		39	39% of all negotiated rates	364	percent of total billed charges	364	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	388	percent of total billed charges	388	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	Teachers Trust	PPO		65	65% of all negotiated rates	209	percent of total billed charges	209	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	TriWest	PPO		30	30% of all negotiated rates	418	percent of total billed charges	418	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	179	percent of total billed charges	179	597	
TOURNIQUET 24x5.5 DISP.			3215200	LOCAL	270	RC		outpatient			597	508	United Healthcare	PPO		60	60% of all negotiated rates	239	percent of total billed charges	239	597	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Aetna	PPO		38	38% of all negotiated rates	252	percent of total billed charges	252	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Coalition	PPO		49	49% of all negotiated rates	207	percent of total billed charges	207	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	One Health	PPO		55	55% of all negotiated rates	183	percent of total billed charges	183	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	Teachers Trust	PPO		65	65% of all negotiated rates	142	percent of total billed charges	142	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
TOURNIQUET 30x4 DISP.			3215198	LOCAL	270	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Aetna	PPO		38	38% of all negotiated rates	270	percent of total billed charges	270	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Alignment Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	217	percent of total billed charges	217	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Coalition	PPO		49	49% of all negotiated rates	222	percent of total billed charges	222	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Humana-Commerical	PPO		70	70% of all negotiated rates	130	percent of total billed charges	130	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Optum Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	P3	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	130	percent of total billed charges	130	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Select Health	HMO		41	41% of all negotiated rates	256	percent of total billed charges	256	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	289	percent of total billed charges	289	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Silversummit Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	Teachers Trust	PPO		65	65% of all negotiated rates	152	percent of total billed charges	152	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	TriWest	PPO		30	30% of all negotiated rates	304	percent of total billed charges	304	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	130	percent of total billed charges	130	435	
TOURNIQUET 34x4 DISP.			3215199	LOCAL	270	RC		outpatient			435	369	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	435	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Aetna	PPO		38	38% of all negotiated rates	303	percent of total billed charges	303	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Aetna Medicare	HMO		26	26% of all negotiated rates	362	percent of total billed charges	362	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Alignment Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	245	percent of total billed charges	245	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Coalition	PPO		49	49% of all negotiated rates	250	percent of total billed charges	250	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Coventry	PPO		75	75% of all negotiated rates	122	percent of total billed charges	122	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	One Health	PPO		55	55% of all negotiated rates	220	percent of total billed charges	220	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Optum Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	P3	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Select Health	HMO		41	41% of all negotiated rates	289	percent of total billed charges	289	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	325	percent of total billed charges	325	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Sierra/HPN	HMO		60	60% of all negotiated rates	196	percent of total billed charges	196	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Silversummit Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	318	percent of total billed charges	318	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	Teachers Trust	PPO		65	65% of all negotiated rates	171	percent of total billed charges	171	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	TriWest	PPO		30	30% of all negotiated rates	343	percent of total billed charges	343	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	489	
TOURNIQUET STERILE 18''''X4			3215051	LOCAL	270	RC		outpatient			489	416	United Healthcare	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	489	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Aetna	PPO		38	38% of all negotiated rates	393	percent of total billed charges	393	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Aetna Medicare	HMO		26	26% of all negotiated rates	469	percent of total billed charges	469	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Alignment Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	317	percent of total billed charges	317	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Cigna	PPO		68	68% of all negotiated rates	203	percent of total billed charges	203	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Coalition	PPO		49	49% of all negotiated rates	323	percent of total billed charges	323	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Humana-Commerical	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Multiplan	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	One Health	PPO		55	55% of all negotiated rates	285	percent of total billed charges	285	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Optum Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	P3	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Select Health	HMO		41	41% of all negotiated rates	374	percent of total billed charges	374	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	421	percent of total billed charges	421	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Sierra/HPN	HMO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Silversummit Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	412	percent of total billed charges	412	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	Teachers Trust	PPO		65	65% of all negotiated rates	222	percent of total billed charges	222	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	TriWest	PPO		30	30% of all negotiated rates	443	percent of total billed charges	443	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
TOURNIQUET STERILE 34			3215052	LOCAL	270	RC		outpatient			633	538	United Healthcare	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Aetna	PPO		38	38% of all negotiated rates	428	percent of total billed charges	428	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Aetna Medicare	HMO		26	26% of all negotiated rates	511	percent of total billed charges	511	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Alignment Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	276	percent of total billed charges	276	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	345	percent of total billed charges	345	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Cigna	PPO		68	68% of all negotiated rates	221	percent of total billed charges	221	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Coalition	PPO		49	49% of all negotiated rates	352	percent of total billed charges	352	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Coventry	PPO		75	75% of all negotiated rates	173	percent of total billed charges	173	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Humana-Commerical	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	One Health	PPO		55	55% of all negotiated rates	311	percent of total billed charges	311	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Optum Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	P3	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Select Health	HMO		41	41% of all negotiated rates	408	percent of total billed charges	408	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	459	percent of total billed charges	459	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Sierra/HPN	HMO		60	60% of all negotiated rates	276	percent of total billed charges	276	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Silversummit Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	449	percent of total billed charges	449	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	Teachers Trust	PPO		65	65% of all negotiated rates	242	percent of total billed charges	242	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	TriWest	PPO		30	30% of all negotiated rates	484	percent of total billed charges	484	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	691	
TOURNIQUET STERILE 44			3215053	LOCAL	270	RC		outpatient			691	587	United Healthcare	PPO		60	60% of all negotiated rates	276	percent of total billed charges	276	691	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Aetna Medicare	HMO		26	26% of all negotiated rates	32	percent of total billed charges	32	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Alignment Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	One Health	PPO		55	55% of all negotiated rates	19	percent of total billed charges	19	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Optum Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	P3	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Select Health	HMO		41	41% of all negotiated rates	25	percent of total billed charges	25	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Sierra/HPN	HMO		60	60% of all negotiated rates	17	percent of total billed charges	17	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	28	percent of total billed charges	28	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	TriWest	PPO		30	30% of all negotiated rates	30	percent of total billed charges	30	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	43	
"TOWEL, OR (6/PK)"			1500725	LOCAL	270	RC		outpatient			43	37	United Healthcare	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	43	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
TRACH CARE SUPPLY			4170952	LOCAL	270	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH ENDO TUBE 2.0			1500337	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #10 DCT			1500338	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #10 FENESTRA			1500339	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #4 DCT			1500340	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #4 FENESTRAT			1500341	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #6 DCT			1500342	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #6 FENESTRAT			1500343	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #8 DCT			1500344	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
TRACH SHILEY #8 FENESTRAT			1500345	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE 6.5			1500346	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 10.0			1500347	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 2.5			1500348	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 3.0			1500349	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 3.5			1500350	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 4.0			1500351	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 4.5			1500352	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 5.0			1500353	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 5.5			1500354	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 6.0			1500355	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 7.0			1500356	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 7.5			1500357	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 8.0			1500358	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 8.5			1500359	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
TRACH TUBE ENDO 9.0			1500360	LOCAL	270	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY 5.0 PED"			1500361	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY NEO 4.0"			1500362	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
"TRACH, SHILEY PED 4.0"			1500363	LOCAL	270	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Aetna	PPO		38	38% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Aetna Medicare	HMO		26	26% of all negotiated rates	44	percent of total billed charges	44	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Alignment Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	29	percent of total billed charges	29	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Coalition	PPO		49	49% of all negotiated rates	30	percent of total billed charges	30	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	One Health	PPO		55	55% of all negotiated rates	26	percent of total billed charges	26	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Optum Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	P3	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Select Health	HMO		41	41% of all negotiated rates	35	percent of total billed charges	35	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	39	percent of total billed charges	39	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Silversummit Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	38	percent of total billed charges	38	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	TriWest	PPO		30	30% of all negotiated rates	41	percent of total billed charges	41	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
TRACTION RENTAL FEE CHARGE			3027299	LOCAL	270	RC		outpatient			59	50	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Aetna	PPO		38	38% of all negotiated rates	69	percent of total billed charges	69	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Aetna Medicare	HMO		26	26% of all negotiated rates	82	percent of total billed charges	82	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Alignment Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	56	percent of total billed charges	56	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Coalition	PPO		49	49% of all negotiated rates	57	percent of total billed charges	57	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Humana-Commerical	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	One Health	PPO		55	55% of all negotiated rates	50	percent of total billed charges	50	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Optum Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	P3	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Select Health	HMO		41	41% of all negotiated rates	66	percent of total billed charges	66	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	74	percent of total billed charges	74	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Silversummit Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	72	percent of total billed charges	72	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	Teachers Trust	PPO		65	65% of all negotiated rates	39	percent of total billed charges	39	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	TriWest	PPO		30	30% of all negotiated rates	78	percent of total billed charges	78	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
TRACTION SET UP FEE CHARGE			3027281	LOCAL	270	RC		outpatient			111	95	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Aetna	PPO		38	38% of all negotiated rates	270	percent of total billed charges	270	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Alignment Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	217	percent of total billed charges	217	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Coalition	PPO		49	49% of all negotiated rates	222	percent of total billed charges	222	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Humana-Commerical	PPO		70	70% of all negotiated rates	130	percent of total billed charges	130	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Optum Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	P3	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	130	percent of total billed charges	130	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Select Health	HMO		41	41% of all negotiated rates	256	percent of total billed charges	256	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	289	percent of total billed charges	289	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Silversummit Medicare	HMO		39	39% of all negotiated rates	265	percent of total billed charges	265	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	Teachers Trust	PPO		65	65% of all negotiated rates	152	percent of total billed charges	152	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	TriWest	PPO		30	30% of all negotiated rates	304	percent of total billed charges	304	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	130	percent of total billed charges	130	435	
"TRANSDUCER, SMALL"			1500364	LOCAL	270	RC		outpatient			435	369	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	435	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
TRAPEZE DAILY CHARGE CHARGE			3027414	LOCAL	270	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Aetna	PPO		38	38% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Aetna Medicare	HMO		26	26% of all negotiated rates	53	percent of total billed charges	53	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Alignment Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	29	percent of total billed charges	29	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	36	percent of total billed charges	36	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Cigna	PPO		68	68% of all negotiated rates	23	percent of total billed charges	23	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Coalition	PPO		49	49% of all negotiated rates	36	percent of total billed charges	36	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Coventry	PPO		75	75% of all negotiated rates	18	percent of total billed charges	18	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Humana-Commerical	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	One Health	PPO		55	55% of all negotiated rates	32	percent of total billed charges	32	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Optum Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	P3	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Select Health	HMO		41	41% of all negotiated rates	42	percent of total billed charges	42	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	47	percent of total billed charges	47	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Sierra/HPN	HMO		60	60% of all negotiated rates	29	percent of total billed charges	29	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Silversummit Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	46	percent of total billed charges	46	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	Teachers Trust	PPO		65	65% of all negotiated rates	25	percent of total billed charges	25	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	TriWest	PPO		30	30% of all negotiated rates	50	percent of total billed charges	50	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	71	
TREADMILL SUPPLIES CHARGE			3024532	LOCAL	270	RC		outpatient			71	61	United Healthcare	PPO		60	60% of all negotiated rates	29	percent of total billed charges	29	71	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Aetna	PPO		38	38% of all negotiated rates	1157	percent of total billed charges	1157	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Aetna Medicare	HMO		26	26% of all negotiated rates	1381	percent of total billed charges	1381	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Alignment Medicare	HMO		39	39% of all negotiated rates	1138	percent of total billed charges	1138	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	746	percent of total billed charges	746	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	933	percent of total billed charges	933	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1138	percent of total billed charges	1138	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Cigna	PPO		68	68% of all negotiated rates	597	percent of total billed charges	597	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Coalition	PPO		49	49% of all negotiated rates	952	percent of total billed charges	952	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Coventry	PPO		75	75% of all negotiated rates	466	percent of total billed charges	466	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	373	percent of total billed charges	373	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Humana-Commerical	PPO		70	70% of all negotiated rates	560	percent of total billed charges	560	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1138	percent of total billed charges	1138	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Multiplan	PPO		80	80% of all negotiated rates	373	percent of total billed charges	373	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	One Health	PPO		55	55% of all negotiated rates	840	percent of total billed charges	840	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Optum Medicare	HMO		39	39% of all negotiated rates	1138	percent of total billed charges	1138	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	P3	HMO		39	39% of all negotiated rates	1138	percent of total billed charges	1138	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	560	percent of total billed charges	560	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Select Health	HMO		41	41% of all negotiated rates	1101	percent of total billed charges	1101	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1241	percent of total billed charges	1241	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Sierra/HPN	HMO		60	60% of all negotiated rates	746	percent of total billed charges	746	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Silversummit Medicare	HMO		39	39% of all negotiated rates	1138	percent of total billed charges	1138	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1213	percent of total billed charges	1213	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	Teachers Trust	PPO		65	65% of all negotiated rates	653	percent of total billed charges	653	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	TriWest	PPO		30	30% of all negotiated rates	1306	percent of total billed charges	1306	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	560	percent of total billed charges	560	1866	
TRIPLE EDGE RELEASE INSTRUMENT			1501168	LOCAL	270	RC		outpatient			1866	1586	United Healthcare	PPO		60	60% of all negotiated rates	746	percent of total billed charges	746	1866	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Aetna	PPO		38	38% of all negotiated rates	582	percent of total billed charges	582	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Aetna Medicare	HMO		26	26% of all negotiated rates	695	percent of total billed charges	695	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Alignment Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	375	percent of total billed charges	375	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	469	percent of total billed charges	469	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Cigna	PPO		68	68% of all negotiated rates	300	percent of total billed charges	300	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Coalition	PPO		49	49% of all negotiated rates	479	percent of total billed charges	479	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Coventry	PPO		75	75% of all negotiated rates	235	percent of total billed charges	235	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	188	percent of total billed charges	188	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Humana-Commerical	PPO		70	70% of all negotiated rates	282	percent of total billed charges	282	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Multiplan	PPO		80	80% of all negotiated rates	188	percent of total billed charges	188	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	One Health	PPO		55	55% of all negotiated rates	422	percent of total billed charges	422	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Optum Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	P3	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	282	percent of total billed charges	282	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Select Health	HMO		41	41% of all negotiated rates	554	percent of total billed charges	554	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	624	percent of total billed charges	624	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Sierra/HPN	HMO		60	60% of all negotiated rates	375	percent of total billed charges	375	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Silversummit Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	610	percent of total billed charges	610	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	Teachers Trust	PPO		65	65% of all negotiated rates	329	percent of total billed charges	329	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	TriWest	PPO		30	30% of all negotiated rates	657	percent of total billed charges	657	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	282	percent of total billed charges	282	939	
TRIPLE LUMEN CATHETER			1500365	LOCAL	270	RC		outpatient			939	798	United Healthcare	PPO		60	60% of all negotiated rates	375	percent of total billed charges	375	939	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Aetna	PPO		38	38% of all negotiated rates	829	percent of total billed charges	829	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Aetna Medicare	HMO		26	26% of all negotiated rates	989	percent of total billed charges	989	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Alignment Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	535	percent of total billed charges	535	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	668	percent of total billed charges	668	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Cigna	PPO		68	68% of all negotiated rates	428	percent of total billed charges	428	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Coalition	PPO		49	49% of all negotiated rates	682	percent of total billed charges	682	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Coventry	PPO		75	75% of all negotiated rates	334	percent of total billed charges	334	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	267	percent of total billed charges	267	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Humana-Commerical	PPO		70	70% of all negotiated rates	401	percent of total billed charges	401	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Multiplan	PPO		80	80% of all negotiated rates	267	percent of total billed charges	267	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	One Health	PPO		55	55% of all negotiated rates	601	percent of total billed charges	601	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Optum Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	P3	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	401	percent of total billed charges	401	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Select Health	HMO		41	41% of all negotiated rates	789	percent of total billed charges	789	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	889	percent of total billed charges	889	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Sierra/HPN	HMO		60	60% of all negotiated rates	535	percent of total billed charges	535	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Silversummit Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	869	percent of total billed charges	869	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	Teachers Trust	PPO		65	65% of all negotiated rates	468	percent of total billed charges	468	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	TriWest	PPO		30	30% of all negotiated rates	936	percent of total billed charges	936	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	401	percent of total billed charges	401	1337	
TROCAR 11MM ETHICON D11LT			1500517	LOCAL	270	RC		outpatient			1337	1136	United Healthcare	PPO		60	60% of all negotiated rates	535	percent of total billed charges	535	1337	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Aetna	PPO		38	38% of all negotiated rates	832	percent of total billed charges	832	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Aetna Medicare	HMO		26	26% of all negotiated rates	993	percent of total billed charges	993	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Alignment Medicare	HMO		39	39% of all negotiated rates	819	percent of total billed charges	819	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	537	percent of total billed charges	537	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	671	percent of total billed charges	671	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	819	percent of total billed charges	819	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Cigna	PPO		68	68% of all negotiated rates	429	percent of total billed charges	429	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Coalition	PPO		49	49% of all negotiated rates	684	percent of total billed charges	684	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Coventry	PPO		75	75% of all negotiated rates	335	percent of total billed charges	335	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	268	percent of total billed charges	268	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Humana-Commerical	PPO		70	70% of all negotiated rates	403	percent of total billed charges	403	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	819	percent of total billed charges	819	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Multiplan	PPO		80	80% of all negotiated rates	268	percent of total billed charges	268	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	One Health	PPO		55	55% of all negotiated rates	604	percent of total billed charges	604	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Optum Medicare	HMO		39	39% of all negotiated rates	819	percent of total billed charges	819	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	P3	HMO		39	39% of all negotiated rates	819	percent of total billed charges	819	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	403	percent of total billed charges	403	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Select Health	HMO		41	41% of all negotiated rates	792	percent of total billed charges	792	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	892	percent of total billed charges	892	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Sierra/HPN	HMO		60	60% of all negotiated rates	537	percent of total billed charges	537	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Silversummit Medicare	HMO		39	39% of all negotiated rates	819	percent of total billed charges	819	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	872	percent of total billed charges	872	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	Teachers Trust	PPO		65	65% of all negotiated rates	470	percent of total billed charges	470	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	TriWest	PPO		30	30% of all negotiated rates	939	percent of total billed charges	939	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	403	percent of total billed charges	403	1342	
TROCAR 11MM. NON-BLADED			1500518	LOCAL	270	RC		outpatient			1342	1141	United Healthcare	PPO		60	60% of all negotiated rates	537	percent of total billed charges	537	1342	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Aetna	PPO		38	38% of all negotiated rates	644	percent of total billed charges	644	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Aetna Medicare	HMO		26	26% of all negotiated rates	769	percent of total billed charges	769	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Alignment Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	416	percent of total billed charges	416	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	520	percent of total billed charges	520	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Cigna	PPO		68	68% of all negotiated rates	333	percent of total billed charges	333	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Coalition	PPO		49	49% of all negotiated rates	530	percent of total billed charges	530	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Coventry	PPO		75	75% of all negotiated rates	260	percent of total billed charges	260	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	208	percent of total billed charges	208	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Humana-Commerical	PPO		70	70% of all negotiated rates	312	percent of total billed charges	312	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Multiplan	PPO		80	80% of all negotiated rates	208	percent of total billed charges	208	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	One Health	PPO		55	55% of all negotiated rates	468	percent of total billed charges	468	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Optum Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	P3	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	312	percent of total billed charges	312	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Select Health	HMO		41	41% of all negotiated rates	613	percent of total billed charges	613	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	691	percent of total billed charges	691	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Sierra/HPN	HMO		60	60% of all negotiated rates	416	percent of total billed charges	416	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Silversummit Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	676	percent of total billed charges	676	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	Teachers Trust	PPO		65	65% of all negotiated rates	364	percent of total billed charges	364	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	TriWest	PPO		30	30% of all negotiated rates	728	percent of total billed charges	728	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	312	percent of total billed charges	312	1040	
TROCAR 5MM XCEL			1500392	LOCAL	270	RC		outpatient			1040	884	United Healthcare	PPO		60	60% of all negotiated rates	416	percent of total billed charges	416	1040	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Aetna	PPO		38	38% of all negotiated rates	648	percent of total billed charges	648	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Aetna Medicare	HMO		26	26% of all negotiated rates	773	percent of total billed charges	773	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Alignment Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	522	percent of total billed charges	522	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Cigna	PPO		68	68% of all negotiated rates	334	percent of total billed charges	334	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Coalition	PPO		49	49% of all negotiated rates	533	percent of total billed charges	533	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Humana-Commerical	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	One Health	PPO		55	55% of all negotiated rates	470	percent of total billed charges	470	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Optum Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	P3	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Select Health	HMO		41	41% of all negotiated rates	616	percent of total billed charges	616	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Silversummit Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	679	percent of total billed charges	679	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	TriWest	PPO		30	30% of all negotiated rates	731	percent of total billed charges	731	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
TROCAR 5MM. BLADELESS			1500394	LOCAL	270	RC		outpatient			1045	888	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Aetna	PPO		38	38% of all negotiated rates	564	percent of total billed charges	564	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Aetna Medicare	HMO		26	26% of all negotiated rates	673	percent of total billed charges	673	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Alignment Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	364	percent of total billed charges	364	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	455	percent of total billed charges	455	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Cigna	PPO		68	68% of all negotiated rates	291	percent of total billed charges	291	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Coalition	PPO		49	49% of all negotiated rates	464	percent of total billed charges	464	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Coventry	PPO		75	75% of all negotiated rates	227	percent of total billed charges	227	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	182	percent of total billed charges	182	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Humana-Commerical	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Multiplan	PPO		80	80% of all negotiated rates	182	percent of total billed charges	182	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	One Health	PPO		55	55% of all negotiated rates	409	percent of total billed charges	409	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Optum Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	P3	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Select Health	HMO		41	41% of all negotiated rates	536	percent of total billed charges	536	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	605	percent of total billed charges	605	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Sierra/HPN	HMO		60	60% of all negotiated rates	364	percent of total billed charges	364	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Silversummit Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	591	percent of total billed charges	591	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	Teachers Trust	PPO		65	65% of all negotiated rates	318	percent of total billed charges	318	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	TriWest	PPO		30	30% of all negotiated rates	637	percent of total billed charges	637	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	909	
TROCAR BLUNT PORT			1500521	LOCAL	270	RC		outpatient			909	773	United Healthcare	PPO		60	60% of all negotiated rates	364	percent of total billed charges	364	909	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Aetna	PPO		38	38% of all negotiated rates	18	percent of total billed charges	18	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Aetna Medicare	HMO		26	26% of all negotiated rates	21	percent of total billed charges	21	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	One Health	PPO		55	55% of all negotiated rates	13	percent of total billed charges	13	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Select Health	HMO		41	41% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	19	percent of total billed charges	19	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	TriWest	PPO		30	30% of all negotiated rates	20	percent of total billed charges	20	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
TROCAR OPTIVIEW 10-12MM			1500560	LOCAL	270	RC		outpatient			28	24	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
TROCAR SPIKE (DISP)			1500637	LOCAL	270	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
TROCAR WIRE 1.6X150MM			1501313	LOCAL	270	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Aetna	PPO		38	38% of all negotiated rates	853	percent of total billed charges	853	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Aetna Medicare	HMO		26	26% of all negotiated rates	1019	percent of total billed charges	1019	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Alignment Medicare	HMO		39	39% of all negotiated rates	840	percent of total billed charges	840	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	551	percent of total billed charges	551	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	688	percent of total billed charges	688	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	840	percent of total billed charges	840	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Cigna	PPO		68	68% of all negotiated rates	440	percent of total billed charges	440	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Coalition	PPO		49	49% of all negotiated rates	702	percent of total billed charges	702	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Coventry	PPO		75	75% of all negotiated rates	344	percent of total billed charges	344	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	275	percent of total billed charges	275	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Humana-Commerical	PPO		70	70% of all negotiated rates	413	percent of total billed charges	413	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	840	percent of total billed charges	840	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Multiplan	PPO		80	80% of all negotiated rates	275	percent of total billed charges	275	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	One Health	PPO		55	55% of all negotiated rates	619	percent of total billed charges	619	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Optum Medicare	HMO		39	39% of all negotiated rates	840	percent of total billed charges	840	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	P3	HMO		39	39% of all negotiated rates	840	percent of total billed charges	840	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	413	percent of total billed charges	413	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Select Health	HMO		41	41% of all negotiated rates	812	percent of total billed charges	812	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	915	percent of total billed charges	915	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Sierra/HPN	HMO		60	60% of all negotiated rates	551	percent of total billed charges	551	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Silversummit Medicare	HMO		39	39% of all negotiated rates	840	percent of total billed charges	840	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	895	percent of total billed charges	895	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	Teachers Trust	PPO		65	65% of all negotiated rates	482	percent of total billed charges	482	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	TriWest	PPO		30	30% of all negotiated rates	964	percent of total billed charges	964	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	413	percent of total billed charges	413	1377	
TROCAR XCEL 12mm.			1500516	LOCAL	270	RC		outpatient			1377	1170	United Healthcare	PPO		60	60% of all negotiated rates	551	percent of total billed charges	551	1377	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Aetna	PPO		38	38% of all negotiated rates	129	percent of total billed charges	129	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Aetna Medicare	HMO		26	26% of all negotiated rates	154	percent of total billed charges	154	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Alignment Medicare	HMO		39	39% of all negotiated rates	127	percent of total billed charges	127	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	83	percent of total billed charges	83	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	104	percent of total billed charges	104	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	127	percent of total billed charges	127	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Cigna	PPO		68	68% of all negotiated rates	67	percent of total billed charges	67	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Coalition	PPO		49	49% of all negotiated rates	106	percent of total billed charges	106	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Coventry	PPO		75	75% of all negotiated rates	52	percent of total billed charges	52	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	42	percent of total billed charges	42	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Humana-Commerical	PPO		70	70% of all negotiated rates	62	percent of total billed charges	62	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	127	percent of total billed charges	127	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Multiplan	PPO		80	80% of all negotiated rates	42	percent of total billed charges	42	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	One Health	PPO		55	55% of all negotiated rates	94	percent of total billed charges	94	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Optum Medicare	HMO		39	39% of all negotiated rates	127	percent of total billed charges	127	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	P3	HMO		39	39% of all negotiated rates	127	percent of total billed charges	127	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	62	percent of total billed charges	62	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Select Health	HMO		41	41% of all negotiated rates	123	percent of total billed charges	123	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	138	percent of total billed charges	138	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Sierra/HPN	HMO		60	60% of all negotiated rates	83	percent of total billed charges	83	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Silversummit Medicare	HMO		39	39% of all negotiated rates	127	percent of total billed charges	127	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	135	percent of total billed charges	135	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	Teachers Trust	PPO		65	65% of all negotiated rates	73	percent of total billed charges	73	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	TriWest	PPO		30	30% of all negotiated rates	146	percent of total billed charges	146	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	62	percent of total billed charges	62	208	
T-TUBE MODIFIED SILICONE			1500584	LOCAL	270	RC		outpatient			208	177	United Healthcare	PPO		60	60% of all negotiated rates	83	percent of total billed charges	83	208	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
TUBE ORAL RAE 8.5 CUFFED			3212306	LOCAL	270	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Aetna	PPO		38	38% of all negotiated rates	6206	percent of total billed charges	6206	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Aetna Medicare	HMO		26	26% of all negotiated rates	7407	percent of total billed charges	7407	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Alignment Medicare	HMO		39	39% of all negotiated rates	6106	percent of total billed charges	6106	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4004	percent of total billed charges	4004	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5005	percent of total billed charges	5005	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6106	percent of total billed charges	6106	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Cigna	PPO		68	68% of all negotiated rates	3203	percent of total billed charges	3203	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Coalition	PPO		49	49% of all negotiated rates	5105	percent of total billed charges	5105	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Coventry	PPO		75	75% of all negotiated rates	2502	percent of total billed charges	2502	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2002	percent of total billed charges	2002	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Humana-Commerical	PPO		70	70% of all negotiated rates	3003	percent of total billed charges	3003	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6106	percent of total billed charges	6106	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Multiplan	PPO		80	80% of all negotiated rates	2002	percent of total billed charges	2002	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	One Health	PPO		55	55% of all negotiated rates	4504	percent of total billed charges	4504	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Optum Medicare	HMO		39	39% of all negotiated rates	6106	percent of total billed charges	6106	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	P3	HMO		39	39% of all negotiated rates	6106	percent of total billed charges	6106	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3003	percent of total billed charges	3003	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Select Health	HMO		41	41% of all negotiated rates	5906	percent of total billed charges	5906	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6656	percent of total billed charges	6656	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Sierra/HPN	HMO		60	60% of all negotiated rates	4004	percent of total billed charges	4004	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Silversummit Medicare	HMO		39	39% of all negotiated rates	6106	percent of total billed charges	6106	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6506	percent of total billed charges	6506	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	Teachers Trust	PPO		65	65% of all negotiated rates	3503	percent of total billed charges	3503	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	TriWest	PPO		30	30% of all negotiated rates	7007	percent of total billed charges	7007	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3003	percent of total billed charges	3003	10010	
TUNNELLER IVS (GYN)			3214802	LOCAL	270	RC		outpatient			10010	8508	United Healthcare	PPO		60	60% of all negotiated rates	4004	percent of total billed charges	4004	10010	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Aetna	PPO		38	38% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Aetna Medicare	HMO		26	26% of all negotiated rates	46	percent of total billed charges	46	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Alignment Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	25	percent of total billed charges	25	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	31	percent of total billed charges	31	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Cigna	PPO		68	68% of all negotiated rates	20	percent of total billed charges	20	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Coalition	PPO		49	49% of all negotiated rates	32	percent of total billed charges	32	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Humana-Commerical	PPO		70	70% of all negotiated rates	19	percent of total billed charges	19	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	One Health	PPO		55	55% of all negotiated rates	28	percent of total billed charges	28	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Optum Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	P3	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	19	percent of total billed charges	19	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Select Health	HMO		41	41% of all negotiated rates	37	percent of total billed charges	37	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	41	percent of total billed charges	41	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Sierra/HPN	HMO		60	60% of all negotiated rates	25	percent of total billed charges	25	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Silversummit Medicare	HMO		39	39% of all negotiated rates	38	percent of total billed charges	38	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	40	percent of total billed charges	40	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	Teachers Trust	PPO		65	65% of all negotiated rates	22	percent of total billed charges	22	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	TriWest	PPO		30	30% of all negotiated rates	43	percent of total billed charges	43	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	19	percent of total billed charges	19	62	
TUR TUBING 2-LEAD			1500730	LOCAL	270	RC		outpatient			62	53	United Healthcare	PPO		60	60% of all negotiated rates	25	percent of total billed charges	25	62	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Alignment Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Coalition	PPO		49	49% of all negotiated rates	20	percent of total billed charges	20	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Optum Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	P3	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Silversummit Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	26	percent of total billed charges	26	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	TriWest	PPO		30	30% of all negotiated rates	28	percent of total billed charges	28	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	40	
TWIN SITE EXTENSION			1501060	LOCAL	270	RC		outpatient			40	34	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	40	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Aetna	PPO		38	38% of all negotiated rates	2017	percent of total billed charges	2017	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Aetna Medicare	HMO		26	26% of all negotiated rates	2407	percent of total billed charges	2407	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Alignment Medicare	HMO		39	39% of all negotiated rates	1984	percent of total billed charges	1984	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1301	percent of total billed charges	1301	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1626	percent of total billed charges	1626	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1984	percent of total billed charges	1984	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Cigna	PPO		68	68% of all negotiated rates	1041	percent of total billed charges	1041	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Coalition	PPO		49	49% of all negotiated rates	1659	percent of total billed charges	1659	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Coventry	PPO		75	75% of all negotiated rates	813	percent of total billed charges	813	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	651	percent of total billed charges	651	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Humana-Commerical	PPO		70	70% of all negotiated rates	976	percent of total billed charges	976	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1984	percent of total billed charges	1984	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Multiplan	PPO		80	80% of all negotiated rates	651	percent of total billed charges	651	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	One Health	PPO		55	55% of all negotiated rates	1464	percent of total billed charges	1464	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Optum Medicare	HMO		39	39% of all negotiated rates	1984	percent of total billed charges	1984	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	P3	HMO		39	39% of all negotiated rates	1984	percent of total billed charges	1984	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	976	percent of total billed charges	976	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Select Health	HMO		41	41% of all negotiated rates	1919	percent of total billed charges	1919	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2163	percent of total billed charges	2163	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Sierra/HPN	HMO		60	60% of all negotiated rates	1301	percent of total billed charges	1301	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Silversummit Medicare	HMO		39	39% of all negotiated rates	1984	percent of total billed charges	1984	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2114	percent of total billed charges	2114	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	Teachers Trust	PPO		65	65% of all negotiated rates	1139	percent of total billed charges	1139	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	TriWest	PPO		30	30% of all negotiated rates	2277	percent of total billed charges	2277	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	976	percent of total billed charges	976	3253	
TXB PROCEDURE PACK			1501206	LOCAL	270	RC		outpatient			3253	2765	United Healthcare	PPO		60	60% of all negotiated rates	1301	percent of total billed charges	1301	3253	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"UNDERWEAR, MESH MEDIUM"			1500979	LOCAL	270	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Aetna	PPO		38	38% of all negotiated rates	83	percent of total billed charges	83	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Aetna Medicare	HMO		26	26% of all negotiated rates	99	percent of total billed charges	99	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Alignment Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	54	percent of total billed charges	54	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	67	percent of total billed charges	67	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Cigna	PPO		68	68% of all negotiated rates	43	percent of total billed charges	43	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Coalition	PPO		49	49% of all negotiated rates	69	percent of total billed charges	69	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Coventry	PPO		75	75% of all negotiated rates	34	percent of total billed charges	34	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Humana-Commerical	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Multiplan	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	One Health	PPO		55	55% of all negotiated rates	60	percent of total billed charges	60	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Optum Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	P3	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Select Health	HMO		41	41% of all negotiated rates	79	percent of total billed charges	79	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	89	percent of total billed charges	89	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Sierra/HPN	HMO		60	60% of all negotiated rates	54	percent of total billed charges	54	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Silversummit Medicare	HMO		39	39% of all negotiated rates	82	percent of total billed charges	82	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	87	percent of total billed charges	87	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	Teachers Trust	PPO		65	65% of all negotiated rates	47	percent of total billed charges	47	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	TriWest	PPO		30	30% of all negotiated rates	94	percent of total billed charges	94	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	134	
URETERAL CATH 5fr. SPIRAL			3213903	LOCAL	270	RC		outpatient			134	114	United Healthcare	PPO		60	60% of all negotiated rates	54	percent of total billed charges	54	134	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
URINE COLLECTION BAG PEDS			1500367	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Aetna	PPO		38	38% of all negotiated rates	117	percent of total billed charges	117	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Aetna Medicare	HMO		26	26% of all negotiated rates	139	percent of total billed charges	139	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Alignment Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	94	percent of total billed charges	94	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Cigna	PPO		68	68% of all negotiated rates	60	percent of total billed charges	60	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Coalition	PPO		49	49% of all negotiated rates	96	percent of total billed charges	96	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Coventry	PPO		75	75% of all negotiated rates	47	percent of total billed charges	47	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Humana-Commerical	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Multiplan	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	One Health	PPO		55	55% of all negotiated rates	85	percent of total billed charges	85	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Optum Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	P3	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Select Health	HMO		41	41% of all negotiated rates	111	percent of total billed charges	111	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	125	percent of total billed charges	125	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Sierra/HPN	HMO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Silversummit Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	122	percent of total billed charges	122	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	Teachers Trust	PPO		65	65% of all negotiated rates	66	percent of total billed charges	66	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	TriWest	PPO		30	30% of all negotiated rates	132	percent of total billed charges	132	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
URINE METER FOLEY TRAY W/			1500368	LOCAL	270	RC		outpatient			188	160	United Healthcare	PPO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Aetna	PPO		38	38% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	14	percent of total billed charges	14	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
URINE STRAINER			1500369	LOCAL	270	RC		outpatient			21	18	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Aetna	PPO		38	38% of all negotiated rates	70	percent of total billed charges	70	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Aetna Medicare	HMO		26	26% of all negotiated rates	84	percent of total billed charges	84	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Alignment Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	57	percent of total billed charges	57	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Coalition	PPO		49	49% of all negotiated rates	58	percent of total billed charges	58	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Humana-Commerical	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	One Health	PPO		55	55% of all negotiated rates	51	percent of total billed charges	51	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Optum Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	P3	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Select Health	HMO		41	41% of all negotiated rates	67	percent of total billed charges	67	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	75	percent of total billed charges	75	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Silversummit Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	74	percent of total billed charges	74	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	TriWest	PPO		30	30% of all negotiated rates	79	percent of total billed charges	79	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
URO-CATCHER BAG			1500966	LOCAL	270	RC		outpatient			113	96	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Aetna	PPO		38	38% of all negotiated rates	38	percent of total billed charges	38	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Aetna Medicare	HMO		26	26% of all negotiated rates	45	percent of total billed charges	45	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Alignment Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	30	percent of total billed charges	30	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Coalition	PPO		49	49% of all negotiated rates	31	percent of total billed charges	31	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	One Health	PPO		55	55% of all negotiated rates	27	percent of total billed charges	27	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Optum Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	P3	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Select Health	HMO		41	41% of all negotiated rates	36	percent of total billed charges	36	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	40	percent of total billed charges	40	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Silversummit Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	40	percent of total billed charges	40	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	TriWest	PPO		30	30% of all negotiated rates	43	percent of total billed charges	43	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
VAG. PACKING GAUZE			1500660	LOCAL	270	RC		outpatient			61	52	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED LARGE"			1501086	LOCAL	270	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED MEDIUM"			1501085	LOCAL	270	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
"VAGINAL SPECULUM, LIGHTED SMALL"			1501084	LOCAL	270	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
"VAGINAL SPECULUM, LIGHTED X-LARGE"			1501225	LOCAL	270	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Aetna	PPO		38	38% of all negotiated rates	158	percent of total billed charges	158	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Aetna Medicare	HMO		26	26% of all negotiated rates	189	percent of total billed charges	189	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Alignment Medicare	HMO		39	39% of all negotiated rates	156	percent of total billed charges	156	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	102	percent of total billed charges	102	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	128	percent of total billed charges	128	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	156	percent of total billed charges	156	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Cigna	PPO		68	68% of all negotiated rates	82	percent of total billed charges	82	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Coalition	PPO		49	49% of all negotiated rates	130	percent of total billed charges	130	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Coventry	PPO		75	75% of all negotiated rates	64	percent of total billed charges	64	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	51	percent of total billed charges	51	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Humana-Commerical	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	156	percent of total billed charges	156	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Multiplan	PPO		80	80% of all negotiated rates	51	percent of total billed charges	51	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	One Health	PPO		55	55% of all negotiated rates	115	percent of total billed charges	115	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Optum Medicare	HMO		39	39% of all negotiated rates	156	percent of total billed charges	156	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	P3	HMO		39	39% of all negotiated rates	156	percent of total billed charges	156	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Select Health	HMO		41	41% of all negotiated rates	151	percent of total billed charges	151	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	170	percent of total billed charges	170	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Sierra/HPN	HMO		60	60% of all negotiated rates	102	percent of total billed charges	102	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Silversummit Medicare	HMO		39	39% of all negotiated rates	156	percent of total billed charges	156	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	166	percent of total billed charges	166	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	Teachers Trust	PPO		65	65% of all negotiated rates	89	percent of total billed charges	89	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	TriWest	PPO		30	30% of all negotiated rates	179	percent of total billed charges	179	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	255	
"VALVE, SUCTION"			3215354	LOCAL	270	RC		outpatient			255	217	United Healthcare	PPO		60	60% of all negotiated rates	102	percent of total billed charges	102	255	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Aetna	PPO		38	38% of all negotiated rates	224	percent of total billed charges	224	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Aetna Medicare	HMO		26	26% of all negotiated rates	267	percent of total billed charges	267	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Alignment Medicare	HMO		39	39% of all negotiated rates	220	percent of total billed charges	220	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	144	percent of total billed charges	144	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	181	percent of total billed charges	181	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	220	percent of total billed charges	220	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Cigna	PPO		68	68% of all negotiated rates	116	percent of total billed charges	116	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Coalition	PPO		49	49% of all negotiated rates	184	percent of total billed charges	184	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Coventry	PPO		75	75% of all negotiated rates	90	percent of total billed charges	90	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Humana-Commerical	PPO		70	70% of all negotiated rates	108	percent of total billed charges	108	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	220	percent of total billed charges	220	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Multiplan	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	One Health	PPO		55	55% of all negotiated rates	163	percent of total billed charges	163	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Optum Medicare	HMO		39	39% of all negotiated rates	220	percent of total billed charges	220	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	P3	HMO		39	39% of all negotiated rates	220	percent of total billed charges	220	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	108	percent of total billed charges	108	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Select Health	HMO		41	41% of all negotiated rates	213	percent of total billed charges	213	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	240	percent of total billed charges	240	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Sierra/HPN	HMO		60	60% of all negotiated rates	144	percent of total billed charges	144	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Silversummit Medicare	HMO		39	39% of all negotiated rates	220	percent of total billed charges	220	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	235	percent of total billed charges	235	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	Teachers Trust	PPO		65	65% of all negotiated rates	126	percent of total billed charges	126	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	TriWest	PPO		30	30% of all negotiated rates	253	percent of total billed charges	253	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	108	percent of total billed charges	108	361	
VARIES NEEDLE			1500519	LOCAL	270	RC		outpatient			361	307	United Healthcare	PPO		60	60% of all negotiated rates	144	percent of total billed charges	144	361	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
VASELINE GAUZE 3X9 (STERI			1500370	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Aetna	PPO		38	38% of all negotiated rates	357	percent of total billed charges	357	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Aetna Medicare	HMO		26	26% of all negotiated rates	426	percent of total billed charges	426	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Alignment Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	288	percent of total billed charges	288	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Cigna	PPO		68	68% of all negotiated rates	184	percent of total billed charges	184	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Coalition	PPO		49	49% of all negotiated rates	293	percent of total billed charges	293	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Coventry	PPO		75	75% of all negotiated rates	144	percent of total billed charges	144	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Humana-Commerical	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Multiplan	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	One Health	PPO		55	55% of all negotiated rates	259	percent of total billed charges	259	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Optum Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	P3	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Select Health	HMO		41	41% of all negotiated rates	339	percent of total billed charges	339	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	383	percent of total billed charges	383	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Sierra/HPN	HMO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Silversummit Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	374	percent of total billed charges	374	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	Teachers Trust	PPO		65	65% of all negotiated rates	201	percent of total billed charges	201	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	TriWest	PPO		30	30% of all negotiated rates	403	percent of total billed charges	403	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, CALF"			1500371	LOCAL	270	RC		outpatient			575	489	United Healthcare	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Aetna	PPO		38	38% of all negotiated rates	113	percent of total billed charges	113	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Aetna Medicare	HMO		26	26% of all negotiated rates	135	percent of total billed charges	135	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Alignment Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	91	percent of total billed charges	91	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Cigna	PPO		68	68% of all negotiated rates	58	percent of total billed charges	58	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Coalition	PPO		49	49% of all negotiated rates	93	percent of total billed charges	93	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Coventry	PPO		75	75% of all negotiated rates	46	percent of total billed charges	46	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Humana-Commerical	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Multiplan	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	One Health	PPO		55	55% of all negotiated rates	82	percent of total billed charges	82	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Optum Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	P3	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Select Health	HMO		41	41% of all negotiated rates	108	percent of total billed charges	108	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	121	percent of total billed charges	121	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Sierra/HPN	HMO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Silversummit Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	119	percent of total billed charges	119	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	Teachers Trust	PPO		65	65% of all negotiated rates	64	percent of total billed charges	64	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	TriWest	PPO		30	30% of all negotiated rates	128	percent of total billed charges	128	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
"VENAFLOW CUFF, CALF BARIATRIC"			1500955	LOCAL	270	RC		outpatient			183	155	United Healthcare	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Aetna	PPO		38	38% of all negotiated rates	109	percent of total billed charges	109	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Aetna Medicare	HMO		26	26% of all negotiated rates	131	percent of total billed charges	131	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Alignment Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	88	percent of total billed charges	88	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Cigna	PPO		68	68% of all negotiated rates	56	percent of total billed charges	56	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Coalition	PPO		49	49% of all negotiated rates	90	percent of total billed charges	90	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Coventry	PPO		75	75% of all negotiated rates	44	percent of total billed charges	44	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Humana-Commerical	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Multiplan	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	One Health	PPO		55	55% of all negotiated rates	79	percent of total billed charges	79	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Optum Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	P3	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Select Health	HMO		41	41% of all negotiated rates	104	percent of total billed charges	104	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	117	percent of total billed charges	117	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Sierra/HPN	HMO		60	60% of all negotiated rates	71	percent of total billed charges	71	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Silversummit Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	115	percent of total billed charges	115	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	Teachers Trust	PPO		65	65% of all negotiated rates	62	percent of total billed charges	62	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	TriWest	PPO		30	30% of all negotiated rates	123	percent of total billed charges	123	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	176	
"VENAFLOW CUFF, CALF X-LARGE"			1500954	LOCAL	270	RC		outpatient			176	150	United Healthcare	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	176	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Aetna	PPO		38	38% of all negotiated rates	357	percent of total billed charges	357	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Aetna Medicare	HMO		26	26% of all negotiated rates	426	percent of total billed charges	426	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Alignment Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	288	percent of total billed charges	288	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Cigna	PPO		68	68% of all negotiated rates	184	percent of total billed charges	184	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Coalition	PPO		49	49% of all negotiated rates	293	percent of total billed charges	293	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Coventry	PPO		75	75% of all negotiated rates	144	percent of total billed charges	144	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Humana-Commerical	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Multiplan	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	One Health	PPO		55	55% of all negotiated rates	259	percent of total billed charges	259	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Optum Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	P3	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Select Health	HMO		41	41% of all negotiated rates	339	percent of total billed charges	339	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Sierra/HPN	HMO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Silversummit Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	374	percent of total billed charges	374	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	Teachers Trust	PPO		65	65% of all negotiated rates	201	percent of total billed charges	201	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	TriWest	PPO		30	30% of all negotiated rates	403	percent of total billed charges	403	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, FOOT"			1500372	LOCAL	270	RC		outpatient			575	489	United Healthcare	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Aetna	PPO		38	38% of all negotiated rates	357	percent of total billed charges	357	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Aetna Medicare	HMO		26	26% of all negotiated rates	426	percent of total billed charges	426	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Alignment Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	288	percent of total billed charges	288	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Cigna	PPO		68	68% of all negotiated rates	184	percent of total billed charges	184	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Coalition	PPO		49	49% of all negotiated rates	293	percent of total billed charges	293	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Coventry	PPO		75	75% of all negotiated rates	144	percent of total billed charges	144	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Humana-Commerical	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Multiplan	PPO		80	80% of all negotiated rates	115	percent of total billed charges	115	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	One Health	PPO		55	55% of all negotiated rates	259	percent of total billed charges	259	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Optum Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	P3	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Select Health	HMO		41	41% of all negotiated rates	339	percent of total billed charges	339	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Sierra/HPN	HMO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Silversummit Medicare	HMO		39	39% of all negotiated rates	351	percent of total billed charges	351	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	374	percent of total billed charges	374	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	Teachers Trust	PPO		65	65% of all negotiated rates	201	percent of total billed charges	201	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	TriWest	PPO		30	30% of all negotiated rates	403	percent of total billed charges	403	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	575	
"VENAFLOW CUFF, THIGH"			1500373	LOCAL	270	RC		outpatient			575	489	United Healthcare	PPO		60	60% of all negotiated rates	230	percent of total billed charges	230	575	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
V-LINK			1500374	LOCAL	270	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Aetna	PPO		38	38% of all negotiated rates	38	percent of total billed charges	38	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Aetna Medicare	HMO		26	26% of all negotiated rates	45	percent of total billed charges	45	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Alignment Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	30	percent of total billed charges	30	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Coalition	PPO		49	49% of all negotiated rates	31	percent of total billed charges	31	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	One Health	PPO		55	55% of all negotiated rates	27	percent of total billed charges	27	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Optum Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	P3	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Select Health	HMO		41	41% of all negotiated rates	36	percent of total billed charges	36	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Silversummit Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	40	percent of total billed charges	40	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	TriWest	PPO		30	30% of all negotiated rates	43	percent of total billed charges	43	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	61	
WALL SUCTION SET UP CHARGE			3022787	LOCAL	270	RC		outpatient			61	52	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	61	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Aetna	PPO		38	38% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Aetna Medicare	HMO		26	26% of all negotiated rates	11	percent of total billed charges	11	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Alignment Medicare	HMO		39	39% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7	percent of total billed charges	7	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Coalition	PPO		49	49% of all negotiated rates	7	percent of total billed charges	7	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Optum Medicare	HMO		39	39% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	P3	HMO		39	39% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Silversummit Medicare	HMO		39	39% of all negotiated rates	9	percent of total billed charges	9	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	Teachers Trust	PPO		65	65% of all negotiated rates	5	percent of total billed charges	5	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	TriWest	PPO		30	30% of all negotiated rates	10	percent of total billed charges	10	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	15	
WECK-CEL SURGICAL SPEARS			1500437	LOCAL	270	RC		outpatient			15	12	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	15	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"WRIST SPLINT, PEDIATRIC LEFT"			1501017	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
"WRIST SPLINT, PEDIATRIC RIGHT"			1501018	LOCAL	270	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
XEROFORM GAUZE 2X2 (STERI			1500381	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
XEROFORM GAUZE 4X4 (STERI			1500382	LOCAL	270	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
YANKAUER SUCTION TIP (STE			1500383	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
Z-GUARD PASTE 4oz			1500741	LOCAL	270	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Aetna	PPO		38	38% of all negotiated rates	368	percent of total billed charges	368	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Aetna Medicare	HMO		26	26% of all negotiated rates	440	percent of total billed charges	440	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Alignment Medicare	HMO		39	39% of all negotiated rates	363	percent of total billed charges	363	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	238	percent of total billed charges	238	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	297	percent of total billed charges	297	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	363	percent of total billed charges	363	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Cigna	PPO		68	68% of all negotiated rates	190	percent of total billed charges	190	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Coalition	PPO		49	49% of all negotiated rates	303	percent of total billed charges	303	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Coventry	PPO		75	75% of all negotiated rates	149	percent of total billed charges	149	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Humana-Commerical	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	363	percent of total billed charges	363	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Multiplan	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	One Health	PPO		55	55% of all negotiated rates	267	percent of total billed charges	267	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Optum Medicare	HMO		39	39% of all negotiated rates	363	percent of total billed charges	363	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	P3	HMO		39	39% of all negotiated rates	363	percent of total billed charges	363	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Select Health	HMO		41	41% of all negotiated rates	351	percent of total billed charges	351	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	395	percent of total billed charges	395	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Sierra/HPN	HMO		60	60% of all negotiated rates	238	percent of total billed charges	238	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Silversummit Medicare	HMO		39	39% of all negotiated rates	363	percent of total billed charges	363	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	386	percent of total billed charges	386	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	Teachers Trust	PPO		65	65% of all negotiated rates	208	percent of total billed charges	208	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	TriWest	PPO		30	30% of all negotiated rates	416	percent of total billed charges	416	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	594	
Z-GUIDE WIRE 1.5X80			1501131	LOCAL	270	RC		outpatient			594	505	United Healthcare	PPO		60	60% of all negotiated rates	238	percent of total billed charges	238	594	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Aetna	PPO		38	38% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Aetna Medicare	HMO		26	26% of all negotiated rates	44	percent of total billed charges	44	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Alignment Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	30	percent of total billed charges	30	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Coalition	PPO		49	49% of all negotiated rates	31	percent of total billed charges	31	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	One Health	PPO		55	55% of all negotiated rates	27	percent of total billed charges	27	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Optum Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	P3	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Select Health	HMO		41	41% of all negotiated rates	35	percent of total billed charges	35	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	40	percent of total billed charges	40	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Silversummit Medicare	HMO		39	39% of all negotiated rates	37	percent of total billed charges	37	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	39	percent of total billed charges	39	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	TriWest	PPO		30	30% of all negotiated rates	42	percent of total billed charges	42	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	60	
ZINC OXIDE SPRAY 2 OZ.			1501229	LOCAL	270	RC		outpatient			60	51	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	60	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Aetna	PPO		38	38% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Aetna Medicare	HMO		26	26% of all negotiated rates	29	percent of total billed charges	29	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Alignment Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	19	percent of total billed charges	19	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Coalition	PPO		49	49% of all negotiated rates	20	percent of total billed charges	20	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Optum Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	P3	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Select Health	HMO		41	41% of all negotiated rates	23	percent of total billed charges	23	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	26	percent of total billed charges	26	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Silversummit Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	25	percent of total billed charges	25	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	TriWest	PPO		30	30% of all negotiated rates	27	percent of total billed charges	27	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	39	
ZOLL AIRWAY ADAPTER KIT			1501216	LOCAL	270	RC		outpatient			39	33	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	39	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Aetna	PPO		38	38% of all negotiated rates	191	percent of total billed charges	191	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Aetna Medicare	HMO		26	26% of all negotiated rates	228	percent of total billed charges	228	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Alignment Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	154	percent of total billed charges	154	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Coalition	PPO		49	49% of all negotiated rates	157	percent of total billed charges	157	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Multiplan	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	One Health	PPO		55	55% of all negotiated rates	138	percent of total billed charges	138	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Optum Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	P3	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Select Health	HMO		41	41% of all negotiated rates	182	percent of total billed charges	182	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	205	percent of total billed charges	205	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Silversummit Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	200	percent of total billed charges	200	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	Teachers Trust	PPO		65	65% of all negotiated rates	108	percent of total billed charges	108	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
ZOLL DEFIB PADS ADULT			1501218	LOCAL	270	RC		outpatient			308	262	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Aetna	PPO		38	38% of all negotiated rates	182	percent of total billed charges	182	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Alignment Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	147	percent of total billed charges	147	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	One Health	PPO		55	55% of all negotiated rates	132	percent of total billed charges	132	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Optum Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	P3	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Select Health	HMO		41	41% of all negotiated rates	173	percent of total billed charges	173	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Silversummit Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	191	percent of total billed charges	191	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	TriWest	PPO		30	30% of all negotiated rates	206	percent of total billed charges	206	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
ZOLL DEFIB PADS PEDIATRIC			1501219	LOCAL	270	RC		outpatient			294	250	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Alignment Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Coalition	PPO		49	49% of all negotiated rates	26	percent of total billed charges	26	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	One Health	PPO		55	55% of all negotiated rates	23	percent of total billed charges	23	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Optum Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	P3	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Select Health	HMO		41	41% of all negotiated rates	30	percent of total billed charges	30	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	34	percent of total billed charges	34	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Silversummit Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	33	percent of total billed charges	33	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	50	
ZOLL NASAL CANNULA C02 W/02			1501217	LOCAL	270	RC		outpatient			50	43	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	50	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Aetna	PPO		38	38% of all negotiated rates	98	percent of total billed charges	98	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Aetna Medicare	HMO		26	26% of all negotiated rates	117	percent of total billed charges	117	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Alignment Medicare	HMO		39	39% of all negotiated rates	96	percent of total billed charges	96	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	63	percent of total billed charges	63	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	79	percent of total billed charges	79	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	96	percent of total billed charges	96	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Cigna	PPO		68	68% of all negotiated rates	50	percent of total billed charges	50	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Coalition	PPO		49	49% of all negotiated rates	80	percent of total billed charges	80	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Coventry	PPO		75	75% of all negotiated rates	39	percent of total billed charges	39	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	32	percent of total billed charges	32	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Humana-Commerical	PPO		70	70% of all negotiated rates	47	percent of total billed charges	47	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	96	percent of total billed charges	96	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Multiplan	PPO		80	80% of all negotiated rates	32	percent of total billed charges	32	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	One Health	PPO		55	55% of all negotiated rates	71	percent of total billed charges	71	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Optum Medicare	HMO		39	39% of all negotiated rates	96	percent of total billed charges	96	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	P3	HMO		39	39% of all negotiated rates	96	percent of total billed charges	96	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	47	percent of total billed charges	47	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Select Health	HMO		41	41% of all negotiated rates	93	percent of total billed charges	93	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	105	percent of total billed charges	105	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Sierra/HPN	HMO		60	60% of all negotiated rates	63	percent of total billed charges	63	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Silversummit Medicare	HMO		39	39% of all negotiated rates	96	percent of total billed charges	96	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	102	percent of total billed charges	102	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	Teachers Trust	PPO		65	65% of all negotiated rates	55	percent of total billed charges	55	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	TriWest	PPO		30	30% of all negotiated rates	110	percent of total billed charges	110	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	47	percent of total billed charges	47	158	
TRACH SUCTION SYSTEM			4177935	LOCAL	271	RC		outpatient			158	134	United Healthcare	PPO		60	60% of all negotiated rates	63	percent of total billed charges	63	158	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Aetna	PPO		38	38% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Aetna Medicare	HMO		26	26% of all negotiated rates	48	percent of total billed charges	48	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Coalition	PPO		49	49% of all negotiated rates	33	percent of total billed charges	33	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Coventry	PPO		75	75% of all negotiated rates	16	percent of total billed charges	16	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	One Health	PPO		55	55% of all negotiated rates	29	percent of total billed charges	29	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Select Health	HMO		41	41% of all negotiated rates	38	percent of total billed charges	38	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	43	percent of total billed charges	43	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	42	percent of total billed charges	42	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
UNNA BOOT			1500780	LOCAL	271	RC		outpatient			65	55	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Aetna	PPO		38	38% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	14	percent of total billed charges	14	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
"SCISSORS, IRIS STERILE"			1500990	LOCAL	272	RC		outpatient			21	18	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Aetna	PPO		38	38% of all negotiated rates	775	percent of total billed charges	775	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Aetna Medicare	HMO		26	26% of all negotiated rates	925	percent of total billed charges	925	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Alignment Medicare	HMO		39	39% of all negotiated rates	763	percent of total billed charges	763	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	625	percent of total billed charges	625	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	763	percent of total billed charges	763	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Cigna	PPO		68	68% of all negotiated rates	400	percent of total billed charges	400	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Coalition	PPO		49	49% of all negotiated rates	638	percent of total billed charges	638	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Coventry	PPO		75	75% of all negotiated rates	313	percent of total billed charges	313	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Humana-Commerical	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	763	percent of total billed charges	763	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Multiplan	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	One Health	PPO		55	55% of all negotiated rates	563	percent of total billed charges	563	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Optum Medicare	HMO		39	39% of all negotiated rates	763	percent of total billed charges	763	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	P3	HMO		39	39% of all negotiated rates	763	percent of total billed charges	763	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Select Health	HMO		41	41% of all negotiated rates	738	percent of total billed charges	738	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	832	percent of total billed charges	832	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Sierra/HPN	HMO		60	60% of all negotiated rates	500	percent of total billed charges	500	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Silversummit Medicare	HMO		39	39% of all negotiated rates	763	percent of total billed charges	763	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	813	percent of total billed charges	813	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	Teachers Trust	PPO		65	65% of all negotiated rates	438	percent of total billed charges	438	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	TriWest	PPO		30	30% of all negotiated rates	875	percent of total billed charges	875	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1251	
SCREW 3.0 X 16			1500934	LOCAL	272	RC		outpatient			1251	1063	United Healthcare	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1251	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Aetna	PPO		38	38% of all negotiated rates	332	percent of total billed charges	332	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Aetna Medicare	HMO		26	26% of all negotiated rates	396	percent of total billed charges	396	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Alignment Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	214	percent of total billed charges	214	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	268	percent of total billed charges	268	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Cigna	PPO		68	68% of all negotiated rates	171	percent of total billed charges	171	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Coalition	PPO		49	49% of all negotiated rates	273	percent of total billed charges	273	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Coventry	PPO		75	75% of all negotiated rates	134	percent of total billed charges	134	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	107	percent of total billed charges	107	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Humana-Commerical	PPO		70	70% of all negotiated rates	161	percent of total billed charges	161	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Multiplan	PPO		80	80% of all negotiated rates	107	percent of total billed charges	107	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	One Health	PPO		55	55% of all negotiated rates	241	percent of total billed charges	241	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Optum Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	P3	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	161	percent of total billed charges	161	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Select Health	HMO		41	41% of all negotiated rates	316	percent of total billed charges	316	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	356	percent of total billed charges	356	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Sierra/HPN	HMO		60	60% of all negotiated rates	214	percent of total billed charges	214	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Silversummit Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	348	percent of total billed charges	348	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	Teachers Trust	PPO		65	65% of all negotiated rates	187	percent of total billed charges	187	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	TriWest	PPO		30	30% of all negotiated rates	375	percent of total billed charges	375	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	161	percent of total billed charges	161	536	
SCREW CORTEX 2.4X10MM			1501111	LOCAL	272	RC		outpatient			536	455	United Healthcare	PPO		60	60% of all negotiated rates	214	percent of total billed charges	214	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Aetna	PPO		38	38% of all negotiated rates	332	percent of total billed charges	332	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Aetna Medicare	HMO		26	26% of all negotiated rates	396	percent of total billed charges	396	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Alignment Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	214	percent of total billed charges	214	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	268	percent of total billed charges	268	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Cigna	PPO		68	68% of all negotiated rates	171	percent of total billed charges	171	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Coalition	PPO		49	49% of all negotiated rates	273	percent of total billed charges	273	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Coventry	PPO		75	75% of all negotiated rates	134	percent of total billed charges	134	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	107	percent of total billed charges	107	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Humana-Commerical	PPO		70	70% of all negotiated rates	161	percent of total billed charges	161	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Multiplan	PPO		80	80% of all negotiated rates	107	percent of total billed charges	107	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	One Health	PPO		55	55% of all negotiated rates	241	percent of total billed charges	241	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Optum Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	P3	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	161	percent of total billed charges	161	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Select Health	HMO		41	41% of all negotiated rates	316	percent of total billed charges	316	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	356	percent of total billed charges	356	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Sierra/HPN	HMO		60	60% of all negotiated rates	214	percent of total billed charges	214	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Silversummit Medicare	HMO		39	39% of all negotiated rates	327	percent of total billed charges	327	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	348	percent of total billed charges	348	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	Teachers Trust	PPO		65	65% of all negotiated rates	187	percent of total billed charges	187	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	TriWest	PPO		30	30% of all negotiated rates	375	percent of total billed charges	375	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	161	percent of total billed charges	161	536	
SCREW CORTEX 2.4X14MM			1501112	LOCAL	272	RC		outpatient			536	455	United Healthcare	PPO		60	60% of all negotiated rates	214	percent of total billed charges	214	536	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Aetna	PPO		38	38% of all negotiated rates	422	percent of total billed charges	422	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Aetna Medicare	HMO		26	26% of all negotiated rates	504	percent of total billed charges	504	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Alignment Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	341	percent of total billed charges	341	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Coalition	PPO		49	49% of all negotiated rates	348	percent of total billed charges	348	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	One Health	PPO		55	55% of all negotiated rates	307	percent of total billed charges	307	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Optum Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	P3	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Select Health	HMO		41	41% of all negotiated rates	402	percent of total billed charges	402	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	453	percent of total billed charges	453	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Sierra/HPN	HMO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Silversummit Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	443	percent of total billed charges	443	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	Teachers Trust	PPO		65	65% of all negotiated rates	239	percent of total billed charges	239	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	TriWest	PPO		30	30% of all negotiated rates	477	percent of total billed charges	477	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X10MM			1501113	LOCAL	272	RC		outpatient			681	579	United Healthcare	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Aetna	PPO		38	38% of all negotiated rates	422	percent of total billed charges	422	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Aetna Medicare	HMO		26	26% of all negotiated rates	504	percent of total billed charges	504	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Alignment Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	341	percent of total billed charges	341	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Coalition	PPO		49	49% of all negotiated rates	348	percent of total billed charges	348	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	One Health	PPO		55	55% of all negotiated rates	307	percent of total billed charges	307	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Optum Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	P3	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Select Health	HMO		41	41% of all negotiated rates	402	percent of total billed charges	402	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	453	percent of total billed charges	453	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Sierra/HPN	HMO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Silversummit Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	443	percent of total billed charges	443	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	Teachers Trust	PPO		65	65% of all negotiated rates	239	percent of total billed charges	239	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	TriWest	PPO		30	30% of all negotiated rates	477	percent of total billed charges	477	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X12MM			1501114	LOCAL	272	RC		outpatient			681	579	United Healthcare	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Aetna	PPO		38	38% of all negotiated rates	422	percent of total billed charges	422	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Aetna Medicare	HMO		26	26% of all negotiated rates	504	percent of total billed charges	504	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Alignment Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	341	percent of total billed charges	341	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Coalition	PPO		49	49% of all negotiated rates	348	percent of total billed charges	348	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	One Health	PPO		55	55% of all negotiated rates	307	percent of total billed charges	307	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Optum Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	P3	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Select Health	HMO		41	41% of all negotiated rates	402	percent of total billed charges	402	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	453	percent of total billed charges	453	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Sierra/HPN	HMO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Silversummit Medicare	HMO		39	39% of all negotiated rates	416	percent of total billed charges	416	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	443	percent of total billed charges	443	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	Teachers Trust	PPO		65	65% of all negotiated rates	239	percent of total billed charges	239	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	TriWest	PPO		30	30% of all negotiated rates	477	percent of total billed charges	477	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	681	
SCREW VAL 2.4X14MM			1501115	LOCAL	272	RC		outpatient			681	579	United Healthcare	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	681	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Aetna	PPO		38	38% of all negotiated rates	523	percent of total billed charges	523	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Aetna Medicare	HMO		26	26% of all negotiated rates	624	percent of total billed charges	624	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Alignment Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	422	percent of total billed charges	422	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Cigna	PPO		68	68% of all negotiated rates	270	percent of total billed charges	270	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Coalition	PPO		49	49% of all negotiated rates	430	percent of total billed charges	430	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Coventry	PPO		75	75% of all negotiated rates	211	percent of total billed charges	211	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	169	percent of total billed charges	169	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Humana-Commerical	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Multiplan	PPO		80	80% of all negotiated rates	169	percent of total billed charges	169	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	One Health	PPO		55	55% of all negotiated rates	379	percent of total billed charges	379	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Optum Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	P3	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Select Health	HMO		41	41% of all negotiated rates	497	percent of total billed charges	497	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	561	percent of total billed charges	561	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Sierra/HPN	HMO		60	60% of all negotiated rates	337	percent of total billed charges	337	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Silversummit Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	548	percent of total billed charges	548	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	Teachers Trust	PPO		65	65% of all negotiated rates	295	percent of total billed charges	295	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	TriWest	PPO		30	30% of all negotiated rates	590	percent of total billed charges	590	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	843	
"SCREW, QUICKFIX CANNULATED 46MM."			1501077	LOCAL	272	RC		outpatient			843	717	United Healthcare	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	843	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5	percent of total billed charges	5	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	TriWest	PPO		30	30% of all negotiated rates	5	percent of total billed charges	5	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SCRUB BRUSH (NO SOAP)			1500840	LOCAL	272	RC		outpatient			7	6	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Aetna Medicare	HMO		26	26% of all negotiated rates	6	percent of total billed charges	6	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Alignment Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Optum Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	P3	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Select Health	HMO		41	41% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Silversummit Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	TriWest	PPO		30	30% of all negotiated rates	6	percent of total billed charges	6	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, CHG 4%"			1500861	LOCAL	272	RC		outpatient			8	7	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	TriWest	PPO		30	30% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, POVIDONE IODINE WET"			1500863	LOCAL	272	RC		outpatient			7	6	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	TriWest	PPO		30	30% of all negotiated rates	5	percent of total billed charges	5	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
"SCRUB BRUSH, ULTRADEX 3%"			1500862	LOCAL	272	RC		outpatient			7	6	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5	percent of total billed charges	5	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	TriWest	PPO		30	30% of all negotiated rates	5	percent of total billed charges	5	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SEPP BENZOIN TINCTURE			1501013	LOCAL	272	RC		outpatient			7	6	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Aetna	PPO		38	38% of all negotiated rates	18	percent of total billed charges	18	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Aetna Medicare	HMO		26	26% of all negotiated rates	21	percent of total billed charges	21	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	One Health	PPO		55	55% of all negotiated rates	13	percent of total billed charges	13	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Select Health	HMO		41	41% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	19	percent of total billed charges	19	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	TriWest	PPO		30	30% of all negotiated rates	20	percent of total billed charges	20	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	28	
SERACULT SLIDES			7000054	LOCAL	272	RC		outpatient			28	24	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	28	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Aetna	PPO		38	38% of all negotiated rates	757	percent of total billed charges	757	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Aetna Medicare	HMO		26	26% of all negotiated rates	904	percent of total billed charges	904	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Alignment Medicare	HMO		39	39% of all negotiated rates	745	percent of total billed charges	745	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	488	percent of total billed charges	488	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	611	percent of total billed charges	611	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	745	percent of total billed charges	745	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Cigna	PPO		68	68% of all negotiated rates	391	percent of total billed charges	391	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Coalition	PPO		49	49% of all negotiated rates	623	percent of total billed charges	623	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Coventry	PPO		75	75% of all negotiated rates	305	percent of total billed charges	305	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Humana-Commerical	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	745	percent of total billed charges	745	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Multiplan	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	One Health	PPO		55	55% of all negotiated rates	550	percent of total billed charges	550	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Optum Medicare	HMO		39	39% of all negotiated rates	745	percent of total billed charges	745	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	P3	HMO		39	39% of all negotiated rates	745	percent of total billed charges	745	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Select Health	HMO		41	41% of all negotiated rates	720	percent of total billed charges	720	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	812	percent of total billed charges	812	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Sierra/HPN	HMO		60	60% of all negotiated rates	488	percent of total billed charges	488	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Silversummit Medicare	HMO		39	39% of all negotiated rates	745	percent of total billed charges	745	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	794	percent of total billed charges	794	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	Teachers Trust	PPO		65	65% of all negotiated rates	427	percent of total billed charges	427	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	TriWest	PPO		30	30% of all negotiated rates	855	percent of total billed charges	855	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1221	
SERFAS WAND 90 ACCELERATOR			1500870	LOCAL	272	RC		outpatient			1221	1038	United Healthcare	PPO		60	60% of all negotiated rates	488	percent of total billed charges	488	1221	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
SIGMOIDOSCOPIC SUCTION 18FR.			1500961	LOCAL	272	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Aetna	PPO		38	38% of all negotiated rates	61	percent of total billed charges	61	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Aetna Medicare	HMO		26	26% of all negotiated rates	72	percent of total billed charges	72	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Alignment Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	49	percent of total billed charges	49	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Coalition	PPO		49	49% of all negotiated rates	50	percent of total billed charges	50	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	One Health	PPO		55	55% of all negotiated rates	44	percent of total billed charges	44	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Optum Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	P3	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Select Health	HMO		41	41% of all negotiated rates	58	percent of total billed charges	58	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	65	percent of total billed charges	65	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Silversummit Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
SILVASORB GEL 1.5oz.			1500752	LOCAL	272	RC		outpatient			98	83	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Aetna	PPO		38	38% of all negotiated rates	179	percent of total billed charges	179	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Aetna Medicare	HMO		26	26% of all negotiated rates	214	percent of total billed charges	214	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Alignment Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	144	percent of total billed charges	144	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Cigna	PPO		68	68% of all negotiated rates	92	percent of total billed charges	92	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Coalition	PPO		49	49% of all negotiated rates	147	percent of total billed charges	147	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	One Health	PPO		55	55% of all negotiated rates	130	percent of total billed charges	130	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Optum Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	P3	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Select Health	HMO		41	41% of all negotiated rates	170	percent of total billed charges	170	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	192	percent of total billed charges	192	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Silversummit Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	188	percent of total billed charges	188	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	Teachers Trust	PPO		65	65% of all negotiated rates	101	percent of total billed charges	101	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	TriWest	PPO		30	30% of all negotiated rates	202	percent of total billed charges	202	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
"SKIN HOOK, DOUBLE 2mm."			1500804	LOCAL	272	RC		outpatient			289	245	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Aetna	PPO		38	38% of all negotiated rates	145	percent of total billed charges	145	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Aetna Medicare	HMO		26	26% of all negotiated rates	173	percent of total billed charges	173	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Alignment Medicare	HMO		39	39% of all negotiated rates	143	percent of total billed charges	143	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	94	percent of total billed charges	94	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	117	percent of total billed charges	117	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	143	percent of total billed charges	143	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Cigna	PPO		68	68% of all negotiated rates	75	percent of total billed charges	75	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Coalition	PPO		49	49% of all negotiated rates	119	percent of total billed charges	119	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	143	percent of total billed charges	143	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	One Health	PPO		55	55% of all negotiated rates	105	percent of total billed charges	105	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Optum Medicare	HMO		39	39% of all negotiated rates	143	percent of total billed charges	143	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	P3	HMO		39	39% of all negotiated rates	143	percent of total billed charges	143	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Select Health	HMO		41	41% of all negotiated rates	138	percent of total billed charges	138	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	156	percent of total billed charges	156	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Sierra/HPN	HMO		60	60% of all negotiated rates	94	percent of total billed charges	94	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Silversummit Medicare	HMO		39	39% of all negotiated rates	143	percent of total billed charges	143	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	152	percent of total billed charges	152	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	Teachers Trust	PPO		65	65% of all negotiated rates	82	percent of total billed charges	82	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	TriWest	PPO		30	30% of all negotiated rates	164	percent of total billed charges	164	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	234	
"SKIN HOOK, DOUBLE 5mm."			1500805	LOCAL	272	RC		outpatient			234	199	United Healthcare	PPO		60	60% of all negotiated rates	94	percent of total billed charges	94	234	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Aetna	PPO		38	38% of all negotiated rates	139	percent of total billed charges	139	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Aetna Medicare	HMO		26	26% of all negotiated rates	166	percent of total billed charges	166	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Alignment Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	112	percent of total billed charges	112	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Cigna	PPO		68	68% of all negotiated rates	72	percent of total billed charges	72	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Coalition	PPO		49	49% of all negotiated rates	114	percent of total billed charges	114	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Coventry	PPO		75	75% of all negotiated rates	56	percent of total billed charges	56	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Humana-Commerical	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	One Health	PPO		55	55% of all negotiated rates	101	percent of total billed charges	101	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Optum Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	P3	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Select Health	HMO		41	41% of all negotiated rates	132	percent of total billed charges	132	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	149	percent of total billed charges	149	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Sierra/HPN	HMO		60	60% of all negotiated rates	89	percent of total billed charges	89	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Silversummit Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	145	percent of total billed charges	145	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	Teachers Trust	PPO		65	65% of all negotiated rates	78	percent of total billed charges	78	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	TriWest	PPO		30	30% of all negotiated rates	157	percent of total billed charges	157	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	224	
"SKIN HOOK, SINGLE SIZE 1"			1500806	LOCAL	272	RC		outpatient			224	190	United Healthcare	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	224	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Aetna	PPO		38	38% of all negotiated rates	138	percent of total billed charges	138	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Aetna Medicare	HMO		26	26% of all negotiated rates	165	percent of total billed charges	165	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Alignment Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	111	percent of total billed charges	111	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Cigna	PPO		68	68% of all negotiated rates	71	percent of total billed charges	71	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Coalition	PPO		49	49% of all negotiated rates	114	percent of total billed charges	114	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Coventry	PPO		75	75% of all negotiated rates	56	percent of total billed charges	56	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Humana-Commerical	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Multiplan	PPO		80	80% of all negotiated rates	45	percent of total billed charges	45	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	One Health	PPO		55	55% of all negotiated rates	100	percent of total billed charges	100	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Optum Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	P3	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Select Health	HMO		41	41% of all negotiated rates	131	percent of total billed charges	131	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	148	percent of total billed charges	148	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Sierra/HPN	HMO		60	60% of all negotiated rates	89	percent of total billed charges	89	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Silversummit Medicare	HMO		39	39% of all negotiated rates	136	percent of total billed charges	136	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	145	percent of total billed charges	145	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	Teachers Trust	PPO		65	65% of all negotiated rates	78	percent of total billed charges	78	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	TriWest	PPO		30	30% of all negotiated rates	156	percent of total billed charges	156	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	67	percent of total billed charges	67	223	
"SKIN HOOK, SINGLE SIZE 2"			1500807	LOCAL	272	RC		outpatient			223	189	United Healthcare	PPO		60	60% of all negotiated rates	89	percent of total billed charges	89	223	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Aetna	PPO		38	38% of all negotiated rates	59	percent of total billed charges	59	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Alignment Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Optum Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	P3	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Select Health	HMO		41	41% of all negotiated rates	56	percent of total billed charges	56	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Sierra/HPN	HMO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Silversummit Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	62	percent of total billed charges	62	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	Teachers Trust	PPO		65	65% of all negotiated rates	33	percent of total billed charges	33	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	TriWest	PPO		30	30% of all negotiated rates	67	percent of total billed charges	67	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
"SNARE, POLYPECTOMY"			1500821	LOCAL	272	RC		outpatient			96	81	United Healthcare	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5	percent of total billed charges	5	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	TriWest	PPO		30	30% of all negotiated rates	5	percent of total billed charges	5	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	7	
SPANDAGE (PER FOOT)			1500760	LOCAL	272	RC		outpatient			7	6	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	7	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Aetna	PPO		38	38% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Aetna Medicare	HMO		26	26% of all negotiated rates	40	percent of total billed charges	40	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Alignment Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	27	percent of total billed charges	27	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Cigna	PPO		68	68% of all negotiated rates	17	percent of total billed charges	17	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Coalition	PPO		49	49% of all negotiated rates	27	percent of total billed charges	27	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Humana-Commerical	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	One Health	PPO		55	55% of all negotiated rates	24	percent of total billed charges	24	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Optum Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	P3	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Select Health	HMO		41	41% of all negotiated rates	32	percent of total billed charges	32	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	36	percent of total billed charges	36	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Silversummit Medicare	HMO		39	39% of all negotiated rates	33	percent of total billed charges	33	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	35	percent of total billed charges	35	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	Teachers Trust	PPO		65	65% of all negotiated rates	19	percent of total billed charges	19	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	TriWest	PPO		30	30% of all negotiated rates	37	percent of total billed charges	37	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	54	
"STAT LOCK, PICC LINE"			1500283	LOCAL	272	RC		outpatient			54	46	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	54	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Aetna	PPO		38	38% of all negotiated rates	35	percent of total billed charges	35	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Aetna Medicare	HMO		26	26% of all negotiated rates	41	percent of total billed charges	41	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Alignment Medicare	HMO		39	39% of all negotiated rates	34	percent of total billed charges	34	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	22	percent of total billed charges	22	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	28	percent of total billed charges	28	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	34	percent of total billed charges	34	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Cigna	PPO		68	68% of all negotiated rates	18	percent of total billed charges	18	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Coalition	PPO		49	49% of all negotiated rates	28	percent of total billed charges	28	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Coventry	PPO		75	75% of all negotiated rates	14	percent of total billed charges	14	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Humana-Commerical	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	34	percent of total billed charges	34	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	One Health	PPO		55	55% of all negotiated rates	25	percent of total billed charges	25	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Optum Medicare	HMO		39	39% of all negotiated rates	34	percent of total billed charges	34	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	P3	HMO		39	39% of all negotiated rates	34	percent of total billed charges	34	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Select Health	HMO		41	41% of all negotiated rates	33	percent of total billed charges	33	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	37	percent of total billed charges	37	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Sierra/HPN	HMO		60	60% of all negotiated rates	22	percent of total billed charges	22	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Silversummit Medicare	HMO		39	39% of all negotiated rates	34	percent of total billed charges	34	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	36	percent of total billed charges	36	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	Teachers Trust	PPO		65	65% of all negotiated rates	19	percent of total billed charges	19	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	TriWest	PPO		30	30% of all negotiated rates	39	percent of total billed charges	39	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	56	
STIMUPLEX NEEDLE 24gX1			1500845	LOCAL	272	RC		outpatient			56	47	United Healthcare	PPO		60	60% of all negotiated rates	22	percent of total billed charges	22	56	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Aetna Medicare	HMO		26	26% of all negotiated rates	17	percent of total billed charges	17	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Alignment Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	12	percent of total billed charges	12	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Coalition	PPO		49	49% of all negotiated rates	12	percent of total billed charges	12	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Optum Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	P3	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Select Health	HMO		41	41% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Silversummit Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	15	percent of total billed charges	15	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	TriWest	PPO		30	30% of all negotiated rates	16	percent of total billed charges	16	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
STYLET 14 FR INTUBATION			1500726	LOCAL	272	RC		outpatient			23	20	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Aetna	PPO		38	38% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	14	percent of total billed charges	14	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
STYLET 6FR. INTUBATION			1500940	LOCAL	272	RC		outpatient			21	18	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUCTION TUBE ATT. DEVICE			1500298	LOCAL	272	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Aetna	PPO		38	38% of all negotiated rates	433	percent of total billed charges	433	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Aetna Medicare	HMO		26	26% of all negotiated rates	517	percent of total billed charges	517	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Alignment Medicare	HMO		39	39% of all negotiated rates	426	percent of total billed charges	426	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	279	percent of total billed charges	279	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	349	percent of total billed charges	349	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	426	percent of total billed charges	426	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Cigna	PPO		68	68% of all negotiated rates	223	percent of total billed charges	223	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Coalition	PPO		49	49% of all negotiated rates	356	percent of total billed charges	356	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Coventry	PPO		75	75% of all negotiated rates	175	percent of total billed charges	175	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	140	percent of total billed charges	140	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Humana-Commerical	PPO		70	70% of all negotiated rates	209	percent of total billed charges	209	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	426	percent of total billed charges	426	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Multiplan	PPO		80	80% of all negotiated rates	140	percent of total billed charges	140	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	One Health	PPO		55	55% of all negotiated rates	314	percent of total billed charges	314	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Optum Medicare	HMO		39	39% of all negotiated rates	426	percent of total billed charges	426	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	P3	HMO		39	39% of all negotiated rates	426	percent of total billed charges	426	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	209	percent of total billed charges	209	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Select Health	HMO		41	41% of all negotiated rates	412	percent of total billed charges	412	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	464	percent of total billed charges	464	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Sierra/HPN	HMO		60	60% of all negotiated rates	279	percent of total billed charges	279	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Silversummit Medicare	HMO		39	39% of all negotiated rates	426	percent of total billed charges	426	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	454	percent of total billed charges	454	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	Teachers Trust	PPO		65	65% of all negotiated rates	244	percent of total billed charges	244	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	TriWest	PPO		30	30% of all negotiated rates	489	percent of total billed charges	489	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	209	percent of total billed charges	209	698	
SURGICEL 2X14			1501028	LOCAL	272	RC		outpatient			698	594	United Healthcare	PPO		60	60% of all negotiated rates	279	percent of total billed charges	279	698	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Aetna	PPO		38	38% of all negotiated rates	72	percent of total billed charges	72	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Aetna Medicare	HMO		26	26% of all negotiated rates	86	percent of total billed charges	86	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Alignment Medicare	HMO		39	39% of all negotiated rates	71	percent of total billed charges	71	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	58	percent of total billed charges	58	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	71	percent of total billed charges	71	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Cigna	PPO		68	68% of all negotiated rates	37	percent of total billed charges	37	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Coalition	PPO		49	49% of all negotiated rates	59	percent of total billed charges	59	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Coventry	PPO		75	75% of all negotiated rates	29	percent of total billed charges	29	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Humana-Commerical	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	71	percent of total billed charges	71	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	One Health	PPO		55	55% of all negotiated rates	52	percent of total billed charges	52	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Optum Medicare	HMO		39	39% of all negotiated rates	71	percent of total billed charges	71	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	P3	HMO		39	39% of all negotiated rates	71	percent of total billed charges	71	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Select Health	HMO		41	41% of all negotiated rates	69	percent of total billed charges	69	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	78	percent of total billed charges	78	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Silversummit Medicare	HMO		39	39% of all negotiated rates	71	percent of total billed charges	71	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	76	percent of total billed charges	76	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	Teachers Trust	PPO		65	65% of all negotiated rates	41	percent of total billed charges	41	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	TriWest	PPO		30	30% of all negotiated rates	82	percent of total billed charges	82	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	117	
SURGIFOAM CIRCULAR 8CMX3CM			1501284	LOCAL	272	RC		outpatient			117	99	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	117	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Aetna	PPO		38	38% of all negotiated rates	1029	percent of total billed charges	1029	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Aetna Medicare	HMO		26	26% of all negotiated rates	1228	percent of total billed charges	1228	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Alignment Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	664	percent of total billed charges	664	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	830	percent of total billed charges	830	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Cigna	PPO		68	68% of all negotiated rates	531	percent of total billed charges	531	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Coalition	PPO		49	49% of all negotiated rates	847	percent of total billed charges	847	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Coventry	PPO		75	75% of all negotiated rates	415	percent of total billed charges	415	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	332	percent of total billed charges	332	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Humana-Commerical	PPO		70	70% of all negotiated rates	498	percent of total billed charges	498	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Multiplan	PPO		80	80% of all negotiated rates	332	percent of total billed charges	332	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	One Health	PPO		55	55% of all negotiated rates	747	percent of total billed charges	747	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Optum Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	P3	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	498	percent of total billed charges	498	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Select Health	HMO		41	41% of all negotiated rates	979	percent of total billed charges	979	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1104	percent of total billed charges	1104	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Sierra/HPN	HMO		60	60% of all negotiated rates	664	percent of total billed charges	664	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Silversummit Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1079	percent of total billed charges	1079	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	Teachers Trust	PPO		65	65% of all negotiated rates	581	percent of total billed charges	581	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	TriWest	PPO		30	30% of all negotiated rates	1162	percent of total billed charges	1162	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	498	percent of total billed charges	498	1660	
SUTURE ANCHOR MINI			1501072	LOCAL	272	RC		outpatient			1660	1411	United Healthcare	PPO		60	60% of all negotiated rates	664	percent of total billed charges	664	1660	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Coalition	PPO		49	49% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE CHROMIC GUT 5-0			1500792	LOCAL	272	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
"SUTURE ETHILON 3-0, PS-2 1669H"			1500706	LOCAL	272	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE ETHILON 5-0 FS-2			1500921	LOCAL	272	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE PROLENE 2-0 CT-1			1501025	LOCAL	272	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE PROLENE 4-0 P-3 8604G?			1500999	LOCAL	272	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Coalition	PPO		49	49% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE PROLENE 5-0 P-3 8605G			1501000	LOCAL	272	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE VICRYL 4-0 PS-2			1500799	LOCAL	272	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE VICRYL 5-0 PS-2 J495G			1500997	LOCAL	272	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
SUTURE VICRYL 6-0 PS-3 J499G			1500998	LOCAL	272	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Aetna	PPO		38	38% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Aetna Medicare	HMO		26	26% of all negotiated rates	44	percent of total billed charges	44	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Alignment Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	29	percent of total billed charges	29	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Cigna	PPO		68	68% of all negotiated rates	19	percent of total billed charges	19	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Coalition	PPO		49	49% of all negotiated rates	30	percent of total billed charges	30	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Coventry	PPO		75	75% of all negotiated rates	15	percent of total billed charges	15	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Humana-Commerical	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	One Health	PPO		55	55% of all negotiated rates	26	percent of total billed charges	26	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Optum Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	P3	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Select Health	HMO		41	41% of all negotiated rates	35	percent of total billed charges	35	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	39	percent of total billed charges	39	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Sierra/HPN	HMO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Silversummit Medicare	HMO		39	39% of all negotiated rates	36	percent of total billed charges	36	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	38	percent of total billed charges	38	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	Teachers Trust	PPO		65	65% of all negotiated rates	21	percent of total billed charges	21	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	TriWest	PPO		30	30% of all negotiated rates	41	percent of total billed charges	41	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	18	percent of total billed charges	18	59	
"SUTURE, VICRYL 4-0 PS"			1500743	LOCAL	272	RC		outpatient			59	50	United Healthcare	PPO		60	60% of all negotiated rates	24	percent of total billed charges	24	59	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Aetna	PPO		38	38% of all negotiated rates	110	percent of total billed charges	110	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Aetna Medicare	HMO		26	26% of all negotiated rates	131	percent of total billed charges	131	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Alignment Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	89	percent of total billed charges	89	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Cigna	PPO		68	68% of all negotiated rates	57	percent of total billed charges	57	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Coalition	PPO		49	49% of all negotiated rates	90	percent of total billed charges	90	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Coventry	PPO		75	75% of all negotiated rates	44	percent of total billed charges	44	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Humana-Commerical	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Multiplan	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	One Health	PPO		55	55% of all negotiated rates	80	percent of total billed charges	80	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Optum Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	P3	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Select Health	HMO		41	41% of all negotiated rates	105	percent of total billed charges	105	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	118	percent of total billed charges	118	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Sierra/HPN	HMO		60	60% of all negotiated rates	71	percent of total billed charges	71	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Silversummit Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	115	percent of total billed charges	115	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	Teachers Trust	PPO		65	65% of all negotiated rates	62	percent of total billed charges	62	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	TriWest	PPO		30	30% of all negotiated rates	124	percent of total billed charges	124	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	177	
SUTURE: CHROMIC 7-0			1500962	LOCAL	272	RC		outpatient			177	151	United Healthcare	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	177	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Aetna Medicare	HMO		26	26% of all negotiated rates	8	percent of total billed charges	8	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	7	percent of total billed charges	7	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	7	percent of total billed charges	7	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	11	
SUTURE: CHROMIC GUT 3-0 CT-2			1501279	LOCAL	272	RC		outpatient			11	9	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	11	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE: ETHIBOND EXCEL 0 CT-1			1500891	LOCAL	272	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
SUTURE: ETHIBOND EXCEL 2			1500846	LOCAL	272	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Aetna	PPO		38	38% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Aetna Medicare	HMO		26	26% of all negotiated rates	64	percent of total billed charges	64	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Alignment Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	43	percent of total billed charges	43	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Coalition	PPO		49	49% of all negotiated rates	44	percent of total billed charges	44	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Multiplan	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	One Health	PPO		55	55% of all negotiated rates	39	percent of total billed charges	39	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Optum Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	P3	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Select Health	HMO		41	41% of all negotiated rates	51	percent of total billed charges	51	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	57	percent of total billed charges	57	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Sierra/HPN	HMO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Silversummit Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	56	percent of total billed charges	56	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	Teachers Trust	PPO		65	65% of all negotiated rates	30	percent of total billed charges	30	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	TriWest	PPO		30	30% of all negotiated rates	60	percent of total billed charges	60	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	86	
SUTURE: ETHIBOND EXCEL 2-0 MO-7			1500897	LOCAL	272	RC		outpatient			86	73	United Healthcare	PPO		60	60% of all negotiated rates	34	percent of total billed charges	34	86	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
SUTURE: ETHILON 3-0 PS-1			1500791	LOCAL	272	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
SUTURE: ETHILON 4-0 PS			1500890	LOCAL	272	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Aetna	PPO		38	38% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Aetna Medicare	HMO		26	26% of all negotiated rates	13	percent of total billed charges	13	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Alignment Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	9	percent of total billed charges	9	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Optum Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	P3	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Select Health	HMO		41	41% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	12	percent of total billed charges	12	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Silversummit Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	12	percent of total billed charges	12	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	18	
SUTURE: ETHILON 4-0 PS-2			1501071	LOCAL	272	RC		outpatient			18	15	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	18	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Aetna Medicare	HMO		26	26% of all negotiated rates	17	percent of total billed charges	17	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Alignment Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	12	percent of total billed charges	12	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Coalition	PPO		49	49% of all negotiated rates	12	percent of total billed charges	12	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Optum Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	P3	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Select Health	HMO		41	41% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Silversummit Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	15	percent of total billed charges	15	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	TriWest	PPO		30	30% of all negotiated rates	16	percent of total billed charges	16	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: ETHILON 6-0 PS-3			1500970	LOCAL	272	RC		outpatient			23	20	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: FAST GUT 5-0			1500986	LOCAL	272	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Aetna Medicare	HMO		26	26% of all negotiated rates	32	percent of total billed charges	32	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Alignment Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	One Health	PPO		55	55% of all negotiated rates	19	percent of total billed charges	19	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Optum Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	P3	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Select Health	HMO		41	41% of all negotiated rates	25	percent of total billed charges	25	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Sierra/HPN	HMO		60	60% of all negotiated rates	17	percent of total billed charges	17	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	28	percent of total billed charges	28	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	TriWest	PPO		30	30% of all negotiated rates	30	percent of total billed charges	30	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	43	
SUTURE: MERSILENE 5-0 P-3			1500781	LOCAL	272	RC		outpatient			43	37	United Healthcare	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	43	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Aetna Medicare	HMO		26	26% of all negotiated rates	27	percent of total billed charges	27	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	24	percent of total billed charges	24	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	37	
SUTURE: MONOCRYL 3-0 PS-2			1500893	LOCAL	272	RC		outpatient			37	31	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	37	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: MONOCRYL 4-0 SH			1500894	LOCAL	272	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Alignment Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Optum Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	P3	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Silversummit Medicare	HMO		39	39% of all negotiated rates	25	percent of total billed charges	25	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	41	
SUTURE: PDS II 0 TP-1			1500857	LOCAL	272	RC		outpatient			41	35	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	41	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Aetna Medicare	HMO		26	26% of all negotiated rates	17	percent of total billed charges	17	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Alignment Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	12	percent of total billed charges	12	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Coalition	PPO		49	49% of all negotiated rates	12	percent of total billed charges	12	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Optum Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	P3	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Select Health	HMO		41	41% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Silversummit Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	15	percent of total billed charges	15	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	TriWest	PPO		30	30% of all negotiated rates	16	percent of total billed charges	16	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: PLAIN GUT 3-0 SH			1500898	LOCAL	272	RC		outpatient			23	20	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
SUTURE: PLAIN GUT 4-0 P3			1500790	LOCAL	272	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Coalition	PPO		49	49% of all negotiated rates	11	percent of total billed charges	11	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
SUTURE: PLAIN GUT 4-0 SH			1500892	LOCAL	272	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 0 CT-1			1500856	LOCAL	272	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Aetna	PPO		38	38% of all negotiated rates	21	percent of total billed charges	21	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Aetna Medicare	HMO		26	26% of all negotiated rates	25	percent of total billed charges	25	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Alignment Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Coalition	PPO		49	49% of all negotiated rates	17	percent of total billed charges	17	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Humana-Commerical	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	One Health	PPO		55	55% of all negotiated rates	15	percent of total billed charges	15	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Optum Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	P3	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Select Health	HMO		41	41% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Silversummit Medicare	HMO		39	39% of all negotiated rates	20	percent of total billed charges	20	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	22	percent of total billed charges	22	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	TriWest	PPO		30	30% of all negotiated rates	24	percent of total billed charges	24	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	10	percent of total billed charges	10	34	
SUTURE: PROLENE 3-0 PS-2			1500884	LOCAL	272	RC		outpatient			34	29	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	34	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
SUTURE: PROLENE 5-0 FS-2			1500960	LOCAL	272	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Aetna	PPO		38	38% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Aetna Medicare	HMO		26	26% of all negotiated rates	23	percent of total billed charges	23	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Alignment Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	15	percent of total billed charges	15	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Cigna	PPO		68	68% of all negotiated rates	10	percent of total billed charges	10	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Coalition	PPO		49	49% of all negotiated rates	16	percent of total billed charges	16	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	One Health	PPO		55	55% of all negotiated rates	14	percent of total billed charges	14	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Optum Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	P3	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Select Health	HMO		41	41% of all negotiated rates	18	percent of total billed charges	18	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	20	percent of total billed charges	20	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Sierra/HPN	HMO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Silversummit Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	20	percent of total billed charges	20	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	Teachers Trust	PPO		65	65% of all negotiated rates	11	percent of total billed charges	11	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	TriWest	PPO		30	30% of all negotiated rates	21	percent of total billed charges	21	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SUTURE: PROLENE 5-0 PS-2			1500912	LOCAL	272	RC		outpatient			30	26	United Healthcare	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Coalition	PPO		49	49% of all negotiated rates	18	percent of total billed charges	18	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
SUTURE: PROLENE 5-0 PS-3			1500915	LOCAL	272	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Aetna	PPO		38	38% of all negotiated rates	43	percent of total billed charges	43	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	35	percent of total billed charges	35	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Humana-Commerical	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Select Health	HMO		41	41% of all negotiated rates	41	percent of total billed charges	41	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	46	percent of total billed charges	46	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Sierra/HPN	HMO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	45	percent of total billed charges	45	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	TriWest	PPO		30	30% of all negotiated rates	49	percent of total billed charges	49	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
SUTURE: SILK 0 MO-6			1500885	LOCAL	272	RC		outpatient			69	59	United Healthcare	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Aetna	PPO		38	38% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Aetna Medicare	HMO		26	26% of all negotiated rates	31	percent of total billed charges	31	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Alignment Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	21	percent of total billed charges	21	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	One Health	PPO		55	55% of all negotiated rates	19	percent of total billed charges	19	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Optum Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	P3	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Select Health	HMO		41	41% of all negotiated rates	25	percent of total billed charges	25	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	28	percent of total billed charges	28	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Sierra/HPN	HMO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Silversummit Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
SUTURE: SILK 2-0 CT-1			1501055	LOCAL	272	RC		outpatient			42	36	United Healthcare	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK 3-0 SH			1500889	LOCAL	272	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Aetna	PPO		38	38% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Aetna Medicare	HMO		26	26% of all negotiated rates	23	percent of total billed charges	23	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Alignment Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	15	percent of total billed charges	15	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Cigna	PPO		68	68% of all negotiated rates	10	percent of total billed charges	10	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Coalition	PPO		49	49% of all negotiated rates	16	percent of total billed charges	16	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	One Health	PPO		55	55% of all negotiated rates	14	percent of total billed charges	14	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Optum Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	P3	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Select Health	HMO		41	41% of all negotiated rates	18	percent of total billed charges	18	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	20	percent of total billed charges	20	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Sierra/HPN	HMO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Silversummit Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	20	percent of total billed charges	20	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	Teachers Trust	PPO		65	65% of all negotiated rates	11	percent of total billed charges	11	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	TriWest	PPO		30	30% of all negotiated rates	21	percent of total billed charges	21	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	30	
SUTURE: SILK 4-0 C-3			1500964	LOCAL	272	RC		outpatient			30	26	United Healthcare	PPO		60	60% of all negotiated rates	12	percent of total billed charges	12	30	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Aetna	PPO		38	38% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Aetna Medicare	HMO		26	26% of all negotiated rates	13	percent of total billed charges	13	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Alignment Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	9	percent of total billed charges	9	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Optum Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	P3	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Select Health	HMO		41	41% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	12	percent of total billed charges	12	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Silversummit Medicare	HMO		39	39% of all negotiated rates	11	percent of total billed charges	11	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	12	percent of total billed charges	12	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	18	
SUTURE: SILK 4-0 PS-2			1501046	LOCAL	272	RC		outpatient			18	15	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	18	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Aetna	PPO		38	38% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Aetna Medicare	HMO		26	26% of all negotiated rates	48	percent of total billed charges	48	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Coalition	PPO		49	49% of all negotiated rates	33	percent of total billed charges	33	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Coventry	PPO		75	75% of all negotiated rates	16	percent of total billed charges	16	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	One Health	PPO		55	55% of all negotiated rates	29	percent of total billed charges	29	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Select Health	HMO		41	41% of all negotiated rates	38	percent of total billed charges	38	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	43	percent of total billed charges	43	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	42	percent of total billed charges	42	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
SUTURE: SILK 6-0 P-1			1500963	LOCAL	272	RC		outpatient			65	55	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
SUTURE: SILK TIES 0 SA66G			1501049	LOCAL	272	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 2-0			1500886	LOCAL	272	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: SILK TIES 3-0			1500887	LOCAL	272	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Aetna	PPO		38	38% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Aetna Medicare	HMO		26	26% of all negotiated rates	6	percent of total billed charges	6	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Alignment Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4	percent of total billed charges	4	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Coalition	PPO		49	49% of all negotiated rates	4	percent of total billed charges	4	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Optum Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	P3	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Select Health	HMO		41	41% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Silversummit Medicare	HMO		39	39% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5	percent of total billed charges	5	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	TriWest	PPO		30	30% of all negotiated rates	6	percent of total billed charges	6	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 0 CT-1			1501037	LOCAL	272	RC		outpatient			8	7	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	8	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Aetna Medicare	HMO		26	26% of all negotiated rates	17	percent of total billed charges	17	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Alignment Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	12	percent of total billed charges	12	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Coalition	PPO		49	49% of all negotiated rates	12	percent of total billed charges	12	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Optum Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	P3	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Select Health	HMO		41	41% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Silversummit Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	15	percent of total billed charges	15	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	TriWest	PPO		30	30% of all negotiated rates	16	percent of total billed charges	16	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
SUTURE: VICRYL 2-0 J607H			1501253	LOCAL	272	RC		outpatient			23	20	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 1			1500847	LOCAL	272	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Coalition	PPO		49	49% of all negotiated rates	8	percent of total billed charges	8	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
SUTURE: VICRYL PLUS 2-0			1500945	LOCAL	272	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Aetna	PPO		38	38% of all negotiated rates	50	percent of total billed charges	50	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Aetna Medicare	HMO		26	26% of all negotiated rates	60	percent of total billed charges	60	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Alignment Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	40	percent of total billed charges	40	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Coalition	PPO		49	49% of all negotiated rates	41	percent of total billed charges	41	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Humana-Commerical	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	One Health	PPO		55	55% of all negotiated rates	36	percent of total billed charges	36	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Optum Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	P3	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Sierra/HPN	HMO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Silversummit Medicare	HMO		39	39% of all negotiated rates	49	percent of total billed charges	49	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	Teachers Trust	PPO		65	65% of all negotiated rates	28	percent of total billed charges	28	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	24	percent of total billed charges	24	81	
SUTURE: VICRYL PLUS 3-0			1500848	LOCAL	272	RC		outpatient			81	69	United Healthcare	PPO		60	60% of all negotiated rates	32	percent of total billed charges	32	81	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 2-0			1500895	LOCAL	272	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Coalition	PPO		49	49% of all negotiated rates	9	percent of total billed charges	9	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	One Health	PPO		55	55% of all negotiated rates	8	percent of total billed charges	8	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Select Health	HMO		41	41% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Sierra/HPN	HMO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11	percent of total billed charges	11	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	TriWest	PPO		30	30% of all negotiated rates	12	percent of total billed charges	12	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	17	
SUTURE: VICRYL TIES 3-0			1500896	LOCAL	272	RC		outpatient			17	14	United Healthcare	PPO		60	60% of all negotiated rates	7	percent of total billed charges	7	17	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Aetna Medicare	HMO		26	26% of all negotiated rates	28	percent of total billed charges	28	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Alignment Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	19	percent of total billed charges	19	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Coalition	PPO		49	49% of all negotiated rates	19	percent of total billed charges	19	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Optum Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	P3	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	25	percent of total billed charges	25	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Silversummit Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	25	percent of total billed charges	25	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
SVN DISPOSABLE			4170473	LOCAL	272	RC		outpatient			38	32	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Aetna	PPO		38	38% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Aetna Medicare	HMO		26	26% of all negotiated rates	7	percent of total billed charges	7	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6	percent of total billed charges	6	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
SYRINGE 60CC CATH TIP			1500306	LOCAL	272	RC		outpatient			9	8	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Aetna	PPO		38	38% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Aetna Medicare	HMO		26	26% of all negotiated rates	7	percent of total billed charges	7	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Alignment Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5	percent of total billed charges	5	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Cigna	PPO		68	68% of all negotiated rates	3	percent of total billed charges	3	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Coalition	PPO		49	49% of all negotiated rates	5	percent of total billed charges	5	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	One Health	PPO		55	55% of all negotiated rates	4	percent of total billed charges	4	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Optum Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	P3	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Select Health	HMO		41	41% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Sierra/HPN	HMO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Silversummit Medicare	HMO		39	39% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6	percent of total billed charges	6	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	Teachers Trust	PPO		65	65% of all negotiated rates	3	percent of total billed charges	3	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	TriWest	PPO		30	30% of all negotiated rates	7	percent of total billed charges	7	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	9	
"SYRINGE, 60CC. LUER SLIP N/S"			6210038	LOCAL	272	RC		outpatient			9	8	United Healthcare	PPO		60	60% of all negotiated rates	4	percent of total billed charges	4	9	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Aetna	PPO		38	38% of all negotiated rates	43	percent of total billed charges	43	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	35	percent of total billed charges	35	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Humana-Commerical	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Select Health	HMO		41	41% of all negotiated rates	41	percent of total billed charges	41	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	46	percent of total billed charges	46	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Sierra/HPN	HMO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	45	percent of total billed charges	45	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	TriWest	PPO		30	30% of all negotiated rates	49	percent of total billed charges	49	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
"TEMP. PROBE, RECTAL PHILIPS SURGERY"			1500923	LOCAL	272	RC		outpatient			69	59	United Healthcare	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Aetna Medicare	HMO		26	26% of all negotiated rates	14	percent of total billed charges	14	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	9	percent of total billed charges	9	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Coalition	PPO		49	49% of all negotiated rates	10	percent of total billed charges	10	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Select Health	HMO		41	41% of all negotiated rates	11	percent of total billed charges	11	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	12	percent of total billed charges	12	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	TriWest	PPO		30	30% of all negotiated rates	13	percent of total billed charges	13	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	19	
TEXAS CATHETER			1500332	LOCAL	272	RC		outpatient			19	16	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	19	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Aetna	PPO		38	38% of all negotiated rates	2095	percent of total billed charges	2095	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Aetna Medicare	HMO		26	26% of all negotiated rates	2500	percent of total billed charges	2500	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Alignment Medicare	HMO		39	39% of all negotiated rates	2061	percent of total billed charges	2061	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1352	percent of total billed charges	1352	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1689	percent of total billed charges	1689	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2061	percent of total billed charges	2061	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Cigna	PPO		68	68% of all negotiated rates	1081	percent of total billed charges	1081	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Coalition	PPO		49	49% of all negotiated rates	1723	percent of total billed charges	1723	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Coventry	PPO		75	75% of all negotiated rates	845	percent of total billed charges	845	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	676	percent of total billed charges	676	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Humana-Commerical	PPO		70	70% of all negotiated rates	1014	percent of total billed charges	1014	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2061	percent of total billed charges	2061	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Multiplan	PPO		80	80% of all negotiated rates	676	percent of total billed charges	676	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	One Health	PPO		55	55% of all negotiated rates	1521	percent of total billed charges	1521	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Optum Medicare	HMO		39	39% of all negotiated rates	2061	percent of total billed charges	2061	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	P3	HMO		39	39% of all negotiated rates	2061	percent of total billed charges	2061	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1014	percent of total billed charges	1014	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Select Health	HMO		41	41% of all negotiated rates	1994	percent of total billed charges	1994	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2247	percent of total billed charges	2247	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Sierra/HPN	HMO		60	60% of all negotiated rates	1352	percent of total billed charges	1352	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Silversummit Medicare	HMO		39	39% of all negotiated rates	2061	percent of total billed charges	2061	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2196	percent of total billed charges	2196	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	Teachers Trust	PPO		65	65% of all negotiated rates	1183	percent of total billed charges	1183	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	TriWest	PPO		30	30% of all negotiated rates	2365	percent of total billed charges	2365	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1014	percent of total billed charges	1014	3379	
T-PLATE 2.4MM 8 HOLE			1501117	LOCAL	272	RC		outpatient			3379	2872	United Healthcare	PPO		60	60% of all negotiated rates	1352	percent of total billed charges	1352	3379	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
TRAPEASE SINGLE CHAMBER			1500822	LOCAL	272	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Aetna	PPO		38	38% of all negotiated rates	465	percent of total billed charges	465	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Aetna Medicare	HMO		26	26% of all negotiated rates	556	percent of total billed charges	556	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Alignment Medicare	HMO		39	39% of all negotiated rates	458	percent of total billed charges	458	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	300	percent of total billed charges	300	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	375	percent of total billed charges	375	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	458	percent of total billed charges	458	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Cigna	PPO		68	68% of all negotiated rates	240	percent of total billed charges	240	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Coalition	PPO		49	49% of all negotiated rates	383	percent of total billed charges	383	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Coventry	PPO		75	75% of all negotiated rates	188	percent of total billed charges	188	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	150	percent of total billed charges	150	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Humana-Commerical	PPO		70	70% of all negotiated rates	225	percent of total billed charges	225	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	458	percent of total billed charges	458	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Multiplan	PPO		80	80% of all negotiated rates	150	percent of total billed charges	150	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	One Health	PPO		55	55% of all negotiated rates	338	percent of total billed charges	338	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Optum Medicare	HMO		39	39% of all negotiated rates	458	percent of total billed charges	458	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	P3	HMO		39	39% of all negotiated rates	458	percent of total billed charges	458	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	225	percent of total billed charges	225	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Select Health	HMO		41	41% of all negotiated rates	443	percent of total billed charges	443	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	499	percent of total billed charges	499	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Sierra/HPN	HMO		60	60% of all negotiated rates	300	percent of total billed charges	300	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Silversummit Medicare	HMO		39	39% of all negotiated rates	458	percent of total billed charges	458	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	488	percent of total billed charges	488	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	Teachers Trust	PPO		65	65% of all negotiated rates	263	percent of total billed charges	263	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	TriWest	PPO		30	30% of all negotiated rates	526	percent of total billed charges	526	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	225	percent of total billed charges	225	751	
TROCAR 15MMX100MM			1501031	LOCAL	272	RC		outpatient			751	638	United Healthcare	PPO		60	60% of all negotiated rates	300	percent of total billed charges	300	751	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Aetna	PPO		38	38% of all negotiated rates	1263	percent of total billed charges	1263	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Aetna Medicare	HMO		26	26% of all negotiated rates	1507	percent of total billed charges	1507	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Alignment Medicare	HMO		39	39% of all negotiated rates	1243	percent of total billed charges	1243	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	815	percent of total billed charges	815	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1019	percent of total billed charges	1019	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1243	percent of total billed charges	1243	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Cigna	PPO		68	68% of all negotiated rates	652	percent of total billed charges	652	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Coalition	PPO		49	49% of all negotiated rates	1039	percent of total billed charges	1039	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Coventry	PPO		75	75% of all negotiated rates	509	percent of total billed charges	509	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	407	percent of total billed charges	407	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Humana-Commerical	PPO		70	70% of all negotiated rates	611	percent of total billed charges	611	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1243	percent of total billed charges	1243	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Multiplan	PPO		80	80% of all negotiated rates	407	percent of total billed charges	407	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	One Health	PPO		55	55% of all negotiated rates	917	percent of total billed charges	917	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Optum Medicare	HMO		39	39% of all negotiated rates	1243	percent of total billed charges	1243	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	P3	HMO		39	39% of all negotiated rates	1243	percent of total billed charges	1243	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	611	percent of total billed charges	611	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Select Health	HMO		41	41% of all negotiated rates	1202	percent of total billed charges	1202	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1355	percent of total billed charges	1355	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Sierra/HPN	HMO		60	60% of all negotiated rates	815	percent of total billed charges	815	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Silversummit Medicare	HMO		39	39% of all negotiated rates	1243	percent of total billed charges	1243	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1324	percent of total billed charges	1324	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	Teachers Trust	PPO		65	65% of all negotiated rates	713	percent of total billed charges	713	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	TriWest	PPO		30	30% of all negotiated rates	1426	percent of total billed charges	1426	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	611	percent of total billed charges	611	2037	
TROCAR 5MM. STABILITY SLEEVE			1501024	LOCAL	272	RC		outpatient			2037	1731	United Healthcare	PPO		60	60% of all negotiated rates	815	percent of total billed charges	815	2037	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Aetna	PPO		38	38% of all negotiated rates	534	percent of total billed charges	534	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Aetna Medicare	HMO		26	26% of all negotiated rates	638	percent of total billed charges	638	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Alignment Medicare	HMO		39	39% of all negotiated rates	526	percent of total billed charges	526	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	345	percent of total billed charges	345	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	431	percent of total billed charges	431	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	526	percent of total billed charges	526	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Cigna	PPO		68	68% of all negotiated rates	276	percent of total billed charges	276	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Coalition	PPO		49	49% of all negotiated rates	440	percent of total billed charges	440	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Coventry	PPO		75	75% of all negotiated rates	216	percent of total billed charges	216	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	172	percent of total billed charges	172	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Humana-Commerical	PPO		70	70% of all negotiated rates	259	percent of total billed charges	259	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	526	percent of total billed charges	526	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Multiplan	PPO		80	80% of all negotiated rates	172	percent of total billed charges	172	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	One Health	PPO		55	55% of all negotiated rates	388	percent of total billed charges	388	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Optum Medicare	HMO		39	39% of all negotiated rates	526	percent of total billed charges	526	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	P3	HMO		39	39% of all negotiated rates	526	percent of total billed charges	526	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	259	percent of total billed charges	259	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Select Health	HMO		41	41% of all negotiated rates	509	percent of total billed charges	509	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	573	percent of total billed charges	573	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Sierra/HPN	HMO		60	60% of all negotiated rates	345	percent of total billed charges	345	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Silversummit Medicare	HMO		39	39% of all negotiated rates	526	percent of total billed charges	526	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	560	percent of total billed charges	560	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	Teachers Trust	PPO		65	65% of all negotiated rates	302	percent of total billed charges	302	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	TriWest	PPO		30	30% of all negotiated rates	603	percent of total billed charges	603	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	259	percent of total billed charges	259	862	
"TROCAR, 5MM, BLADELESS OPTIVIEW"			1501065	LOCAL	272	RC		outpatient			862	733	United Healthcare	PPO		60	60% of all negotiated rates	345	percent of total billed charges	345	862	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Aetna	PPO		38	38% of all negotiated rates	109	percent of total billed charges	109	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Aetna Medicare	HMO		26	26% of all negotiated rates	130	percent of total billed charges	130	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Alignment Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	70	percent of total billed charges	70	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	88	percent of total billed charges	88	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Cigna	PPO		68	68% of all negotiated rates	56	percent of total billed charges	56	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Coalition	PPO		49	49% of all negotiated rates	89	percent of total billed charges	89	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Coventry	PPO		75	75% of all negotiated rates	44	percent of total billed charges	44	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Humana-Commerical	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Multiplan	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	One Health	PPO		55	55% of all negotiated rates	79	percent of total billed charges	79	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Optum Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	P3	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Select Health	HMO		41	41% of all negotiated rates	103	percent of total billed charges	103	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	117	percent of total billed charges	117	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Sierra/HPN	HMO		60	60% of all negotiated rates	70	percent of total billed charges	70	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Silversummit Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	114	percent of total billed charges	114	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	Teachers Trust	PPO		65	65% of all negotiated rates	61	percent of total billed charges	61	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	TriWest	PPO		30	30% of all negotiated rates	123	percent of total billed charges	123	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	175	
"TROCAR, BLADED 11MMX150MM"			1500981	LOCAL	272	RC		outpatient			175	149	United Healthcare	PPO		60	60% of all negotiated rates	70	percent of total billed charges	70	175	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Aetna	PPO		38	38% of all negotiated rates	70	percent of total billed charges	70	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Aetna Medicare	HMO		26	26% of all negotiated rates	84	percent of total billed charges	84	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Alignment Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	57	percent of total billed charges	57	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Coalition	PPO		49	49% of all negotiated rates	58	percent of total billed charges	58	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Humana-Commerical	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	One Health	PPO		55	55% of all negotiated rates	51	percent of total billed charges	51	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Optum Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	P3	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Select Health	HMO		41	41% of all negotiated rates	67	percent of total billed charges	67	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	75	percent of total billed charges	75	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Silversummit Medicare	HMO		39	39% of all negotiated rates	69	percent of total billed charges	69	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	74	percent of total billed charges	74	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	TriWest	PPO		30	30% of all negotiated rates	79	percent of total billed charges	79	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	34	percent of total billed charges	34	113	
"TROCAR, BLADED 5MMX150MM"			1500980	LOCAL	272	RC		outpatient			113	96	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	113	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Aetna	PPO		38	38% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Aetna Medicare	HMO		26	26% of all negotiated rates	5	percent of total billed charges	5	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Alignment Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3	percent of total billed charges	3	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Cigna	PPO		68	68% of all negotiated rates	2	percent of total billed charges	2	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Coalition	PPO		49	49% of all negotiated rates	3	percent of total billed charges	3	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Coventry	PPO		75	75% of all negotiated rates	2	percent of total billed charges	2	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Humana-Commerical	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Multiplan	PPO		80	80% of all negotiated rates	1	percent of total billed charges	1	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	One Health	PPO		55	55% of all negotiated rates	3	percent of total billed charges	3	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Optum Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	P3	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Select Health	HMO		41	41% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Sierra/HPN	HMO		60	60% of all negotiated rates	3	percent of total billed charges	3	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Silversummit Medicare	HMO		39	39% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	Teachers Trust	PPO		65	65% of all negotiated rates	2	percent of total billed charges	2	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	TriWest	PPO		30	30% of all negotiated rates	4	percent of total billed charges	4	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2	percent of total billed charges	2	6	
TUBE GAUZE #2			1500908	LOCAL	272	RC		outpatient			6	5	United Healthcare	PPO		60	60% of all negotiated rates	3	percent of total billed charges	3	6	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Aetna	PPO		38	38% of all negotiated rates	1656	percent of total billed charges	1656	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Aetna Medicare	HMO		26	26% of all negotiated rates	1977	percent of total billed charges	1977	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Alignment Medicare	HMO		39	39% of all negotiated rates	1629	percent of total billed charges	1629	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1068	percent of total billed charges	1068	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1336	percent of total billed charges	1336	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1629	percent of total billed charges	1629	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Cigna	PPO		68	68% of all negotiated rates	855	percent of total billed charges	855	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Coalition	PPO		49	49% of all negotiated rates	1362	percent of total billed charges	1362	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Coventry	PPO		75	75% of all negotiated rates	668	percent of total billed charges	668	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	534	percent of total billed charges	534	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Humana-Commerical	PPO		70	70% of all negotiated rates	801	percent of total billed charges	801	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1629	percent of total billed charges	1629	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Multiplan	PPO		80	80% of all negotiated rates	534	percent of total billed charges	534	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	One Health	PPO		55	55% of all negotiated rates	1202	percent of total billed charges	1202	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Optum Medicare	HMO		39	39% of all negotiated rates	1629	percent of total billed charges	1629	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	P3	HMO		39	39% of all negotiated rates	1629	percent of total billed charges	1629	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	801	percent of total billed charges	801	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Select Health	HMO		41	41% of all negotiated rates	1576	percent of total billed charges	1576	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1776	percent of total billed charges	1776	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Sierra/HPN	HMO		60	60% of all negotiated rates	1068	percent of total billed charges	1068	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Silversummit Medicare	HMO		39	39% of all negotiated rates	1629	percent of total billed charges	1629	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1736	percent of total billed charges	1736	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	Teachers Trust	PPO		65	65% of all negotiated rates	935	percent of total billed charges	935	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	TriWest	PPO		30	30% of all negotiated rates	1870	percent of total billed charges	1870	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	801	percent of total billed charges	801	2671	
"TUBE, BLAKEMORE 16fr."			1500366	LOCAL	272	RC		outpatient			2671	2271	United Healthcare	PPO		60	60% of all negotiated rates	1068	percent of total billed charges	1068	2671	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Aetna	PPO		38	38% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Aetna Medicare	HMO		26	26% of all negotiated rates	20	percent of total billed charges	20	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Alignment Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	14	percent of total billed charges	14	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Cigna	PPO		68	68% of all negotiated rates	9	percent of total billed charges	9	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Coalition	PPO		49	49% of all negotiated rates	14	percent of total billed charges	14	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Coventry	PPO		75	75% of all negotiated rates	7	percent of total billed charges	7	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	One Health	PPO		55	55% of all negotiated rates	12	percent of total billed charges	12	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Optum Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	P3	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Select Health	HMO		41	41% of all negotiated rates	16	percent of total billed charges	16	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	18	percent of total billed charges	18	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Sierra/HPN	HMO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Silversummit Medicare	HMO		39	39% of all negotiated rates	17	percent of total billed charges	17	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	18	percent of total billed charges	18	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	Teachers Trust	PPO		65	65% of all negotiated rates	10	percent of total billed charges	10	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	TriWest	PPO		30	30% of all negotiated rates	19	percent of total billed charges	19	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	27	
TUBEGAUZE # 3			1500907	LOCAL	272	RC		outpatient			27	23	United Healthcare	PPO		60	60% of all negotiated rates	11	percent of total billed charges	11	27	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Aetna	PPO		38	38% of all negotiated rates	405	percent of total billed charges	405	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Aetna Medicare	HMO		26	26% of all negotiated rates	483	percent of total billed charges	483	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Alignment Medicare	HMO		39	39% of all negotiated rates	398	percent of total billed charges	398	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	261	percent of total billed charges	261	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	327	percent of total billed charges	327	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	398	percent of total billed charges	398	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Cigna	PPO		68	68% of all negotiated rates	209	percent of total billed charges	209	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Coalition	PPO		49	49% of all negotiated rates	333	percent of total billed charges	333	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Coventry	PPO		75	75% of all negotiated rates	163	percent of total billed charges	163	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	131	percent of total billed charges	131	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Humana-Commerical	PPO		70	70% of all negotiated rates	196	percent of total billed charges	196	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	398	percent of total billed charges	398	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Multiplan	PPO		80	80% of all negotiated rates	131	percent of total billed charges	131	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	One Health	PPO		55	55% of all negotiated rates	294	percent of total billed charges	294	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Optum Medicare	HMO		39	39% of all negotiated rates	398	percent of total billed charges	398	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	P3	HMO		39	39% of all negotiated rates	398	percent of total billed charges	398	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	196	percent of total billed charges	196	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Select Health	HMO		41	41% of all negotiated rates	385	percent of total billed charges	385	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	434	percent of total billed charges	434	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Sierra/HPN	HMO		60	60% of all negotiated rates	261	percent of total billed charges	261	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Silversummit Medicare	HMO		39	39% of all negotiated rates	398	percent of total billed charges	398	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	425	percent of total billed charges	425	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	Teachers Trust	PPO		65	65% of all negotiated rates	229	percent of total billed charges	229	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	TriWest	PPO		30	30% of all negotiated rates	457	percent of total billed charges	457	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	196	percent of total billed charges	196	653	
"TUBING, ARTHROSCOPY"			1500869	LOCAL	272	RC		outpatient			653	555	United Healthcare	PPO		60	60% of all negotiated rates	261	percent of total billed charges	261	653	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Coalition	PPO		49	49% of all negotiated rates	13	percent of total billed charges	13	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
ULTRASOUND PROBE COVER W/GEL			1501010	LOCAL	272	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Aetna	PPO		38	38% of all negotiated rates	275	percent of total billed charges	275	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Aetna Medicare	HMO		26	26% of all negotiated rates	329	percent of total billed charges	329	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Alignment Medicare	HMO		39	39% of all negotiated rates	271	percent of total billed charges	271	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	178	percent of total billed charges	178	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	222	percent of total billed charges	222	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	271	percent of total billed charges	271	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Cigna	PPO		68	68% of all negotiated rates	142	percent of total billed charges	142	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Coalition	PPO		49	49% of all negotiated rates	227	percent of total billed charges	227	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Coventry	PPO		75	75% of all negotiated rates	111	percent of total billed charges	111	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	89	percent of total billed charges	89	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Humana-Commerical	PPO		70	70% of all negotiated rates	133	percent of total billed charges	133	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	271	percent of total billed charges	271	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Multiplan	PPO		80	80% of all negotiated rates	89	percent of total billed charges	89	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	One Health	PPO		55	55% of all negotiated rates	200	percent of total billed charges	200	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Optum Medicare	HMO		39	39% of all negotiated rates	271	percent of total billed charges	271	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	P3	HMO		39	39% of all negotiated rates	271	percent of total billed charges	271	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	133	percent of total billed charges	133	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Select Health	HMO		41	41% of all negotiated rates	262	percent of total billed charges	262	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	295	percent of total billed charges	295	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Sierra/HPN	HMO		60	60% of all negotiated rates	178	percent of total billed charges	178	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Silversummit Medicare	HMO		39	39% of all negotiated rates	271	percent of total billed charges	271	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	289	percent of total billed charges	289	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	Teachers Trust	PPO		65	65% of all negotiated rates	155	percent of total billed charges	155	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	TriWest	PPO		30	30% of all negotiated rates	311	percent of total billed charges	311	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	133	percent of total billed charges	133	444	
Universal Procedure Tray			4061605	LOCAL	272	RC		outpatient			444	378	United Healthcare	PPO		60	60% of all negotiated rates	178	percent of total billed charges	178	444	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Aetna	PPO		38	38% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Alignment Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Coalition	PPO		49	49% of all negotiated rates	6	percent of total billed charges	6	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Humana-Commerical	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	One Health	PPO		55	55% of all negotiated rates	6	percent of total billed charges	6	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Optum Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	P3	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Silversummit Medicare	HMO		39	39% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	TriWest	PPO		30	30% of all negotiated rates	9	percent of total billed charges	9	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4	percent of total billed charges	4	13	
"XEROFORM DRESSING, 1x8 INCH"			1500803	LOCAL	272	RC		outpatient			13	11	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	13	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Aetna	PPO		38	38% of all negotiated rates	250	percent of total billed charges	250	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Aetna Medicare	HMO		26	26% of all negotiated rates	298	percent of total billed charges	298	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Alignment Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	202	percent of total billed charges	202	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Cigna	PPO		68	68% of all negotiated rates	129	percent of total billed charges	129	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Coalition	PPO		49	49% of all negotiated rates	206	percent of total billed charges	206	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Humana-Commerical	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	One Health	PPO		55	55% of all negotiated rates	181	percent of total billed charges	181	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Optum Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	P3	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Select Health	HMO		41	41% of all negotiated rates	238	percent of total billed charges	238	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	268	percent of total billed charges	268	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Sierra/HPN	HMO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Silversummit Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	262	percent of total billed charges	262	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	Teachers Trust	PPO		65	65% of all negotiated rates	141	percent of total billed charges	141	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	TriWest	PPO		30	30% of all negotiated rates	282	percent of total billed charges	282	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, LARGE"			1500784	LOCAL	274	RC		outpatient			403	343	United Healthcare	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Aetna	PPO		38	38% of all negotiated rates	250	percent of total billed charges	250	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Aetna Medicare	HMO		26	26% of all negotiated rates	298	percent of total billed charges	298	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Alignment Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	202	percent of total billed charges	202	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Cigna	PPO		68	68% of all negotiated rates	129	percent of total billed charges	129	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Coalition	PPO		49	49% of all negotiated rates	206	percent of total billed charges	206	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Humana-Commerical	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	One Health	PPO		55	55% of all negotiated rates	181	percent of total billed charges	181	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Optum Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	P3	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Select Health	HMO		41	41% of all negotiated rates	238	percent of total billed charges	238	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	268	percent of total billed charges	268	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Sierra/HPN	HMO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Silversummit Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	262	percent of total billed charges	262	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	Teachers Trust	PPO		65	65% of all negotiated rates	141	percent of total billed charges	141	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	TriWest	PPO		30	30% of all negotiated rates	282	percent of total billed charges	282	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, MEDIUM"			1500783	LOCAL	274	RC		outpatient			403	343	United Healthcare	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Aetna	PPO		38	38% of all negotiated rates	250	percent of total billed charges	250	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Aetna Medicare	HMO		26	26% of all negotiated rates	298	percent of total billed charges	298	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Alignment Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	202	percent of total billed charges	202	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Cigna	PPO		68	68% of all negotiated rates	129	percent of total billed charges	129	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Coalition	PPO		49	49% of all negotiated rates	206	percent of total billed charges	206	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Humana-Commerical	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	One Health	PPO		55	55% of all negotiated rates	181	percent of total billed charges	181	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Optum Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	P3	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Select Health	HMO		41	41% of all negotiated rates	238	percent of total billed charges	238	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	268	percent of total billed charges	268	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Sierra/HPN	HMO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Silversummit Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	262	percent of total billed charges	262	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	Teachers Trust	PPO		65	65% of all negotiated rates	141	percent of total billed charges	141	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	TriWest	PPO		30	30% of all negotiated rates	282	percent of total billed charges	282	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, SMALL"			1500782	LOCAL	274	RC		outpatient			403	343	United Healthcare	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Aetna	PPO		38	38% of all negotiated rates	250	percent of total billed charges	250	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Aetna Medicare	HMO		26	26% of all negotiated rates	298	percent of total billed charges	298	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Alignment Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	202	percent of total billed charges	202	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Cigna	PPO		68	68% of all negotiated rates	129	percent of total billed charges	129	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Coalition	PPO		49	49% of all negotiated rates	206	percent of total billed charges	206	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Humana-Commerical	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	One Health	PPO		55	55% of all negotiated rates	181	percent of total billed charges	181	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Optum Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	P3	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Select Health	HMO		41	41% of all negotiated rates	238	percent of total billed charges	238	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	268	percent of total billed charges	268	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Sierra/HPN	HMO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Silversummit Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	262	percent of total billed charges	262	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	Teachers Trust	PPO		65	65% of all negotiated rates	141	percent of total billed charges	141	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	TriWest	PPO		30	30% of all negotiated rates	282	percent of total billed charges	282	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
"AIR WALKER BOOT, X-LARGE"			1500785	LOCAL	274	RC		outpatient			403	343	United Healthcare	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Aetna Medicare	HMO		26	26% of all negotiated rates	88	percent of total billed charges	88	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Alignment Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	59	percent of total billed charges	59	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	One Health	PPO		55	55% of all negotiated rates	53	percent of total billed charges	53	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Optum Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	P3	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Select Health	HMO		41	41% of all negotiated rates	70	percent of total billed charges	70	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	79	percent of total billed charges	79	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Silversummit Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	77	percent of total billed charges	77	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	TriWest	PPO		30	30% of all negotiated rates	83	percent of total billed charges	83	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM LG			1500073	LOCAL	274	RC		outpatient			119	101	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Aetna Medicare	HMO		26	26% of all negotiated rates	88	percent of total billed charges	88	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Alignment Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	59	percent of total billed charges	59	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	One Health	PPO		55	55% of all negotiated rates	53	percent of total billed charges	53	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Optum Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	P3	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Select Health	HMO		41	41% of all negotiated rates	70	percent of total billed charges	70	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	79	percent of total billed charges	79	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Silversummit Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	77	percent of total billed charges	77	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	TriWest	PPO		30	30% of all negotiated rates	83	percent of total billed charges	83	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM MED			1500074	LOCAL	274	RC		outpatient			119	101	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Aetna Medicare	HMO		26	26% of all negotiated rates	88	percent of total billed charges	88	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Alignment Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	59	percent of total billed charges	59	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	One Health	PPO		55	55% of all negotiated rates	53	percent of total billed charges	53	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Optum Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	P3	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Select Health	HMO		41	41% of all negotiated rates	70	percent of total billed charges	70	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	79	percent of total billed charges	79	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Silversummit Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	77	percent of total billed charges	77	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	TriWest	PPO		30	30% of all negotiated rates	83	percent of total billed charges	83	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
CERVICAL COLLAR FOAM SMAL			1500075	LOCAL	274	RC		outpatient			119	101	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Aetna	PPO		38	38% of all negotiated rates	113	percent of total billed charges	113	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Aetna Medicare	HMO		26	26% of all negotiated rates	135	percent of total billed charges	135	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Alignment Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	91	percent of total billed charges	91	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Cigna	PPO		68	68% of all negotiated rates	58	percent of total billed charges	58	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Coalition	PPO		49	49% of all negotiated rates	93	percent of total billed charges	93	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Coventry	PPO		75	75% of all negotiated rates	46	percent of total billed charges	46	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Humana-Commerical	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Multiplan	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	One Health	PPO		55	55% of all negotiated rates	82	percent of total billed charges	82	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Optum Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	P3	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Select Health	HMO		41	41% of all negotiated rates	108	percent of total billed charges	108	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	121	percent of total billed charges	121	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Sierra/HPN	HMO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Silversummit Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	119	percent of total billed charges	119	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	Teachers Trust	PPO		65	65% of all negotiated rates	64	percent of total billed charges	64	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	TriWest	PPO		30	30% of all negotiated rates	128	percent of total billed charges	128	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT LG			1500087	LOCAL	274	RC		outpatient			183	155	United Healthcare	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Aetna	PPO		38	38% of all negotiated rates	113	percent of total billed charges	113	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Aetna Medicare	HMO		26	26% of all negotiated rates	135	percent of total billed charges	135	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Alignment Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	91	percent of total billed charges	91	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Cigna	PPO		68	68% of all negotiated rates	58	percent of total billed charges	58	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Coalition	PPO		49	49% of all negotiated rates	93	percent of total billed charges	93	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Coventry	PPO		75	75% of all negotiated rates	46	percent of total billed charges	46	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Humana-Commerical	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Multiplan	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	One Health	PPO		55	55% of all negotiated rates	82	percent of total billed charges	82	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Optum Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	P3	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Select Health	HMO		41	41% of all negotiated rates	108	percent of total billed charges	108	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	121	percent of total billed charges	121	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Sierra/HPN	HMO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Silversummit Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	119	percent of total billed charges	119	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	Teachers Trust	PPO		65	65% of all negotiated rates	64	percent of total billed charges	64	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	TriWest	PPO		30	30% of all negotiated rates	128	percent of total billed charges	128	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT MED			1500088	LOCAL	274	RC		outpatient			183	155	United Healthcare	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Aetna	PPO		38	38% of all negotiated rates	113	percent of total billed charges	113	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Aetna Medicare	HMO		26	26% of all negotiated rates	135	percent of total billed charges	135	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Alignment Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	91	percent of total billed charges	91	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Cigna	PPO		68	68% of all negotiated rates	58	percent of total billed charges	58	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Coalition	PPO		49	49% of all negotiated rates	93	percent of total billed charges	93	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Coventry	PPO		75	75% of all negotiated rates	46	percent of total billed charges	46	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Humana-Commerical	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Multiplan	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	One Health	PPO		55	55% of all negotiated rates	82	percent of total billed charges	82	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Optum Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	P3	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Select Health	HMO		41	41% of all negotiated rates	108	percent of total billed charges	108	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	121	percent of total billed charges	121	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Sierra/HPN	HMO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Silversummit Medicare	HMO		39	39% of all negotiated rates	111	percent of total billed charges	111	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	119	percent of total billed charges	119	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	Teachers Trust	PPO		65	65% of all negotiated rates	64	percent of total billed charges	64	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	TriWest	PPO		30	30% of all negotiated rates	128	percent of total billed charges	128	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	183	
CLAVICAL SPLINT SML			1500089	LOCAL	274	RC		outpatient			183	155	United Healthcare	PPO		60	60% of all negotiated rates	73	percent of total billed charges	73	183	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT LG			1500090	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT. MED.			1500091	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT LT. SML.			1500092	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT RT MED			1500093	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT RT. LG.			1500094	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
COCKUP SPLINT SM. RIGHT			1500095	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, LONG"			1500138	LOCAL	274	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, MEDIUM"			1500139	LOCAL	274	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"HINGED KNEE BRACE, SHORT"			1500140	LOCAL	274	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
"IMMOBILIZER, DELUXE SHOUL"			1500146	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
"IMMOBILIZER, DELUXE X-SM"			1500147	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Aetna	PPO		38	38% of all negotiated rates	215	percent of total billed charges	215	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Aetna Medicare	HMO		26	26% of all negotiated rates	256	percent of total billed charges	256	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Alignment Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	173	percent of total billed charges	173	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Cigna	PPO		68	68% of all negotiated rates	111	percent of total billed charges	111	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Coalition	PPO		49	49% of all negotiated rates	177	percent of total billed charges	177	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Humana-Commerical	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Multiplan	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	One Health	PPO		55	55% of all negotiated rates	156	percent of total billed charges	156	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Optum Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	P3	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Select Health	HMO		41	41% of all negotiated rates	204	percent of total billed charges	204	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	230	percent of total billed charges	230	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Sierra/HPN	HMO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Silversummit Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	225	percent of total billed charges	225	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	Teachers Trust	PPO		65	65% of all negotiated rates	121	percent of total billed charges	121	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	TriWest	PPO		30	30% of all negotiated rates	243	percent of total billed charges	243	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 16 INCH			1500171	LOCAL	274	RC		outpatient			347	295	United Healthcare	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Aetna	PPO		38	38% of all negotiated rates	215	percent of total billed charges	215	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Aetna Medicare	HMO		26	26% of all negotiated rates	256	percent of total billed charges	256	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Alignment Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	173	percent of total billed charges	173	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Cigna	PPO		68	68% of all negotiated rates	111	percent of total billed charges	111	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Coalition	PPO		49	49% of all negotiated rates	177	percent of total billed charges	177	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Humana-Commerical	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Multiplan	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	One Health	PPO		55	55% of all negotiated rates	156	percent of total billed charges	156	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Optum Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	P3	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Select Health	HMO		41	41% of all negotiated rates	204	percent of total billed charges	204	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	230	percent of total billed charges	230	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Sierra/HPN	HMO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Silversummit Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	225	percent of total billed charges	225	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	Teachers Trust	PPO		65	65% of all negotiated rates	121	percent of total billed charges	121	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	TriWest	PPO		30	30% of all negotiated rates	243	percent of total billed charges	243	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 20 inch			1500169	LOCAL	274	RC		outpatient			347	295	United Healthcare	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Aetna	PPO		38	38% of all negotiated rates	215	percent of total billed charges	215	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Aetna Medicare	HMO		26	26% of all negotiated rates	256	percent of total billed charges	256	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Alignment Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	173	percent of total billed charges	173	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Cigna	PPO		68	68% of all negotiated rates	111	percent of total billed charges	111	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Coalition	PPO		49	49% of all negotiated rates	177	percent of total billed charges	177	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Humana-Commerical	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Multiplan	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	One Health	PPO		55	55% of all negotiated rates	156	percent of total billed charges	156	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Optum Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	P3	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Select Health	HMO		41	41% of all negotiated rates	204	percent of total billed charges	204	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	230	percent of total billed charges	230	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Sierra/HPN	HMO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Silversummit Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	225	percent of total billed charges	225	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	Teachers Trust	PPO		65	65% of all negotiated rates	121	percent of total billed charges	121	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	TriWest	PPO		30	30% of all negotiated rates	243	percent of total billed charges	243	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE IMMOBILIZER 24 INCH			1500170	LOCAL	274	RC		outpatient			347	295	United Healthcare	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Aetna	PPO		38	38% of all negotiated rates	215	percent of total billed charges	215	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Aetna Medicare	HMO		26	26% of all negotiated rates	256	percent of total billed charges	256	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Alignment Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	173	percent of total billed charges	173	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Cigna	PPO		68	68% of all negotiated rates	111	percent of total billed charges	111	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Coalition	PPO		49	49% of all negotiated rates	177	percent of total billed charges	177	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Humana-Commerical	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Multiplan	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	One Health	PPO		55	55% of all negotiated rates	156	percent of total billed charges	156	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Optum Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	P3	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Select Health	HMO		41	41% of all negotiated rates	204	percent of total billed charges	204	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	230	percent of total billed charges	230	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Sierra/HPN	HMO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Silversummit Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	225	percent of total billed charges	225	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	Teachers Trust	PPO		65	65% of all negotiated rates	121	percent of total billed charges	121	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	TriWest	PPO		30	30% of all negotiated rates	243	percent of total billed charges	243	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE SPLINT 20 INCH			1500172	LOCAL	274	RC		outpatient			347	295	United Healthcare	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Aetna	PPO		38	38% of all negotiated rates	215	percent of total billed charges	215	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Aetna Medicare	HMO		26	26% of all negotiated rates	256	percent of total billed charges	256	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Alignment Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	173	percent of total billed charges	173	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Cigna	PPO		68	68% of all negotiated rates	111	percent of total billed charges	111	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Coalition	PPO		49	49% of all negotiated rates	177	percent of total billed charges	177	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Humana-Commerical	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Multiplan	PPO		80	80% of all negotiated rates	69	percent of total billed charges	69	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	One Health	PPO		55	55% of all negotiated rates	156	percent of total billed charges	156	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Optum Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	P3	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Select Health	HMO		41	41% of all negotiated rates	204	percent of total billed charges	204	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	230	percent of total billed charges	230	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Sierra/HPN	HMO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Silversummit Medicare	HMO		39	39% of all negotiated rates	211	percent of total billed charges	211	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	225	percent of total billed charges	225	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	Teachers Trust	PPO		65	65% of all negotiated rates	121	percent of total billed charges	121	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	TriWest	PPO		30	30% of all negotiated rates	243	percent of total billed charges	243	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	347	
KNEE SPLINT 24 INCH			1500173	LOCAL	274	RC		outpatient			347	295	United Healthcare	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	347	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM LG FEM.			1500260	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM LG.MALE			1500261	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM MD FEM.			1500262	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM XLG FEM.			1500263	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM XLG MALE			1500264	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM. MD.MALE			1500265	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM. XXL FEM			1500266	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMM.XXL MALE			1500267	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	TriWest	PPO		30	30% of all negotiated rates	161	percent of total billed charges	161	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SHOULDER/ARM IMMOB  SM			1500268	LOCAL	274	RC		outpatient			230	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE LG. LEFT			1501151	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE LG. RIGHT			1501150	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE MED. LEFT			1501148	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE MED. RIGHT			1501149	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE SM. RIGHT			1501146	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE XL LEFT			1501153	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST BRACE XL RIGHT			1501152	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Aetna	PPO		38	38% of all negotiated rates	67	percent of total billed charges	67	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Aetna Medicare	HMO		26	26% of all negotiated rates	80	percent of total billed charges	80	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Alignment Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	One Health	PPO		55	55% of all negotiated rates	49	percent of total billed charges	49	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Optum Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	P3	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Select Health	HMO		41	41% of all negotiated rates	64	percent of total billed charges	64	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	72	percent of total billed charges	72	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Silversummit Medicare	HMO		39	39% of all negotiated rates	66	percent of total billed charges	66	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	Teachers Trust	PPO		65	65% of all negotiated rates	38	percent of total billed charges	38	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	TriWest	PPO		30	30% of all negotiated rates	76	percent of total billed charges	76	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	108	
THUMB SPICA WRIST SPLINT SM. LEFT			1501147	LOCAL	274	RC		outpatient			108	92	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	108	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Aetna	PPO		38	38% of all negotiated rates	995	percent of total billed charges	995	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Aetna Medicare	HMO		26	26% of all negotiated rates	1188	percent of total billed charges	1188	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Alignment Medicare	HMO		39	39% of all negotiated rates	979	percent of total billed charges	979	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	642	percent of total billed charges	642	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	803	percent of total billed charges	803	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	979	percent of total billed charges	979	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Cigna	PPO		68	68% of all negotiated rates	514	percent of total billed charges	514	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Coalition	PPO		49	49% of all negotiated rates	819	percent of total billed charges	819	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Coventry	PPO		75	75% of all negotiated rates	401	percent of total billed charges	401	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	321	percent of total billed charges	321	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Humana-Commerical	PPO		70	70% of all negotiated rates	482	percent of total billed charges	482	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	979	percent of total billed charges	979	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Multiplan	PPO		80	80% of all negotiated rates	321	percent of total billed charges	321	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	One Health	PPO		55	55% of all negotiated rates	722	percent of total billed charges	722	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Optum Medicare	HMO		39	39% of all negotiated rates	979	percent of total billed charges	979	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	P3	HMO		39	39% of all negotiated rates	979	percent of total billed charges	979	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	482	percent of total billed charges	482	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Select Health	HMO		41	41% of all negotiated rates	947	percent of total billed charges	947	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1068	percent of total billed charges	1068	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Sierra/HPN	HMO		60	60% of all negotiated rates	642	percent of total billed charges	642	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Silversummit Medicare	HMO		39	39% of all negotiated rates	979	percent of total billed charges	979	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1044	percent of total billed charges	1044	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	Teachers Trust	PPO		65	65% of all negotiated rates	562	percent of total billed charges	562	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	TriWest	PPO		30	30% of all negotiated rates	1124	percent of total billed charges	1124	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	482	percent of total billed charges	482	1605	
TLSO BRACE			1501193	LOCAL	274	RC		outpatient			1605	1365	United Healthcare	PPO		60	60% of all negotiated rates	642	percent of total billed charges	642	1605	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, LARGE LEFT"			1500375	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, LARGE RIGHT"			1500376	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, MEDIUM LEFT"			1500377	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, MEDIUM RIGH"			1500378	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, SMALL LEFT"			1500379	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
"WRIST SPLINT, SMALL RIGHT"			1500380	LOCAL	274	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Aetna	PPO		38	38% of all negotiated rates	2154	percent of total billed charges	2154	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Aetna Medicare	HMO		26	26% of all negotiated rates	2570	percent of total billed charges	2570	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Alignment Medicare	HMO		39	39% of all negotiated rates	2119	percent of total billed charges	2119	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1389	percent of total billed charges	1389	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1737	percent of total billed charges	1737	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2119	percent of total billed charges	2119	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Cigna	PPO		68	68% of all negotiated rates	1111	percent of total billed charges	1111	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Coalition	PPO		49	49% of all negotiated rates	1771	percent of total billed charges	1771	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Coventry	PPO		75	75% of all negotiated rates	868	percent of total billed charges	868	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	695	percent of total billed charges	695	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Humana-Commerical	PPO		70	70% of all negotiated rates	1042	percent of total billed charges	1042	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2119	percent of total billed charges	2119	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Multiplan	PPO		80	80% of all negotiated rates	695	percent of total billed charges	695	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	One Health	PPO		55	55% of all negotiated rates	1563	percent of total billed charges	1563	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Optum Medicare	HMO		39	39% of all negotiated rates	2119	percent of total billed charges	2119	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	P3	HMO		39	39% of all negotiated rates	2119	percent of total billed charges	2119	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1042	percent of total billed charges	1042	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Select Health	HMO		41	41% of all negotiated rates	2049	percent of total billed charges	2049	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2310	percent of total billed charges	2310	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Sierra/HPN	HMO		60	60% of all negotiated rates	1389	percent of total billed charges	1389	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Silversummit Medicare	HMO		39	39% of all negotiated rates	2119	percent of total billed charges	2119	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2258	percent of total billed charges	2258	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	Teachers Trust	PPO		65	65% of all negotiated rates	1216	percent of total billed charges	1216	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	TriWest	PPO		30	30% of all negotiated rates	2431	percent of total billed charges	2431	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1042	percent of total billed charges	1042	3473	
ACTISHIELD BARRIER MEMBRANE			1501145	LOCAL	278	RC		outpatient			3473	2952	United Healthcare	PPO		60	60% of all negotiated rates	1389	percent of total billed charges	1389	3473	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Aetna	PPO		38	38% of all negotiated rates	5347	percent of total billed charges	5347	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Aetna Medicare	HMO		26	26% of all negotiated rates	6382	percent of total billed charges	6382	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Alignment Medicare	HMO		39	39% of all negotiated rates	5261	percent of total billed charges	5261	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3450	percent of total billed charges	3450	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4312	percent of total billed charges	4312	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5261	percent of total billed charges	5261	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Cigna	PPO		68	68% of all negotiated rates	2760	percent of total billed charges	2760	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Coalition	PPO		49	49% of all negotiated rates	4399	percent of total billed charges	4399	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Coventry	PPO		75	75% of all negotiated rates	2156	percent of total billed charges	2156	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1725	percent of total billed charges	1725	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Humana-Commerical	PPO		70	70% of all negotiated rates	2587	percent of total billed charges	2587	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5261	percent of total billed charges	5261	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Multiplan	PPO		80	80% of all negotiated rates	1725	percent of total billed charges	1725	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	One Health	PPO		55	55% of all negotiated rates	3881	percent of total billed charges	3881	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Optum Medicare	HMO		39	39% of all negotiated rates	5261	percent of total billed charges	5261	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	P3	HMO		39	39% of all negotiated rates	5261	percent of total billed charges	5261	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2587	percent of total billed charges	2587	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Select Health	HMO		41	41% of all negotiated rates	5089	percent of total billed charges	5089	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5735	percent of total billed charges	5735	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Sierra/HPN	HMO		60	60% of all negotiated rates	3450	percent of total billed charges	3450	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Silversummit Medicare	HMO		39	39% of all negotiated rates	5261	percent of total billed charges	5261	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5606	percent of total billed charges	5606	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	Teachers Trust	PPO		65	65% of all negotiated rates	3019	percent of total billed charges	3019	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	TriWest	PPO		30	30% of all negotiated rates	6037	percent of total billed charges	6037	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2587	percent of total billed charges	2587	8625	
"AMNION THIN, 4X8 AMINOGRAFT"			1501162	LOCAL	278	RC		outpatient			8625	7331	United Healthcare	PPO		60	60% of all negotiated rates	3450	percent of total billed charges	3450	8625	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Aetna	PPO		38	38% of all negotiated rates	971	percent of total billed charges	971	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Aetna Medicare	HMO		26	26% of all negotiated rates	1159	percent of total billed charges	1159	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Alignment Medicare	HMO		39	39% of all negotiated rates	955	percent of total billed charges	955	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	626	percent of total billed charges	626	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	783	percent of total billed charges	783	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	955	percent of total billed charges	955	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Cigna	PPO		68	68% of all negotiated rates	501	percent of total billed charges	501	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Coalition	PPO		49	49% of all negotiated rates	798	percent of total billed charges	798	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Coventry	PPO		75	75% of all negotiated rates	391	percent of total billed charges	391	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	313	percent of total billed charges	313	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Humana-Commerical	PPO		70	70% of all negotiated rates	470	percent of total billed charges	470	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	955	percent of total billed charges	955	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Multiplan	PPO		80	80% of all negotiated rates	313	percent of total billed charges	313	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	One Health	PPO		55	55% of all negotiated rates	704	percent of total billed charges	704	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Optum Medicare	HMO		39	39% of all negotiated rates	955	percent of total billed charges	955	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	P3	HMO		39	39% of all negotiated rates	955	percent of total billed charges	955	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	470	percent of total billed charges	470	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Select Health	HMO		41	41% of all negotiated rates	924	percent of total billed charges	924	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1041	percent of total billed charges	1041	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Sierra/HPN	HMO		60	60% of all negotiated rates	626	percent of total billed charges	626	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Silversummit Medicare	HMO		39	39% of all negotiated rates	955	percent of total billed charges	955	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1018	percent of total billed charges	1018	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	Teachers Trust	PPO		65	65% of all negotiated rates	548	percent of total billed charges	548	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	TriWest	PPO		30	30% of all negotiated rates	1096	percent of total billed charges	1096	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	470	percent of total billed charges	470	1566	
ANCHOR CORKSCREW 5.0 AR-1			1500544	LOCAL	278	RC		outpatient			1566	1331	United Healthcare	PPO		60	60% of all negotiated rates	626	percent of total billed charges	626	1566	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Aetna	PPO		38	38% of all negotiated rates	6118	percent of total billed charges	6118	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Aetna Medicare	HMO		26	26% of all negotiated rates	7302	percent of total billed charges	7302	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Alignment Medicare	HMO		39	39% of all negotiated rates	6019	percent of total billed charges	6019	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3947	percent of total billed charges	3947	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4934	percent of total billed charges	4934	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6019	percent of total billed charges	6019	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Cigna	PPO		68	68% of all negotiated rates	3158	percent of total billed charges	3158	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Coalition	PPO		49	49% of all negotiated rates	5033	percent of total billed charges	5033	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Coventry	PPO		75	75% of all negotiated rates	2467	percent of total billed charges	2467	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1974	percent of total billed charges	1974	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Humana-Commerical	PPO		70	70% of all negotiated rates	2960	percent of total billed charges	2960	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6019	percent of total billed charges	6019	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Multiplan	PPO		80	80% of all negotiated rates	1974	percent of total billed charges	1974	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	One Health	PPO		55	55% of all negotiated rates	4441	percent of total billed charges	4441	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Optum Medicare	HMO		39	39% of all negotiated rates	6019	percent of total billed charges	6019	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	P3	HMO		39	39% of all negotiated rates	6019	percent of total billed charges	6019	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2960	percent of total billed charges	2960	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Select Health	HMO		41	41% of all negotiated rates	5822	percent of total billed charges	5822	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6562	percent of total billed charges	6562	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Sierra/HPN	HMO		60	60% of all negotiated rates	3947	percent of total billed charges	3947	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Silversummit Medicare	HMO		39	39% of all negotiated rates	6019	percent of total billed charges	6019	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6414	percent of total billed charges	6414	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	Teachers Trust	PPO		65	65% of all negotiated rates	3454	percent of total billed charges	3454	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	TriWest	PPO		30	30% of all negotiated rates	6908	percent of total billed charges	6908	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2960	percent of total billed charges	2960	9868	
AUGMENT INJECTABLE KIT			1501226	LOCAL	278	RC		outpatient			9868	8388	United Healthcare	PPO		60	60% of all negotiated rates	3947	percent of total billed charges	3947	9868	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Aetna	PPO		38	38% of all negotiated rates	2441	percent of total billed charges	2441	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Aetna Medicare	HMO		26	26% of all negotiated rates	2914	percent of total billed charges	2914	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Alignment Medicare	HMO		39	39% of all negotiated rates	2402	percent of total billed charges	2402	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1575	percent of total billed charges	1575	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1969	percent of total billed charges	1969	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2402	percent of total billed charges	2402	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Cigna	PPO		68	68% of all negotiated rates	1260	percent of total billed charges	1260	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Coalition	PPO		49	49% of all negotiated rates	2008	percent of total billed charges	2008	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Coventry	PPO		75	75% of all negotiated rates	984	percent of total billed charges	984	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	788	percent of total billed charges	788	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Humana-Commerical	PPO		70	70% of all negotiated rates	1181	percent of total billed charges	1181	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2402	percent of total billed charges	2402	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Multiplan	PPO		80	80% of all negotiated rates	788	percent of total billed charges	788	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	One Health	PPO		55	55% of all negotiated rates	1772	percent of total billed charges	1772	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Optum Medicare	HMO		39	39% of all negotiated rates	2402	percent of total billed charges	2402	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	P3	HMO		39	39% of all negotiated rates	2402	percent of total billed charges	2402	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1181	percent of total billed charges	1181	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Select Health	HMO		41	41% of all negotiated rates	2323	percent of total billed charges	2323	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2618	percent of total billed charges	2618	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Sierra/HPN	HMO		60	60% of all negotiated rates	1575	percent of total billed charges	1575	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Silversummit Medicare	HMO		39	39% of all negotiated rates	2402	percent of total billed charges	2402	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2559	percent of total billed charges	2559	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	Teachers Trust	PPO		65	65% of all negotiated rates	1378	percent of total billed charges	1378	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	TriWest	PPO		30	30% of all negotiated rates	2756	percent of total billed charges	2756	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1181	percent of total billed charges	1181	3938	
HYPOCURE DEVICE SIZE 08			1501323	LOCAL	278	RC		outpatient			3938	3347	United Healthcare	PPO		60	60% of all negotiated rates	1575	percent of total billed charges	1575	3938	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Aetna	PPO		38	38% of all negotiated rates	1794	percent of total billed charges	1794	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Aetna Medicare	HMO		26	26% of all negotiated rates	2141	percent of total billed charges	2141	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Alignment Medicare	HMO		39	39% of all negotiated rates	1765	percent of total billed charges	1765	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1158	percent of total billed charges	1158	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1447	percent of total billed charges	1447	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1765	percent of total billed charges	1765	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Cigna	PPO		68	68% of all negotiated rates	926	percent of total billed charges	926	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Coalition	PPO		49	49% of all negotiated rates	1476	percent of total billed charges	1476	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Coventry	PPO		75	75% of all negotiated rates	723	percent of total billed charges	723	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	579	percent of total billed charges	579	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Humana-Commerical	PPO		70	70% of all negotiated rates	868	percent of total billed charges	868	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1765	percent of total billed charges	1765	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Multiplan	PPO		80	80% of all negotiated rates	579	percent of total billed charges	579	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	One Health	PPO		55	55% of all negotiated rates	1302	percent of total billed charges	1302	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Optum Medicare	HMO		39	39% of all negotiated rates	1765	percent of total billed charges	1765	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	P3	HMO		39	39% of all negotiated rates	1765	percent of total billed charges	1765	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	868	percent of total billed charges	868	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Select Health	HMO		41	41% of all negotiated rates	1707	percent of total billed charges	1707	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1924	percent of total billed charges	1924	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Sierra/HPN	HMO		60	60% of all negotiated rates	1158	percent of total billed charges	1158	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Silversummit Medicare	HMO		39	39% of all negotiated rates	1765	percent of total billed charges	1765	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1881	percent of total billed charges	1881	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	Teachers Trust	PPO		65	65% of all negotiated rates	1013	percent of total billed charges	1013	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	TriWest	PPO		30	30% of all negotiated rates	2026	percent of total billed charges	2026	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	868	percent of total billed charges	868	2894	
HYPROCURE DEVICE			1501140	LOCAL	278	RC		outpatient			2894	2460	United Healthcare	PPO		60	60% of all negotiated rates	1158	percent of total billed charges	1158	2894	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Aetna	PPO		38	38% of all negotiated rates	2864	percent of total billed charges	2864	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Aetna Medicare	HMO		26	26% of all negotiated rates	3419	percent of total billed charges	3419	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Alignment Medicare	HMO		39	39% of all negotiated rates	2818	percent of total billed charges	2818	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1848	percent of total billed charges	1848	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2310	percent of total billed charges	2310	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2818	percent of total billed charges	2818	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Cigna	PPO		68	68% of all negotiated rates	1478	percent of total billed charges	1478	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Coalition	PPO		49	49% of all negotiated rates	2356	percent of total billed charges	2356	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Coventry	PPO		75	75% of all negotiated rates	1155	percent of total billed charges	1155	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	924	percent of total billed charges	924	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Humana-Commerical	PPO		70	70% of all negotiated rates	1386	percent of total billed charges	1386	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2818	percent of total billed charges	2818	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Multiplan	PPO		80	80% of all negotiated rates	924	percent of total billed charges	924	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	One Health	PPO		55	55% of all negotiated rates	2079	percent of total billed charges	2079	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Optum Medicare	HMO		39	39% of all negotiated rates	2818	percent of total billed charges	2818	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	P3	HMO		39	39% of all negotiated rates	2818	percent of total billed charges	2818	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1386	percent of total billed charges	1386	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Select Health	HMO		41	41% of all negotiated rates	2726	percent of total billed charges	2726	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3072	percent of total billed charges	3072	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Sierra/HPN	HMO		60	60% of all negotiated rates	1848	percent of total billed charges	1848	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Silversummit Medicare	HMO		39	39% of all negotiated rates	2818	percent of total billed charges	2818	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3003	percent of total billed charges	3003	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	Teachers Trust	PPO		65	65% of all negotiated rates	1617	percent of total billed charges	1617	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	TriWest	PPO		30	30% of all negotiated rates	3234	percent of total billed charges	3234	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1386	percent of total billed charges	1386	4620	
IMPLANT: ACHILLES SPEED W/JUMP			1501163	LOCAL	278	RC		outpatient			4620	3927	United Healthcare	PPO		60	60% of all negotiated rates	1848	percent of total billed charges	1848	4620	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Aetna	PPO		38	38% of all negotiated rates	2920	percent of total billed charges	2920	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Aetna Medicare	HMO		26	26% of all negotiated rates	3485	percent of total billed charges	3485	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Alignment Medicare	HMO		39	39% of all negotiated rates	2873	percent of total billed charges	2873	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1884	percent of total billed charges	1884	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2355	percent of total billed charges	2355	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2873	percent of total billed charges	2873	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Cigna	PPO		68	68% of all negotiated rates	1507	percent of total billed charges	1507	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Coalition	PPO		49	49% of all negotiated rates	2402	percent of total billed charges	2402	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Coventry	PPO		75	75% of all negotiated rates	1177	percent of total billed charges	1177	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Humana-Commerical	PPO		70	70% of all negotiated rates	1413	percent of total billed charges	1413	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2873	percent of total billed charges	2873	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Multiplan	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	One Health	PPO		55	55% of all negotiated rates	2119	percent of total billed charges	2119	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Optum Medicare	HMO		39	39% of all negotiated rates	2873	percent of total billed charges	2873	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	P3	HMO		39	39% of all negotiated rates	2873	percent of total billed charges	2873	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1413	percent of total billed charges	1413	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Select Health	HMO		41	41% of all negotiated rates	2778	percent of total billed charges	2778	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3132	percent of total billed charges	3132	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Sierra/HPN	HMO		60	60% of all negotiated rates	1884	percent of total billed charges	1884	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Silversummit Medicare	HMO		39	39% of all negotiated rates	2873	percent of total billed charges	2873	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3061	percent of total billed charges	3061	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	Teachers Trust	PPO		65	65% of all negotiated rates	1648	percent of total billed charges	1648	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	TriWest	PPO		30	30% of all negotiated rates	3296	percent of total billed charges	3296	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1413	percent of total billed charges	1413	4709	
K-LESS T-ROPE			1501305	LOCAL	278	RC		outpatient			4709	4003	United Healthcare	PPO		60	60% of all negotiated rates	1884	percent of total billed charges	1884	4709	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Aetna	PPO		38	38% of all negotiated rates	3701	percent of total billed charges	3701	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Aetna Medicare	HMO		26	26% of all negotiated rates	4417	percent of total billed charges	4417	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Alignment Medicare	HMO		39	39% of all negotiated rates	3641	percent of total billed charges	3641	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2388	percent of total billed charges	2388	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2985	percent of total billed charges	2985	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3641	percent of total billed charges	3641	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Cigna	PPO		68	68% of all negotiated rates	1910	percent of total billed charges	1910	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Coalition	PPO		49	49% of all negotiated rates	3044	percent of total billed charges	3044	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Coventry	PPO		75	75% of all negotiated rates	1492	percent of total billed charges	1492	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1194	percent of total billed charges	1194	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Humana-Commerical	PPO		70	70% of all negotiated rates	1791	percent of total billed charges	1791	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3641	percent of total billed charges	3641	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Multiplan	PPO		80	80% of all negotiated rates	1194	percent of total billed charges	1194	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	One Health	PPO		55	55% of all negotiated rates	2686	percent of total billed charges	2686	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Optum Medicare	HMO		39	39% of all negotiated rates	3641	percent of total billed charges	3641	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	P3	HMO		39	39% of all negotiated rates	3641	percent of total billed charges	3641	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1791	percent of total billed charges	1791	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Select Health	HMO		41	41% of all negotiated rates	3522	percent of total billed charges	3522	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3970	percent of total billed charges	3970	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Sierra/HPN	HMO		60	60% of all negotiated rates	2388	percent of total billed charges	2388	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Silversummit Medicare	HMO		39	39% of all negotiated rates	3641	percent of total billed charges	3641	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3880	percent of total billed charges	3880	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	Teachers Trust	PPO		65	65% of all negotiated rates	2089	percent of total billed charges	2089	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	TriWest	PPO		30	30% of all negotiated rates	4178	percent of total billed charges	4178	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1791	percent of total billed charges	1791	5969	
KNOTLESS MINI TR IMPLANT			1501312	LOCAL	278	RC		outpatient			5969	5074	United Healthcare	PPO		60	60% of all negotiated rates	2388	percent of total billed charges	2388	5969	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Aetna	PPO		38	38% of all negotiated rates	576	percent of total billed charges	576	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Aetna Medicare	HMO		26	26% of all negotiated rates	688	percent of total billed charges	688	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Alignment Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	465	percent of total billed charges	465	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Cigna	PPO		68	68% of all negotiated rates	297	percent of total billed charges	297	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Coalition	PPO		49	49% of all negotiated rates	474	percent of total billed charges	474	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Coventry	PPO		75	75% of all negotiated rates	232	percent of total billed charges	232	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Humana-Commerical	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Multiplan	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	One Health	PPO		55	55% of all negotiated rates	418	percent of total billed charges	418	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Optum Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	P3	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Select Health	HMO		41	41% of all negotiated rates	548	percent of total billed charges	548	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	618	percent of total billed charges	618	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Sierra/HPN	HMO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Silversummit Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	604	percent of total billed charges	604	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	Teachers Trust	PPO		65	65% of all negotiated rates	325	percent of total billed charges	325	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	TriWest	PPO		30	30% of all negotiated rates	650	percent of total billed charges	650	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
KREULOCK COMPRESSION SCREW 2.7X14MM			1501299	LOCAL	278	RC		outpatient			929	790	United Healthcare	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Aetna	PPO		38	38% of all negotiated rates	576	percent of total billed charges	576	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Aetna Medicare	HMO		26	26% of all negotiated rates	688	percent of total billed charges	688	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Alignment Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	465	percent of total billed charges	465	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Cigna	PPO		68	68% of all negotiated rates	297	percent of total billed charges	297	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Coalition	PPO		49	49% of all negotiated rates	474	percent of total billed charges	474	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Coventry	PPO		75	75% of all negotiated rates	232	percent of total billed charges	232	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Humana-Commerical	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Multiplan	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	One Health	PPO		55	55% of all negotiated rates	418	percent of total billed charges	418	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Optum Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	P3	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Select Health	HMO		41	41% of all negotiated rates	548	percent of total billed charges	548	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	618	percent of total billed charges	618	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Sierra/HPN	HMO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Silversummit Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	604	percent of total billed charges	604	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	Teachers Trust	PPO		65	65% of all negotiated rates	325	percent of total billed charges	325	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	TriWest	PPO		30	30% of all negotiated rates	650	percent of total billed charges	650	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
KREULOCK COMPRESSION SCREW 2.7X16MM			1501300	LOCAL	278	RC		outpatient			929	790	United Healthcare	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Aetna	PPO		38	38% of all negotiated rates	2542	percent of total billed charges	2542	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Aetna Medicare	HMO		26	26% of all negotiated rates	3034	percent of total billed charges	3034	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Alignment Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1640	percent of total billed charges	1640	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2050	percent of total billed charges	2050	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Cigna	PPO		68	68% of all negotiated rates	1312	percent of total billed charges	1312	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Coalition	PPO		49	49% of all negotiated rates	2091	percent of total billed charges	2091	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Coventry	PPO		75	75% of all negotiated rates	1025	percent of total billed charges	1025	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	820	percent of total billed charges	820	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Humana-Commerical	PPO		70	70% of all negotiated rates	1230	percent of total billed charges	1230	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Multiplan	PPO		80	80% of all negotiated rates	820	percent of total billed charges	820	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	One Health	PPO		55	55% of all negotiated rates	1845	percent of total billed charges	1845	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Optum Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	P3	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1230	percent of total billed charges	1230	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Select Health	HMO		41	41% of all negotiated rates	2419	percent of total billed charges	2419	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2727	percent of total billed charges	2727	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Sierra/HPN	HMO		60	60% of all negotiated rates	1640	percent of total billed charges	1640	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Silversummit Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2665	percent of total billed charges	2665	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	Teachers Trust	PPO		65	65% of all negotiated rates	1435	percent of total billed charges	1435	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	TriWest	PPO		30	30% of all negotiated rates	2870	percent of total billed charges	2870	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1230	percent of total billed charges	1230	4100	
"KUGEL PATCH, MED. OVAL"			1500638	LOCAL	278	RC		outpatient			4100	3485	United Healthcare	PPO		60	60% of all negotiated rates	1640	percent of total billed charges	1640	4100	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Aetna	PPO		38	38% of all negotiated rates	2080	percent of total billed charges	2080	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Aetna Medicare	HMO		26	26% of all negotiated rates	2483	percent of total billed charges	2483	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Alignment Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1342	percent of total billed charges	1342	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1677	percent of total billed charges	1677	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Cigna	PPO		68	68% of all negotiated rates	1074	percent of total billed charges	1074	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Coalition	PPO		49	49% of all negotiated rates	1711	percent of total billed charges	1711	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Coventry	PPO		75	75% of all negotiated rates	839	percent of total billed charges	839	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	671	percent of total billed charges	671	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Humana-Commerical	PPO		70	70% of all negotiated rates	1006	percent of total billed charges	1006	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Multiplan	PPO		80	80% of all negotiated rates	671	percent of total billed charges	671	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	One Health	PPO		55	55% of all negotiated rates	1510	percent of total billed charges	1510	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Optum Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	P3	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1006	percent of total billed charges	1006	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Select Health	HMO		41	41% of all negotiated rates	1979	percent of total billed charges	1979	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2231	percent of total billed charges	2231	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Sierra/HPN	HMO		60	60% of all negotiated rates	1342	percent of total billed charges	1342	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Silversummit Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2181	percent of total billed charges	2181	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	Teachers Trust	PPO		65	65% of all negotiated rates	1174	percent of total billed charges	1174	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	TriWest	PPO		30	30% of all negotiated rates	2348	percent of total billed charges	2348	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1006	percent of total billed charges	1006	3355	
"KUGEL PATCH, SMALL OVAL"			1500639	LOCAL	278	RC		outpatient			3355	2852	United Healthcare	PPO		60	60% of all negotiated rates	1342	percent of total billed charges	1342	3355	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Aetna	PPO		38	38% of all negotiated rates	7145	percent of total billed charges	7145	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Aetna Medicare	HMO		26	26% of all negotiated rates	8528	percent of total billed charges	8528	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Alignment Medicare	HMO		39	39% of all negotiated rates	7030	percent of total billed charges	7030	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4610	percent of total billed charges	4610	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5762	percent of total billed charges	5762	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7030	percent of total billed charges	7030	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Cigna	PPO		68	68% of all negotiated rates	3688	percent of total billed charges	3688	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Coalition	PPO		49	49% of all negotiated rates	5878	percent of total billed charges	5878	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Coventry	PPO		75	75% of all negotiated rates	2881	percent of total billed charges	2881	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2305	percent of total billed charges	2305	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Humana-Commerical	PPO		46	46% of all negotiated rates	6223	percent of total billed charges	6223	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7030	percent of total billed charges	7030	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Multiplan	PPO		80	80% of all negotiated rates	2305	percent of total billed charges	2305	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	One Health	PPO		55	55% of all negotiated rates	5186	percent of total billed charges	5186	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Optum Medicare	HMO		39	39% of all negotiated rates	7030	percent of total billed charges	7030	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	P3	HMO		39	39% of all negotiated rates	7030	percent of total billed charges	7030	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3457	percent of total billed charges	3457	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Select Health	HMO		41	41% of all negotiated rates	6800	percent of total billed charges	6800	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	7664	percent of total billed charges	7664	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Sierra/HPN	HMO		60	60% of all negotiated rates	4610	percent of total billed charges	4610	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Silversummit Medicare	HMO		39	39% of all negotiated rates	7030	percent of total billed charges	7030	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	7491	percent of total billed charges	7491	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	Teachers Trust	PPO		65	65% of all negotiated rates	4034	percent of total billed charges	4034	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	TriWest	PPO		30	30% of all negotiated rates	8067	percent of total billed charges	8067	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3457	percent of total billed charges	3457	11525	
LAPIPLASTY SELECT SK34			1501280	LOCAL	278	RC		outpatient			11525	9796	United Healthcare	PPO		60	60% of all negotiated rates	4610	percent of total billed charges	4610	11525	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Aetna	PPO		38	38% of all negotiated rates	9437	percent of total billed charges	9437	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Aetna Medicare	HMO		26	26% of all negotiated rates	11263	percent of total billed charges	11263	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Alignment Medicare	HMO		39	39% of all negotiated rates	9285	percent of total billed charges	9285	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6088	percent of total billed charges	6088	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7610	percent of total billed charges	7610	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	9285	percent of total billed charges	9285	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Cigna	PPO		68	68% of all negotiated rates	4871	percent of total billed charges	4871	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Coalition	PPO		49	49% of all negotiated rates	7763	percent of total billed charges	7763	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Coventry	PPO		75	75% of all negotiated rates	3805	percent of total billed charges	3805	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3044	percent of total billed charges	3044	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Humana-Commerical	PPO		70	70% of all negotiated rates	4566	percent of total billed charges	4566	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	9285	percent of total billed charges	9285	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Multiplan	PPO		80	80% of all negotiated rates	3044	percent of total billed charges	3044	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	One Health	PPO		55	55% of all negotiated rates	6849	percent of total billed charges	6849	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Optum Medicare	HMO		39	39% of all negotiated rates	9285	percent of total billed charges	9285	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	P3	HMO		39	39% of all negotiated rates	9285	percent of total billed charges	9285	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4566	percent of total billed charges	4566	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Select Health	HMO		41	41% of all negotiated rates	8980	percent of total billed charges	8980	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10122	percent of total billed charges	10122	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Sierra/HPN	HMO		60	60% of all negotiated rates	6088	percent of total billed charges	6088	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Silversummit Medicare	HMO		39	39% of all negotiated rates	9285	percent of total billed charges	9285	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9894	percent of total billed charges	9894	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	Teachers Trust	PPO		65	65% of all negotiated rates	5327	percent of total billed charges	5327	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	TriWest	PPO		30	30% of all negotiated rates	10655	percent of total billed charges	10655	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4566	percent of total billed charges	4566	15221	
LAPIPLASTY SPEEDPLATE QUAD SK50			1501256	LOCAL	278	RC		outpatient			15221	12938	United Healthcare	PPO		60	60% of all negotiated rates	6088	percent of total billed charges	6088	15221	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Aetna	PPO		38	38% of all negotiated rates	8786	percent of total billed charges	8786	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Aetna Medicare	HMO		26	26% of all negotiated rates	10486	percent of total billed charges	10486	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Alignment Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5668	percent of total billed charges	5668	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7085	percent of total billed charges	7085	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Cigna	PPO		68	68% of all negotiated rates	4535	percent of total billed charges	4535	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Coalition	PPO		49	49% of all negotiated rates	7227	percent of total billed charges	7227	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Coventry	PPO		75	75% of all negotiated rates	3543	percent of total billed charges	3543	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2834	percent of total billed charges	2834	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Humana-Commerical	PPO		70	70% of all negotiated rates	4251	percent of total billed charges	4251	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Multiplan	PPO		80	80% of all negotiated rates	2834	percent of total billed charges	2834	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	One Health	PPO		55	55% of all negotiated rates	6377	percent of total billed charges	6377	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Optum Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	P3	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4251	percent of total billed charges	4251	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Select Health	HMO		41	41% of all negotiated rates	8361	percent of total billed charges	8361	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	9424	percent of total billed charges	9424	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Sierra/HPN	HMO		60	60% of all negotiated rates	5668	percent of total billed charges	5668	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Silversummit Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9211	percent of total billed charges	9211	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	Teachers Trust	PPO		65	65% of all negotiated rates	4960	percent of total billed charges	4960	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	TriWest	PPO		30	30% of all negotiated rates	9920	percent of total billed charges	9920	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4251	percent of total billed charges	4251	14171	
LAPIPLASTY SPEEDPLATE SK51			1501260	LOCAL	278	RC		outpatient			14171	12045	United Healthcare	PPO		60	60% of all negotiated rates	5668	percent of total billed charges	5668	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Aetna	PPO		38	38% of all negotiated rates	8786	percent of total billed charges	8786	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Aetna Medicare	HMO		26	26% of all negotiated rates	10486	percent of total billed charges	10486	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Alignment Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5668	percent of total billed charges	5668	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7085	percent of total billed charges	7085	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Cigna	PPO		68	68% of all negotiated rates	4535	percent of total billed charges	4535	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Coalition	PPO		49	49% of all negotiated rates	7227	percent of total billed charges	7227	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Coventry	PPO		75	75% of all negotiated rates	3543	percent of total billed charges	3543	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2834	percent of total billed charges	2834	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Humana-Commerical	PPO		70	70% of all negotiated rates	4251	percent of total billed charges	4251	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Multiplan	PPO		80	80% of all negotiated rates	2834	percent of total billed charges	2834	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	One Health	PPO		55	55% of all negotiated rates	6377	percent of total billed charges	6377	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Optum Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	P3	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4251	percent of total billed charges	4251	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Select Health	HMO		41	41% of all negotiated rates	8361	percent of total billed charges	8361	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	9424	percent of total billed charges	9424	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Sierra/HPN	HMO		60	60% of all negotiated rates	5668	percent of total billed charges	5668	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Silversummit Medicare	HMO		39	39% of all negotiated rates	8644	percent of total billed charges	8644	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9211	percent of total billed charges	9211	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	Teachers Trust	PPO		65	65% of all negotiated rates	4960	percent of total billed charges	4960	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	TriWest	PPO		30	30% of all negotiated rates	9920	percent of total billed charges	9920	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4251	percent of total billed charges	4251	14171	
LAPIPLASTY SPEEDPLATE SK52			1501257	LOCAL	278	RC		outpatient			14171	12045	United Healthcare	PPO		60	60% of all negotiated rates	5668	percent of total billed charges	5668	14171	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Aetna	PPO		38	38% of all negotiated rates	7907	percent of total billed charges	7907	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Aetna Medicare	HMO		26	26% of all negotiated rates	9437	percent of total billed charges	9437	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Alignment Medicare	HMO		39	39% of all negotiated rates	7780	percent of total billed charges	7780	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5101	percent of total billed charges	5101	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6377	percent of total billed charges	6377	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7780	percent of total billed charges	7780	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Cigna	PPO		68	68% of all negotiated rates	4081	percent of total billed charges	4081	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Coalition	PPO		49	49% of all negotiated rates	6504	percent of total billed charges	6504	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Coventry	PPO		75	75% of all negotiated rates	3188	percent of total billed charges	3188	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2551	percent of total billed charges	2551	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Humana-Commerical	PPO		70	70% of all negotiated rates	3826	percent of total billed charges	3826	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7780	percent of total billed charges	7780	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Multiplan	PPO		80	80% of all negotiated rates	2551	percent of total billed charges	2551	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	One Health	PPO		55	55% of all negotiated rates	5739	percent of total billed charges	5739	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Optum Medicare	HMO		39	39% of all negotiated rates	7780	percent of total billed charges	7780	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	P3	HMO		39	39% of all negotiated rates	7780	percent of total billed charges	7780	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3826	percent of total billed charges	3826	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Select Health	HMO		41	41% of all negotiated rates	7524	percent of total billed charges	7524	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8481	percent of total billed charges	8481	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Sierra/HPN	HMO		60	60% of all negotiated rates	5101	percent of total billed charges	5101	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Silversummit Medicare	HMO		39	39% of all negotiated rates	7780	percent of total billed charges	7780	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8290	percent of total billed charges	8290	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	Teachers Trust	PPO		65	65% of all negotiated rates	4464	percent of total billed charges	4464	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	TriWest	PPO		30	30% of all negotiated rates	8927	percent of total billed charges	8927	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3826	percent of total billed charges	3826	12753	
LAPIPLASTY SYSTEM 1			1501130	LOCAL	278	RC		outpatient			12753	10840	United Healthcare	PPO		60	60% of all negotiated rates	5101	percent of total billed charges	5101	12753	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Aetna	PPO		38	38% of all negotiated rates	8769	percent of total billed charges	8769	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Aetna Medicare	HMO		26	26% of all negotiated rates	10466	percent of total billed charges	10466	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Alignment Medicare	HMO		39	39% of all negotiated rates	8628	percent of total billed charges	8628	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5657	percent of total billed charges	5657	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7072	percent of total billed charges	7072	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8628	percent of total billed charges	8628	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Cigna	PPO		68	68% of all negotiated rates	4526	percent of total billed charges	4526	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Coalition	PPO		49	49% of all negotiated rates	7213	percent of total billed charges	7213	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Coventry	PPO		75	75% of all negotiated rates	3536	percent of total billed charges	3536	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2829	percent of total billed charges	2829	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Humana-Commerical	PPO		70	70% of all negotiated rates	4243	percent of total billed charges	4243	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8628	percent of total billed charges	8628	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Multiplan	PPO		80	80% of all negotiated rates	2829	percent of total billed charges	2829	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	One Health	PPO		55	55% of all negotiated rates	6365	percent of total billed charges	6365	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Optum Medicare	HMO		39	39% of all negotiated rates	8628	percent of total billed charges	8628	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	P3	HMO		39	39% of all negotiated rates	8628	percent of total billed charges	8628	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4243	percent of total billed charges	4243	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Select Health	HMO		41	41% of all negotiated rates	8345	percent of total billed charges	8345	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	9405	percent of total billed charges	9405	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Sierra/HPN	HMO		60	60% of all negotiated rates	5657	percent of total billed charges	5657	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Silversummit Medicare	HMO		39	39% of all negotiated rates	8628	percent of total billed charges	8628	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9193	percent of total billed charges	9193	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	Teachers Trust	PPO		65	65% of all negotiated rates	4950	percent of total billed charges	4950	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	TriWest	PPO		30	30% of all negotiated rates	9900	percent of total billed charges	9900	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4243	percent of total billed charges	4243	14144	
LAPIPLASTY SYSTEM 2			1501139	LOCAL	278	RC		outpatient			14144	12022	United Healthcare	PPO		60	60% of all negotiated rates	5657	percent of total billed charges	5657	14144	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Aetna	PPO		38	38% of all negotiated rates	8710	percent of total billed charges	8710	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Aetna Medicare	HMO		26	26% of all negotiated rates	10395	percent of total billed charges	10395	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Alignment Medicare	HMO		39	39% of all negotiated rates	8569	percent of total billed charges	8569	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5619	percent of total billed charges	5619	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7024	percent of total billed charges	7024	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8569	percent of total billed charges	8569	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Cigna	PPO		68	68% of all negotiated rates	4495	percent of total billed charges	4495	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Coalition	PPO		49	49% of all negotiated rates	7164	percent of total billed charges	7164	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Coventry	PPO		75	75% of all negotiated rates	3512	percent of total billed charges	3512	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2810	percent of total billed charges	2810	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Humana-Commerical	PPO		70	70% of all negotiated rates	4214	percent of total billed charges	4214	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8569	percent of total billed charges	8569	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Multiplan	PPO		80	80% of all negotiated rates	2810	percent of total billed charges	2810	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	One Health	PPO		55	55% of all negotiated rates	6322	percent of total billed charges	6322	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Optum Medicare	HMO		39	39% of all negotiated rates	8569	percent of total billed charges	8569	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	P3	HMO		39	39% of all negotiated rates	8569	percent of total billed charges	8569	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	4214	percent of total billed charges	4214	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Select Health	HMO		41	41% of all negotiated rates	8288	percent of total billed charges	8288	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	9342	percent of total billed charges	9342	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Sierra/HPN	HMO		60	60% of all negotiated rates	5619	percent of total billed charges	5619	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Silversummit Medicare	HMO		39	39% of all negotiated rates	8569	percent of total billed charges	8569	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9131	percent of total billed charges	9131	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	Teachers Trust	PPO		65	65% of all negotiated rates	4917	percent of total billed charges	4917	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	TriWest	PPO		30	30% of all negotiated rates	9834	percent of total billed charges	9834	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	4214	percent of total billed charges	4214	14048	
LAPIPLASTY SYSTEM 4			1501164	LOCAL	278	RC		outpatient			14048	11941	United Healthcare	PPO		60	60% of all negotiated rates	5619	percent of total billed charges	5619	14048	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Aetna	PPO		38	38% of all negotiated rates	1416	percent of total billed charges	1416	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Aetna Medicare	HMO		26	26% of all negotiated rates	1690	percent of total billed charges	1690	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Alignment Medicare	HMO		39	39% of all negotiated rates	1393	percent of total billed charges	1393	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	914	percent of total billed charges	914	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1142	percent of total billed charges	1142	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1393	percent of total billed charges	1393	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Cigna	PPO		68	68% of all negotiated rates	731	percent of total billed charges	731	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Coalition	PPO		49	49% of all negotiated rates	1165	percent of total billed charges	1165	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Coventry	PPO		75	75% of all negotiated rates	571	percent of total billed charges	571	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	457	percent of total billed charges	457	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Humana-Commerical	PPO		70	70% of all negotiated rates	685	percent of total billed charges	685	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1393	percent of total billed charges	1393	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Multiplan	PPO		80	80% of all negotiated rates	457	percent of total billed charges	457	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	One Health	PPO		55	55% of all negotiated rates	1028	percent of total billed charges	1028	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Optum Medicare	HMO		39	39% of all negotiated rates	1393	percent of total billed charges	1393	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	P3	HMO		39	39% of all negotiated rates	1393	percent of total billed charges	1393	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	685	percent of total billed charges	685	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Select Health	HMO		41	41% of all negotiated rates	1347	percent of total billed charges	1347	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1519	percent of total billed charges	1519	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Sierra/HPN	HMO		60	60% of all negotiated rates	914	percent of total billed charges	914	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Silversummit Medicare	HMO		39	39% of all negotiated rates	1393	percent of total billed charges	1393	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1484	percent of total billed charges	1484	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	Teachers Trust	PPO		65	65% of all negotiated rates	799	percent of total billed charges	799	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	TriWest	PPO		30	30% of all negotiated rates	1599	percent of total billed charges	1599	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	685	percent of total billed charges	685	2284	
LOCK DISTAL FIBULA PLT			1501310	LOCAL	278	RC		outpatient			2284	1941	United Healthcare	PPO		60	60% of all negotiated rates	914	percent of total billed charges	914	2284	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Aetna	PPO		38	38% of all negotiated rates	225	percent of total billed charges	225	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Aetna Medicare	HMO		26	26% of all negotiated rates	268	percent of total billed charges	268	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Alignment Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	145	percent of total billed charges	145	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	181	percent of total billed charges	181	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Cigna	PPO		68	68% of all negotiated rates	116	percent of total billed charges	116	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Coalition	PPO		49	49% of all negotiated rates	185	percent of total billed charges	185	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Coventry	PPO		75	75% of all negotiated rates	91	percent of total billed charges	91	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Humana-Commerical	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Multiplan	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	One Health	PPO		55	55% of all negotiated rates	163	percent of total billed charges	163	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Optum Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	P3	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Select Health	HMO		41	41% of all negotiated rates	214	percent of total billed charges	214	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	241	percent of total billed charges	241	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Sierra/HPN	HMO		60	60% of all negotiated rates	145	percent of total billed charges	145	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Silversummit Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	235	percent of total billed charges	235	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	Teachers Trust	PPO		65	65% of all negotiated rates	127	percent of total billed charges	127	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	TriWest	PPO		30	30% of all negotiated rates	254	percent of total billed charges	254	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	362	
LO-PRO LOCK SCREW 3.5X12MM			1501303	LOCAL	278	RC		outpatient			362	308	United Healthcare	PPO		60	60% of all negotiated rates	145	percent of total billed charges	145	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Aetna	PPO		38	38% of all negotiated rates	225	percent of total billed charges	225	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Aetna Medicare	HMO		26	26% of all negotiated rates	268	percent of total billed charges	268	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Alignment Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	145	percent of total billed charges	145	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	181	percent of total billed charges	181	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Cigna	PPO		68	68% of all negotiated rates	116	percent of total billed charges	116	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Coalition	PPO		49	49% of all negotiated rates	185	percent of total billed charges	185	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Coventry	PPO		75	75% of all negotiated rates	91	percent of total billed charges	91	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Humana-Commerical	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Multiplan	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	One Health	PPO		55	55% of all negotiated rates	163	percent of total billed charges	163	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Optum Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	P3	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Select Health	HMO		41	41% of all negotiated rates	214	percent of total billed charges	214	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	241	percent of total billed charges	241	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Sierra/HPN	HMO		60	60% of all negotiated rates	145	percent of total billed charges	145	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Silversummit Medicare	HMO		39	39% of all negotiated rates	221	percent of total billed charges	221	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	235	percent of total billed charges	235	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	Teachers Trust	PPO		65	65% of all negotiated rates	127	percent of total billed charges	127	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	TriWest	PPO		30	30% of all negotiated rates	254	percent of total billed charges	254	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	362	
LO-PRO LOCK SCREW 3.5X14MM			1501304	LOCAL	278	RC		outpatient			362	308	United Healthcare	PPO		60	60% of all negotiated rates	145	percent of total billed charges	145	362	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Aetna	PPO		38	38% of all negotiated rates	68	percent of total billed charges	68	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Aetna Medicare	HMO		26	26% of all negotiated rates	82	percent of total billed charges	82	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Alignment Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	55	percent of total billed charges	55	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Coalition	PPO		49	49% of all negotiated rates	56	percent of total billed charges	56	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Humana-Commerical	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	One Health	PPO		55	55% of all negotiated rates	50	percent of total billed charges	50	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Optum Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	P3	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Select Health	HMO		41	41% of all negotiated rates	65	percent of total billed charges	65	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	73	percent of total billed charges	73	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Sierra/HPN	HMO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Silversummit Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	72	percent of total billed charges	72	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	Teachers Trust	PPO		65	65% of all negotiated rates	39	percent of total billed charges	39	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	TriWest	PPO		30	30% of all negotiated rates	77	percent of total billed charges	77	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
LO-PRO SCREW 3.5X12MM			1501301	LOCAL	278	RC		outpatient			110	94	United Healthcare	PPO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Aetna	PPO		38	38% of all negotiated rates	68	percent of total billed charges	68	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Aetna Medicare	HMO		26	26% of all negotiated rates	82	percent of total billed charges	82	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Alignment Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	55	percent of total billed charges	55	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Coalition	PPO		49	49% of all negotiated rates	56	percent of total billed charges	56	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Humana-Commerical	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	One Health	PPO		55	55% of all negotiated rates	50	percent of total billed charges	50	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Optum Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	P3	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Select Health	HMO		41	41% of all negotiated rates	65	percent of total billed charges	65	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	73	percent of total billed charges	73	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Sierra/HPN	HMO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Silversummit Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	72	percent of total billed charges	72	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	Teachers Trust	PPO		65	65% of all negotiated rates	39	percent of total billed charges	39	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	TriWest	PPO		30	30% of all negotiated rates	77	percent of total billed charges	77	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
LO-PRO SCREW 3.5X16MM			1501302	LOCAL	278	RC		outpatient			110	94	United Healthcare	PPO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Aetna	PPO		38	38% of all negotiated rates	2569	percent of total billed charges	2569	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Aetna Medicare	HMO		26	26% of all negotiated rates	3067	percent of total billed charges	3067	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Alignment Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1658	percent of total billed charges	1658	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2072	percent of total billed charges	2072	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Cigna	PPO		68	68% of all negotiated rates	1326	percent of total billed charges	1326	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Coalition	PPO		49	49% of all negotiated rates	2114	percent of total billed charges	2114	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Coventry	PPO		75	75% of all negotiated rates	1036	percent of total billed charges	1036	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	829	percent of total billed charges	829	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Humana-Commerical	PPO		70	70% of all negotiated rates	1243	percent of total billed charges	1243	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Multiplan	PPO		80	80% of all negotiated rates	829	percent of total billed charges	829	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	One Health	PPO		55	55% of all negotiated rates	1865	percent of total billed charges	1865	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Optum Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	P3	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1243	percent of total billed charges	1243	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Select Health	HMO		41	41% of all negotiated rates	2445	percent of total billed charges	2445	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2756	percent of total billed charges	2756	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Sierra/HPN	HMO		60	60% of all negotiated rates	1658	percent of total billed charges	1658	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Silversummit Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2694	percent of total billed charges	2694	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	Teachers Trust	PPO		65	65% of all negotiated rates	1451	percent of total billed charges	1451	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	TriWest	PPO		30	30% of all negotiated rates	2901	percent of total billed charges	2901	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1243	percent of total billed charges	1243	4144	
LPT GREAT TOE IMPLANT			1501144	LOCAL	278	RC		outpatient			4144	3523	United Healthcare	PPO		60	60% of all negotiated rates	1658	percent of total billed charges	1658	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Aetna	PPO		38	38% of all negotiated rates	2569	percent of total billed charges	2569	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Aetna Medicare	HMO		26	26% of all negotiated rates	3067	percent of total billed charges	3067	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Alignment Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1658	percent of total billed charges	1658	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2072	percent of total billed charges	2072	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Cigna	PPO		68	68% of all negotiated rates	1326	percent of total billed charges	1326	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Coalition	PPO		49	49% of all negotiated rates	2114	percent of total billed charges	2114	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Coventry	PPO		75	75% of all negotiated rates	1036	percent of total billed charges	1036	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	829	percent of total billed charges	829	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Humana-Commerical	PPO		70	70% of all negotiated rates	1243	percent of total billed charges	1243	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Multiplan	PPO		80	80% of all negotiated rates	829	percent of total billed charges	829	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	One Health	PPO		55	55% of all negotiated rates	1865	percent of total billed charges	1865	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Optum Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	P3	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1243	percent of total billed charges	1243	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Select Health	HMO		41	41% of all negotiated rates	2445	percent of total billed charges	2445	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2756	percent of total billed charges	2756	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Sierra/HPN	HMO		60	60% of all negotiated rates	1658	percent of total billed charges	1658	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Silversummit Medicare	HMO		39	39% of all negotiated rates	2528	percent of total billed charges	2528	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2694	percent of total billed charges	2694	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	Teachers Trust	PPO		65	65% of all negotiated rates	1451	percent of total billed charges	1451	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	TriWest	PPO		30	30% of all negotiated rates	2901	percent of total billed charges	2901	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1243	percent of total billed charges	1243	4144	
LPT REGULAR GREAT TOE			1501154	LOCAL	278	RC		outpatient			4144	3523	United Healthcare	PPO		60	60% of all negotiated rates	1658	percent of total billed charges	1658	4144	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Aetna	PPO		38	38% of all negotiated rates	1799	percent of total billed charges	1799	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Aetna Medicare	HMO		26	26% of all negotiated rates	2148	percent of total billed charges	2148	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Alignment Medicare	HMO		39	39% of all negotiated rates	1770	percent of total billed charges	1770	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1161	percent of total billed charges	1161	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1451	percent of total billed charges	1451	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1770	percent of total billed charges	1770	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Cigna	PPO		68	68% of all negotiated rates	929	percent of total billed charges	929	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Coalition	PPO		49	49% of all negotiated rates	1480	percent of total billed charges	1480	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Coventry	PPO		75	75% of all negotiated rates	726	percent of total billed charges	726	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	580	percent of total billed charges	580	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Humana-Commerical	PPO		70	70% of all negotiated rates	871	percent of total billed charges	871	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1770	percent of total billed charges	1770	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Multiplan	PPO		80	80% of all negotiated rates	580	percent of total billed charges	580	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	One Health	PPO		55	55% of all negotiated rates	1306	percent of total billed charges	1306	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Optum Medicare	HMO		39	39% of all negotiated rates	1770	percent of total billed charges	1770	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	P3	HMO		39	39% of all negotiated rates	1770	percent of total billed charges	1770	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	871	percent of total billed charges	871	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Select Health	HMO		41	41% of all negotiated rates	1712	percent of total billed charges	1712	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1930	percent of total billed charges	1930	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Sierra/HPN	HMO		60	60% of all negotiated rates	1161	percent of total billed charges	1161	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Silversummit Medicare	HMO		39	39% of all negotiated rates	1770	percent of total billed charges	1770	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1886	percent of total billed charges	1886	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	Teachers Trust	PPO		65	65% of all negotiated rates	1016	percent of total billed charges	1016	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	TriWest	PPO		30	30% of all negotiated rates	2032	percent of total billed charges	2032	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	871	percent of total billed charges	871	2902	
"MARLEX MESH PLUG, SMALL"			1500418	LOCAL	278	RC		outpatient			2902	2467	United Healthcare	PPO		60	60% of all negotiated rates	1161	percent of total billed charges	1161	2902	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Aetna	PPO		38	38% of all negotiated rates	304	percent of total billed charges	304	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Aetna Medicare	HMO		26	26% of all negotiated rates	363	percent of total billed charges	363	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Alignment Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	245	percent of total billed charges	245	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Coalition	PPO		49	49% of all negotiated rates	250	percent of total billed charges	250	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	One Health	PPO		55	55% of all negotiated rates	221	percent of total billed charges	221	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Optum Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	P3	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Select Health	HMO		41	41% of all negotiated rates	289	percent of total billed charges	289	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	326	percent of total billed charges	326	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Sierra/HPN	HMO		60	60% of all negotiated rates	196	percent of total billed charges	196	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Silversummit Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	319	percent of total billed charges	319	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	Teachers Trust	PPO		65	65% of all negotiated rates	172	percent of total billed charges	172	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	TriWest	PPO		30	30% of all negotiated rates	343	percent of total billed charges	343	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	490	
MESH BARD DAVOL 3X6 FLAT SHEET			1501275	LOCAL	278	RC		outpatient			490	417	United Healthcare	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	490	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Aetna	PPO		38	38% of all negotiated rates	305	percent of total billed charges	305	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Aetna Medicare	HMO		26	26% of all negotiated rates	364	percent of total billed charges	364	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Alignment Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	246	percent of total billed charges	246	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Coalition	PPO		49	49% of all negotiated rates	251	percent of total billed charges	251	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	One Health	PPO		55	55% of all negotiated rates	221	percent of total billed charges	221	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Optum Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	P3	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Select Health	HMO		41	41% of all negotiated rates	290	percent of total billed charges	290	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	327	percent of total billed charges	327	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Sierra/HPN	HMO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Silversummit Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	319	percent of total billed charges	319	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	Teachers Trust	PPO		65	65% of all negotiated rates	172	percent of total billed charges	172	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	TriWest	PPO		30	30% of all negotiated rates	344	percent of total billed charges	344	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
MESH BARD FLAT SHEETS 3x6			1501311	LOCAL	278	RC		outpatient			491	418	United Healthcare	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Aetna	PPO		38	38% of all negotiated rates	2560	percent of total billed charges	2560	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Aetna Medicare	HMO		26	26% of all negotiated rates	3055	percent of total billed charges	3055	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Alignment Medicare	HMO		39	39% of all negotiated rates	2518	percent of total billed charges	2518	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1651	percent of total billed charges	1651	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2064	percent of total billed charges	2064	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2518	percent of total billed charges	2518	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Cigna	PPO		68	68% of all negotiated rates	1321	percent of total billed charges	1321	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Coalition	PPO		49	49% of all negotiated rates	2106	percent of total billed charges	2106	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Coventry	PPO		75	75% of all negotiated rates	1032	percent of total billed charges	1032	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	826	percent of total billed charges	826	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Humana-Commerical	PPO		70	70% of all negotiated rates	1239	percent of total billed charges	1239	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2518	percent of total billed charges	2518	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Multiplan	PPO		80	80% of all negotiated rates	826	percent of total billed charges	826	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	One Health	PPO		55	55% of all negotiated rates	1858	percent of total billed charges	1858	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Optum Medicare	HMO		39	39% of all negotiated rates	2518	percent of total billed charges	2518	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	P3	HMO		39	39% of all negotiated rates	2518	percent of total billed charges	2518	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1239	percent of total billed charges	1239	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Select Health	HMO		41	41% of all negotiated rates	2436	percent of total billed charges	2436	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2746	percent of total billed charges	2746	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Sierra/HPN	HMO		60	60% of all negotiated rates	1651	percent of total billed charges	1651	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Silversummit Medicare	HMO		39	39% of all negotiated rates	2518	percent of total billed charges	2518	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2684	percent of total billed charges	2684	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	Teachers Trust	PPO		65	65% of all negotiated rates	1445	percent of total billed charges	1445	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	TriWest	PPO		30	30% of all negotiated rates	2890	percent of total billed charges	2890	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1239	percent of total billed charges	1239	4129	
MESH LG CIRCLE KUGEL			1500642	LOCAL	278	RC		outpatient			4129	3509	United Healthcare	PPO		60	60% of all negotiated rates	1651	percent of total billed charges	1651	4129	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Aetna	PPO		38	38% of all negotiated rates	1816	percent of total billed charges	1816	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Aetna Medicare	HMO		26	26% of all negotiated rates	2167	percent of total billed charges	2167	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Alignment Medicare	HMO		39	39% of all negotiated rates	1786	percent of total billed charges	1786	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1171	percent of total billed charges	1171	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1464	percent of total billed charges	1464	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1786	percent of total billed charges	1786	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Cigna	PPO		68	68% of all negotiated rates	937	percent of total billed charges	937	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Coalition	PPO		49	49% of all negotiated rates	1494	percent of total billed charges	1494	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Coventry	PPO		75	75% of all negotiated rates	732	percent of total billed charges	732	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	586	percent of total billed charges	586	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Humana-Commerical	PPO		70	70% of all negotiated rates	879	percent of total billed charges	879	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1786	percent of total billed charges	1786	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Multiplan	PPO		80	80% of all negotiated rates	586	percent of total billed charges	586	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	One Health	PPO		55	55% of all negotiated rates	1318	percent of total billed charges	1318	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Optum Medicare	HMO		39	39% of all negotiated rates	1786	percent of total billed charges	1786	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	P3	HMO		39	39% of all negotiated rates	1786	percent of total billed charges	1786	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	879	percent of total billed charges	879	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Select Health	HMO		41	41% of all negotiated rates	1728	percent of total billed charges	1728	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1947	percent of total billed charges	1947	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Sierra/HPN	HMO		60	60% of all negotiated rates	1171	percent of total billed charges	1171	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Silversummit Medicare	HMO		39	39% of all negotiated rates	1786	percent of total billed charges	1786	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1903	percent of total billed charges	1903	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	Teachers Trust	PPO		65	65% of all negotiated rates	1025	percent of total billed charges	1025	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	TriWest	PPO		30	30% of all negotiated rates	2050	percent of total billed charges	2050	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	879	percent of total billed charges	879	2928	
MESH MARLEX PLUG MEDIUM			1500416	LOCAL	278	RC		outpatient			2928	2489	United Healthcare	PPO		60	60% of all negotiated rates	1171	percent of total billed charges	1171	2928	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Aetna	PPO		38	38% of all negotiated rates	1833	percent of total billed charges	1833	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Aetna Medicare	HMO		26	26% of all negotiated rates	2188	percent of total billed charges	2188	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Alignment Medicare	HMO		39	39% of all negotiated rates	1804	percent of total billed charges	1804	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1183	percent of total billed charges	1183	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1478	percent of total billed charges	1478	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1804	percent of total billed charges	1804	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Cigna	PPO		68	68% of all negotiated rates	946	percent of total billed charges	946	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Coalition	PPO		49	49% of all negotiated rates	1508	percent of total billed charges	1508	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Coventry	PPO		75	75% of all negotiated rates	739	percent of total billed charges	739	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	591	percent of total billed charges	591	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Humana-Commerical	PPO		70	70% of all negotiated rates	887	percent of total billed charges	887	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1804	percent of total billed charges	1804	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Multiplan	PPO		80	80% of all negotiated rates	591	percent of total billed charges	591	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	One Health	PPO		55	55% of all negotiated rates	1331	percent of total billed charges	1331	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Optum Medicare	HMO		39	39% of all negotiated rates	1804	percent of total billed charges	1804	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	P3	HMO		39	39% of all negotiated rates	1804	percent of total billed charges	1804	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	887	percent of total billed charges	887	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Select Health	HMO		41	41% of all negotiated rates	1745	percent of total billed charges	1745	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1966	percent of total billed charges	1966	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Sierra/HPN	HMO		60	60% of all negotiated rates	1183	percent of total billed charges	1183	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Silversummit Medicare	HMO		39	39% of all negotiated rates	1804	percent of total billed charges	1804	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1922	percent of total billed charges	1922	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	Teachers Trust	PPO		65	65% of all negotiated rates	1035	percent of total billed charges	1035	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	TriWest	PPO		30	30% of all negotiated rates	2070	percent of total billed charges	2070	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	887	percent of total billed charges	887	2957	
MESH MARLEX W/PLUG LARGE			1500417	LOCAL	278	RC		outpatient			2957	2513	United Healthcare	PPO		60	60% of all negotiated rates	1183	percent of total billed charges	1183	2957	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Aetna	PPO		38	38% of all negotiated rates	963	percent of total billed charges	963	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Aetna Medicare	HMO		26	26% of all negotiated rates	1150	percent of total billed charges	1150	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Alignment Medicare	HMO		39	39% of all negotiated rates	948	percent of total billed charges	948	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	622	percent of total billed charges	622	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	777	percent of total billed charges	777	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	948	percent of total billed charges	948	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Cigna	PPO		68	68% of all negotiated rates	497	percent of total billed charges	497	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Coalition	PPO		49	49% of all negotiated rates	793	percent of total billed charges	793	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Coventry	PPO		75	75% of all negotiated rates	389	percent of total billed charges	389	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	311	percent of total billed charges	311	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Humana-Commerical	PPO		70	70% of all negotiated rates	466	percent of total billed charges	466	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	948	percent of total billed charges	948	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Multiplan	PPO		80	80% of all negotiated rates	311	percent of total billed charges	311	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	One Health	PPO		55	55% of all negotiated rates	699	percent of total billed charges	699	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Optum Medicare	HMO		39	39% of all negotiated rates	948	percent of total billed charges	948	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	P3	HMO		39	39% of all negotiated rates	948	percent of total billed charges	948	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	466	percent of total billed charges	466	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Select Health	HMO		41	41% of all negotiated rates	917	percent of total billed charges	917	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1033	percent of total billed charges	1033	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Sierra/HPN	HMO		60	60% of all negotiated rates	622	percent of total billed charges	622	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Silversummit Medicare	HMO		39	39% of all negotiated rates	948	percent of total billed charges	948	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1010	percent of total billed charges	1010	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	Teachers Trust	PPO		65	65% of all negotiated rates	544	percent of total billed charges	544	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	TriWest	PPO		30	30% of all negotiated rates	1088	percent of total billed charges	1088	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	466	percent of total billed charges	466	1554	
MESH MARLEX W/PLUG X-LARGE			1501243	LOCAL	278	RC		outpatient			1554	1321	United Healthcare	PPO		60	60% of all negotiated rates	622	percent of total billed charges	622	1554	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Aetna	PPO		38	38% of all negotiated rates	2542	percent of total billed charges	2542	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Aetna Medicare	HMO		26	26% of all negotiated rates	3034	percent of total billed charges	3034	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Alignment Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1640	percent of total billed charges	1640	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2050	percent of total billed charges	2050	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Cigna	PPO		68	68% of all negotiated rates	1312	percent of total billed charges	1312	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Coalition	PPO		49	49% of all negotiated rates	2091	percent of total billed charges	2091	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Coventry	PPO		75	75% of all negotiated rates	1025	percent of total billed charges	1025	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	820	percent of total billed charges	820	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Humana-Commerical	PPO		70	70% of all negotiated rates	1230	percent of total billed charges	1230	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Multiplan	PPO		80	80% of all negotiated rates	820	percent of total billed charges	820	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	One Health	PPO		55	55% of all negotiated rates	1845	percent of total billed charges	1845	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Optum Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	P3	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1230	percent of total billed charges	1230	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Select Health	HMO		41	41% of all negotiated rates	2419	percent of total billed charges	2419	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2727	percent of total billed charges	2727	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Sierra/HPN	HMO		60	60% of all negotiated rates	1640	percent of total billed charges	1640	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Silversummit Medicare	HMO		39	39% of all negotiated rates	2501	percent of total billed charges	2501	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2665	percent of total billed charges	2665	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	Teachers Trust	PPO		65	65% of all negotiated rates	1435	percent of total billed charges	1435	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	TriWest	PPO		30	30% of all negotiated rates	2870	percent of total billed charges	2870	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1230	percent of total billed charges	1230	4100	
MESH OVAL MEDIUM KUGEL			1500594	LOCAL	278	RC		outpatient			4100	3485	United Healthcare	PPO		60	60% of all negotiated rates	1640	percent of total billed charges	1640	4100	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Aetna	PPO		38	38% of all negotiated rates	2080	percent of total billed charges	2080	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Aetna Medicare	HMO		26	26% of all negotiated rates	2483	percent of total billed charges	2483	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Alignment Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1342	percent of total billed charges	1342	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1677	percent of total billed charges	1677	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Cigna	PPO		68	68% of all negotiated rates	1074	percent of total billed charges	1074	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Coalition	PPO		49	49% of all negotiated rates	1711	percent of total billed charges	1711	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Coventry	PPO		75	75% of all negotiated rates	839	percent of total billed charges	839	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	671	percent of total billed charges	671	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Humana-Commerical	PPO		70	70% of all negotiated rates	1006	percent of total billed charges	1006	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Multiplan	PPO		80	80% of all negotiated rates	671	percent of total billed charges	671	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	One Health	PPO		55	55% of all negotiated rates	1510	percent of total billed charges	1510	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Optum Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	P3	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1006	percent of total billed charges	1006	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Select Health	HMO		41	41% of all negotiated rates	1979	percent of total billed charges	1979	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2231	percent of total billed charges	2231	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Sierra/HPN	HMO		60	60% of all negotiated rates	1342	percent of total billed charges	1342	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Silversummit Medicare	HMO		39	39% of all negotiated rates	2046	percent of total billed charges	2046	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2181	percent of total billed charges	2181	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	Teachers Trust	PPO		65	65% of all negotiated rates	1174	percent of total billed charges	1174	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	TriWest	PPO		30	30% of all negotiated rates	2348	percent of total billed charges	2348	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1006	percent of total billed charges	1006	3355	
MESH OVAL SMALL KUGEL			1500592	LOCAL	278	RC		outpatient			3355	2852	United Healthcare	PPO		60	60% of all negotiated rates	1342	percent of total billed charges	1342	3355	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Aetna	PPO		38	38% of all negotiated rates	2921	percent of total billed charges	2921	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Aetna Medicare	HMO		26	26% of all negotiated rates	3486	percent of total billed charges	3486	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Alignment Medicare	HMO		39	39% of all negotiated rates	2874	percent of total billed charges	2874	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1885	percent of total billed charges	1885	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2356	percent of total billed charges	2356	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2874	percent of total billed charges	2874	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Cigna	PPO		68	68% of all negotiated rates	1508	percent of total billed charges	1508	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Coalition	PPO		49	49% of all negotiated rates	2403	percent of total billed charges	2403	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Coventry	PPO		75	75% of all negotiated rates	1178	percent of total billed charges	1178	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Humana-Commerical	PPO		70	70% of all negotiated rates	1413	percent of total billed charges	1413	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2874	percent of total billed charges	2874	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Multiplan	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	One Health	PPO		55	55% of all negotiated rates	2120	percent of total billed charges	2120	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Optum Medicare	HMO		39	39% of all negotiated rates	2874	percent of total billed charges	2874	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	P3	HMO		39	39% of all negotiated rates	2874	percent of total billed charges	2874	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1413	percent of total billed charges	1413	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Select Health	HMO		41	41% of all negotiated rates	2780	percent of total billed charges	2780	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3133	percent of total billed charges	3133	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Sierra/HPN	HMO		60	60% of all negotiated rates	1885	percent of total billed charges	1885	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Silversummit Medicare	HMO		39	39% of all negotiated rates	2874	percent of total billed charges	2874	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3062	percent of total billed charges	3062	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	Teachers Trust	PPO		65	65% of all negotiated rates	1649	percent of total billed charges	1649	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	TriWest	PPO		30	30% of all negotiated rates	3298	percent of total billed charges	3298	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1413	percent of total billed charges	1413	4711	
"MESH PATCH, LG OVAL KUGEL"			1500640	LOCAL	278	RC		outpatient			4711	4005	United Healthcare	PPO		60	60% of all negotiated rates	1885	percent of total billed charges	1885	4711	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Aetna	PPO		38	38% of all negotiated rates	2278	percent of total billed charges	2278	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Aetna Medicare	HMO		26	26% of all negotiated rates	2719	percent of total billed charges	2719	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Alignment Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1837	percent of total billed charges	1837	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Cigna	PPO		68	68% of all negotiated rates	1176	percent of total billed charges	1176	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Coalition	PPO		49	49% of all negotiated rates	1874	percent of total billed charges	1874	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Coventry	PPO		75	75% of all negotiated rates	918	percent of total billed charges	918	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	735	percent of total billed charges	735	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Humana-Commerical	PPO		70	70% of all negotiated rates	1102	percent of total billed charges	1102	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Multiplan	PPO		80	80% of all negotiated rates	735	percent of total billed charges	735	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	One Health	PPO		55	55% of all negotiated rates	1653	percent of total billed charges	1653	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Optum Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	P3	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1102	percent of total billed charges	1102	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Select Health	HMO		41	41% of all negotiated rates	2168	percent of total billed charges	2168	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2443	percent of total billed charges	2443	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Sierra/HPN	HMO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Silversummit Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2388	percent of total billed charges	2388	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	Teachers Trust	PPO		65	65% of all negotiated rates	1286	percent of total billed charges	1286	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	TriWest	PPO		30	30% of all negotiated rates	2572	percent of total billed charges	2572	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1102	percent of total billed charges	1102	3674	
"MESH, KUGEL COMP. SMALL"			1500641	LOCAL	278	RC		outpatient			3674	3123	United Healthcare	PPO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Aetna	PPO		38	38% of all negotiated rates	2278	percent of total billed charges	2278	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Aetna Medicare	HMO		26	26% of all negotiated rates	2719	percent of total billed charges	2719	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Alignment Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1837	percent of total billed charges	1837	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Cigna	PPO		68	68% of all negotiated rates	1176	percent of total billed charges	1176	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Coalition	PPO		49	49% of all negotiated rates	1874	percent of total billed charges	1874	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Coventry	PPO		75	75% of all negotiated rates	918	percent of total billed charges	918	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	735	percent of total billed charges	735	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Humana-Commerical	PPO		70	70% of all negotiated rates	1102	percent of total billed charges	1102	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Multiplan	PPO		80	80% of all negotiated rates	735	percent of total billed charges	735	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	One Health	PPO		55	55% of all negotiated rates	1653	percent of total billed charges	1653	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Optum Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	P3	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1102	percent of total billed charges	1102	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Select Health	HMO		41	41% of all negotiated rates	2168	percent of total billed charges	2168	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2443	percent of total billed charges	2443	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Sierra/HPN	HMO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Silversummit Medicare	HMO		39	39% of all negotiated rates	2241	percent of total billed charges	2241	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2388	percent of total billed charges	2388	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	Teachers Trust	PPO		65	65% of all negotiated rates	1286	percent of total billed charges	1286	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	TriWest	PPO		30	30% of all negotiated rates	2572	percent of total billed charges	2572	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1102	percent of total billed charges	1102	3674	
"MESH, SM. ROUND KUGEL"			1500593	LOCAL	278	RC		outpatient			3674	3123	United Healthcare	PPO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3674	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Aetna	PPO		38	38% of all negotiated rates	223	percent of total billed charges	223	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Aetna Medicare	HMO		26	26% of all negotiated rates	266	percent of total billed charges	266	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Alignment Medicare	HMO		39	39% of all negotiated rates	219	percent of total billed charges	219	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	144	percent of total billed charges	144	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	180	percent of total billed charges	180	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	219	percent of total billed charges	219	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Cigna	PPO		68	68% of all negotiated rates	115	percent of total billed charges	115	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Coalition	PPO		49	49% of all negotiated rates	183	percent of total billed charges	183	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Coventry	PPO		75	75% of all negotiated rates	90	percent of total billed charges	90	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Humana-Commerical	PPO		70	70% of all negotiated rates	108	percent of total billed charges	108	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	219	percent of total billed charges	219	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Multiplan	PPO		80	80% of all negotiated rates	72	percent of total billed charges	72	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	One Health	PPO		55	55% of all negotiated rates	162	percent of total billed charges	162	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Optum Medicare	HMO		39	39% of all negotiated rates	219	percent of total billed charges	219	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	P3	HMO		39	39% of all negotiated rates	219	percent of total billed charges	219	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	108	percent of total billed charges	108	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Select Health	HMO		41	41% of all negotiated rates	212	percent of total billed charges	212	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	239	percent of total billed charges	239	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Sierra/HPN	HMO		60	60% of all negotiated rates	144	percent of total billed charges	144	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Silversummit Medicare	HMO		39	39% of all negotiated rates	219	percent of total billed charges	219	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	233	percent of total billed charges	233	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	Teachers Trust	PPO		65	65% of all negotiated rates	126	percent of total billed charges	126	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	TriWest	PPO		30	30% of all negotiated rates	251	percent of total billed charges	251	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	108	percent of total billed charges	108	359	
PIN WRIGHT 1.1			1501182	LOCAL	278	RC		outpatient			359	305	United Healthcare	PPO		60	60% of all negotiated rates	144	percent of total billed charges	144	359	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Aetna	PPO		38	38% of all negotiated rates	6014	percent of total billed charges	6014	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Aetna Medicare	HMO		26	26% of all negotiated rates	7178	percent of total billed charges	7178	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Alignment Medicare	HMO		39	39% of all negotiated rates	5917	percent of total billed charges	5917	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3880	percent of total billed charges	3880	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4850	percent of total billed charges	4850	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5917	percent of total billed charges	5917	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Cigna	PPO		68	68% of all negotiated rates	3104	percent of total billed charges	3104	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Coalition	PPO		49	49% of all negotiated rates	4947	percent of total billed charges	4947	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Coventry	PPO		75	75% of all negotiated rates	2425	percent of total billed charges	2425	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1940	percent of total billed charges	1940	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Humana-Commerical	PPO		70	70% of all negotiated rates	2910	percent of total billed charges	2910	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5917	percent of total billed charges	5917	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Multiplan	PPO		80	80% of all negotiated rates	1940	percent of total billed charges	1940	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	One Health	PPO		55	55% of all negotiated rates	4365	percent of total billed charges	4365	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Optum Medicare	HMO		39	39% of all negotiated rates	5917	percent of total billed charges	5917	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	P3	HMO		39	39% of all negotiated rates	5917	percent of total billed charges	5917	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2910	percent of total billed charges	2910	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Select Health	HMO		41	41% of all negotiated rates	5723	percent of total billed charges	5723	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6450	percent of total billed charges	6450	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Sierra/HPN	HMO		60	60% of all negotiated rates	3880	percent of total billed charges	3880	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Silversummit Medicare	HMO		39	39% of all negotiated rates	5917	percent of total billed charges	5917	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6305	percent of total billed charges	6305	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	Teachers Trust	PPO		65	65% of all negotiated rates	3395	percent of total billed charges	3395	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	TriWest	PPO		30	30% of all negotiated rates	6790	percent of total billed charges	6790	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2910	percent of total billed charges	2910	9700	
PLATE MAXFORCE MTP RIGHT			1501103	LOCAL	278	RC		outpatient			9700	8245	United Healthcare	PPO		60	60% of all negotiated rates	3880	percent of total billed charges	3880	9700	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Aetna	PPO		38	38% of all negotiated rates	1895	percent of total billed charges	1895	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Aetna Medicare	HMO		26	26% of all negotiated rates	2262	percent of total billed charges	2262	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Alignment Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1223	percent of total billed charges	1223	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1528	percent of total billed charges	1528	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Cigna	PPO		68	68% of all negotiated rates	978	percent of total billed charges	978	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Coalition	PPO		49	49% of all negotiated rates	1559	percent of total billed charges	1559	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Coventry	PPO		75	75% of all negotiated rates	764	percent of total billed charges	764	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	611	percent of total billed charges	611	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Humana-Commerical	PPO		70	70% of all negotiated rates	917	percent of total billed charges	917	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Multiplan	PPO		80	80% of all negotiated rates	611	percent of total billed charges	611	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	One Health	PPO		55	55% of all negotiated rates	1375	percent of total billed charges	1375	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Optum Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	P3	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	917	percent of total billed charges	917	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Select Health	HMO		41	41% of all negotiated rates	1803	percent of total billed charges	1803	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2033	percent of total billed charges	2033	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Sierra/HPN	HMO		60	60% of all negotiated rates	1223	percent of total billed charges	1223	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Silversummit Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1987	percent of total billed charges	1987	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	Teachers Trust	PPO		65	65% of all negotiated rates	1070	percent of total billed charges	1070	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	TriWest	PPO		30	30% of all negotiated rates	2140	percent of total billed charges	2140	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	917	percent of total billed charges	917	3057	
"PLATE, 6-HOLE STRAIGHT"			1501209	LOCAL	278	RC		outpatient			3057	2598	United Healthcare	PPO		60	60% of all negotiated rates	1223	percent of total billed charges	1223	3057	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Aetna	PPO		38	38% of all negotiated rates	2107	percent of total billed charges	2107	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Aetna Medicare	HMO		26	26% of all negotiated rates	2514	percent of total billed charges	2514	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Alignment Medicare	HMO		39	39% of all negotiated rates	2073	percent of total billed charges	2073	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1359	percent of total billed charges	1359	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1699	percent of total billed charges	1699	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2073	percent of total billed charges	2073	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Cigna	PPO		68	68% of all negotiated rates	1087	percent of total billed charges	1087	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Coalition	PPO		49	49% of all negotiated rates	1733	percent of total billed charges	1733	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Coventry	PPO		75	75% of all negotiated rates	849	percent of total billed charges	849	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	680	percent of total billed charges	680	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Humana-Commerical	PPO		70	70% of all negotiated rates	1019	percent of total billed charges	1019	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2073	percent of total billed charges	2073	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Multiplan	PPO		80	80% of all negotiated rates	680	percent of total billed charges	680	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	One Health	PPO		55	55% of all negotiated rates	1529	percent of total billed charges	1529	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Optum Medicare	HMO		39	39% of all negotiated rates	2073	percent of total billed charges	2073	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	P3	HMO		39	39% of all negotiated rates	2073	percent of total billed charges	2073	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1019	percent of total billed charges	1019	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Select Health	HMO		41	41% of all negotiated rates	2005	percent of total billed charges	2005	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2260	percent of total billed charges	2260	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Sierra/HPN	HMO		60	60% of all negotiated rates	1359	percent of total billed charges	1359	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Silversummit Medicare	HMO		39	39% of all negotiated rates	2073	percent of total billed charges	2073	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2209	percent of total billed charges	2209	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	Teachers Trust	PPO		65	65% of all negotiated rates	1189	percent of total billed charges	1189	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	TriWest	PPO		30	30% of all negotiated rates	2378	percent of total billed charges	2378	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1019	percent of total billed charges	1019	3398	
"PLATE, 8-HOLE STRAIGHT WRIGHT"			1501190	LOCAL	278	RC		outpatient			3398	2888	United Healthcare	PPO		60	60% of all negotiated rates	1359	percent of total billed charges	1359	3398	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Aetna	PPO		38	38% of all negotiated rates	3508	percent of total billed charges	3508	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Aetna Medicare	HMO		26	26% of all negotiated rates	4187	percent of total billed charges	4187	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Alignment Medicare	HMO		39	39% of all negotiated rates	3452	percent of total billed charges	3452	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2263	percent of total billed charges	2263	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2829	percent of total billed charges	2829	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3452	percent of total billed charges	3452	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Cigna	PPO		68	68% of all negotiated rates	1811	percent of total billed charges	1811	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Coalition	PPO		49	49% of all negotiated rates	2886	percent of total billed charges	2886	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Coventry	PPO		75	75% of all negotiated rates	1415	percent of total billed charges	1415	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1132	percent of total billed charges	1132	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Humana-Commerical	PPO		70	70% of all negotiated rates	1698	percent of total billed charges	1698	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3452	percent of total billed charges	3452	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Multiplan	PPO		80	80% of all negotiated rates	1132	percent of total billed charges	1132	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	One Health	PPO		55	55% of all negotiated rates	2546	percent of total billed charges	2546	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Optum Medicare	HMO		39	39% of all negotiated rates	3452	percent of total billed charges	3452	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	P3	HMO		39	39% of all negotiated rates	3452	percent of total billed charges	3452	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1698	percent of total billed charges	1698	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Select Health	HMO		41	41% of all negotiated rates	3338	percent of total billed charges	3338	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3763	percent of total billed charges	3763	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Sierra/HPN	HMO		60	60% of all negotiated rates	2263	percent of total billed charges	2263	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Silversummit Medicare	HMO		39	39% of all negotiated rates	3452	percent of total billed charges	3452	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3678	percent of total billed charges	3678	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	Teachers Trust	PPO		65	65% of all negotiated rates	1980	percent of total billed charges	1980	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	TriWest	PPO		30	30% of all negotiated rates	3961	percent of total billed charges	3961	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1698	percent of total billed charges	1698	5658	
"PLATE, PINCH 6-HOLE"			1501175	LOCAL	278	RC		outpatient			5658	4810	United Healthcare	PPO		60	60% of all negotiated rates	2263	percent of total billed charges	2263	5658	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Aetna	PPO		38	38% of all negotiated rates	7277	percent of total billed charges	7277	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Aetna Medicare	HMO		26	26% of all negotiated rates	8685	percent of total billed charges	8685	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Alignment Medicare	HMO		39	39% of all negotiated rates	7160	percent of total billed charges	7160	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4695	percent of total billed charges	4695	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5868	percent of total billed charges	5868	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7160	percent of total billed charges	7160	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Cigna	PPO		68	68% of all negotiated rates	3756	percent of total billed charges	3756	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Coalition	PPO		49	49% of all negotiated rates	5986	percent of total billed charges	5986	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Coventry	PPO		75	75% of all negotiated rates	2934	percent of total billed charges	2934	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2347	percent of total billed charges	2347	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Humana-Commerical	PPO		70	70% of all negotiated rates	3521	percent of total billed charges	3521	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7160	percent of total billed charges	7160	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Multiplan	PPO		80	80% of all negotiated rates	2347	percent of total billed charges	2347	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	One Health	PPO		55	55% of all negotiated rates	5282	percent of total billed charges	5282	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Optum Medicare	HMO		39	39% of all negotiated rates	7160	percent of total billed charges	7160	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	P3	HMO		39	39% of all negotiated rates	7160	percent of total billed charges	7160	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3521	percent of total billed charges	3521	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Select Health	HMO		41	41% of all negotiated rates	6925	percent of total billed charges	6925	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	7805	percent of total billed charges	7805	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Sierra/HPN	HMO		60	60% of all negotiated rates	4695	percent of total billed charges	4695	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Silversummit Medicare	HMO		39	39% of all negotiated rates	7160	percent of total billed charges	7160	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	7629	percent of total billed charges	7629	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	Teachers Trust	PPO		65	65% of all negotiated rates	4108	percent of total billed charges	4108	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	TriWest	PPO		30	30% of all negotiated rates	8216	percent of total billed charges	8216	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3521	percent of total billed charges	3521	11737	
PLATING SYSTEM MEDIUM ORTHOLOC			1501314	LOCAL	278	RC		outpatient			11737	9976	United Healthcare	PPO		60	60% of all negotiated rates	4695	percent of total billed charges	4695	11737	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Aetna	PPO		38	38% of all negotiated rates	4302	percent of total billed charges	4302	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Aetna Medicare	HMO		26	26% of all negotiated rates	5134	percent of total billed charges	5134	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Alignment Medicare	HMO		39	39% of all negotiated rates	4232	percent of total billed charges	4232	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2775	percent of total billed charges	2775	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3469	percent of total billed charges	3469	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4232	percent of total billed charges	4232	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Cigna	PPO		68	68% of all negotiated rates	2220	percent of total billed charges	2220	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Coalition	PPO		49	49% of all negotiated rates	3539	percent of total billed charges	3539	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Coventry	PPO		75	75% of all negotiated rates	1735	percent of total billed charges	1735	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1388	percent of total billed charges	1388	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Humana-Commerical	PPO		70	70% of all negotiated rates	2082	percent of total billed charges	2082	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4232	percent of total billed charges	4232	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Multiplan	PPO		80	80% of all negotiated rates	1388	percent of total billed charges	1388	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	One Health	PPO		55	55% of all negotiated rates	3122	percent of total billed charges	3122	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Optum Medicare	HMO		39	39% of all negotiated rates	4232	percent of total billed charges	4232	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	P3	HMO		39	39% of all negotiated rates	4232	percent of total billed charges	4232	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2082	percent of total billed charges	2082	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Select Health	HMO		41	41% of all negotiated rates	4094	percent of total billed charges	4094	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4614	percent of total billed charges	4614	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Sierra/HPN	HMO		60	60% of all negotiated rates	2775	percent of total billed charges	2775	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Silversummit Medicare	HMO		39	39% of all negotiated rates	4232	percent of total billed charges	4232	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4510	percent of total billed charges	4510	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	Teachers Trust	PPO		65	65% of all negotiated rates	2428	percent of total billed charges	2428	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	TriWest	PPO		30	30% of all negotiated rates	4857	percent of total billed charges	4857	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2082	percent of total billed charges	2082	6938	
"PORT-A-CATH, LOW PROFILE"			3214283	LOCAL	278	RC		outpatient			6938	5898	United Healthcare	PPO		60	60% of all negotiated rates	2775	percent of total billed charges	2775	6938	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Aetna	PPO		38	38% of all negotiated rates	5892	percent of total billed charges	5892	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Aetna Medicare	HMO		26	26% of all negotiated rates	7032	percent of total billed charges	7032	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Alignment Medicare	HMO		39	39% of all negotiated rates	5797	percent of total billed charges	5797	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3801	percent of total billed charges	3801	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4751	percent of total billed charges	4751	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5797	percent of total billed charges	5797	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Cigna	PPO		68	68% of all negotiated rates	3041	percent of total billed charges	3041	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Coalition	PPO		49	49% of all negotiated rates	4846	percent of total billed charges	4846	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Coventry	PPO		75	75% of all negotiated rates	2376	percent of total billed charges	2376	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1901	percent of total billed charges	1901	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Humana-Commerical	PPO		70	70% of all negotiated rates	2851	percent of total billed charges	2851	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5797	percent of total billed charges	5797	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Multiplan	PPO		80	80% of all negotiated rates	1901	percent of total billed charges	1901	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	One Health	PPO		55	55% of all negotiated rates	4276	percent of total billed charges	4276	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Optum Medicare	HMO		39	39% of all negotiated rates	5797	percent of total billed charges	5797	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	P3	HMO		39	39% of all negotiated rates	5797	percent of total billed charges	5797	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2851	percent of total billed charges	2851	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Select Health	HMO		41	41% of all negotiated rates	5606	percent of total billed charges	5606	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	6319	percent of total billed charges	6319	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Sierra/HPN	HMO		60	60% of all negotiated rates	3801	percent of total billed charges	3801	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Silversummit Medicare	HMO		39	39% of all negotiated rates	5797	percent of total billed charges	5797	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6177	percent of total billed charges	6177	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	Teachers Trust	PPO		65	65% of all negotiated rates	3326	percent of total billed charges	3326	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	TriWest	PPO		30	30% of all negotiated rates	6652	percent of total billed charges	6652	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2851	percent of total billed charges	2851	9503	
"PORT-A-CATH, MRI COMPAT."			3214287	LOCAL	278	RC		outpatient			9503	8077	United Healthcare	PPO		60	60% of all negotiated rates	3801	percent of total billed charges	3801	9503	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Aetna	PPO		38	38% of all negotiated rates	4165	percent of total billed charges	4165	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Aetna Medicare	HMO		26	26% of all negotiated rates	4971	percent of total billed charges	4971	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Alignment Medicare	HMO		39	39% of all negotiated rates	4098	percent of total billed charges	4098	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2687	percent of total billed charges	2687	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3359	percent of total billed charges	3359	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4098	percent of total billed charges	4098	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Cigna	PPO		68	68% of all negotiated rates	2150	percent of total billed charges	2150	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Coalition	PPO		49	49% of all negotiated rates	3426	percent of total billed charges	3426	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Coventry	PPO		75	75% of all negotiated rates	1679	percent of total billed charges	1679	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1344	percent of total billed charges	1344	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Humana-Commerical	PPO		70	70% of all negotiated rates	2015	percent of total billed charges	2015	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4098	percent of total billed charges	4098	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Multiplan	PPO		80	80% of all negotiated rates	1344	percent of total billed charges	1344	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	One Health	PPO		55	55% of all negotiated rates	3023	percent of total billed charges	3023	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Optum Medicare	HMO		39	39% of all negotiated rates	4098	percent of total billed charges	4098	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	P3	HMO		39	39% of all negotiated rates	4098	percent of total billed charges	4098	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2015	percent of total billed charges	2015	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Select Health	HMO		41	41% of all negotiated rates	3964	percent of total billed charges	3964	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4467	percent of total billed charges	4467	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Sierra/HPN	HMO		60	60% of all negotiated rates	2687	percent of total billed charges	2687	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Silversummit Medicare	HMO		39	39% of all negotiated rates	4098	percent of total billed charges	4098	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4367	percent of total billed charges	4367	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	Teachers Trust	PPO		65	65% of all negotiated rates	2351	percent of total billed charges	2351	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	TriWest	PPO		30	30% of all negotiated rates	4703	percent of total billed charges	4703	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2015	percent of total billed charges	2015	6718	
"PORT-A-CATH, REG. PROFILE"			3214286	LOCAL	278	RC		outpatient			6718	5710	United Healthcare	PPO		60	60% of all negotiated rates	2687	percent of total billed charges	2687	6718	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Aetna	PPO		38	38% of all negotiated rates	4019	percent of total billed charges	4019	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Aetna Medicare	HMO		26	26% of all negotiated rates	4797	percent of total billed charges	4797	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Alignment Medicare	HMO		39	39% of all negotiated rates	3954	percent of total billed charges	3954	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2593	percent of total billed charges	2593	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3241	percent of total billed charges	3241	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3954	percent of total billed charges	3954	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Cigna	PPO		68	68% of all negotiated rates	2074	percent of total billed charges	2074	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Coalition	PPO		49	49% of all negotiated rates	3306	percent of total billed charges	3306	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Coventry	PPO		75	75% of all negotiated rates	1621	percent of total billed charges	1621	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1297	percent of total billed charges	1297	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Humana-Commerical	PPO		70	70% of all negotiated rates	1945	percent of total billed charges	1945	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3954	percent of total billed charges	3954	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Multiplan	PPO		80	80% of all negotiated rates	1297	percent of total billed charges	1297	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	One Health	PPO		55	55% of all negotiated rates	2917	percent of total billed charges	2917	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Optum Medicare	HMO		39	39% of all negotiated rates	3954	percent of total billed charges	3954	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	P3	HMO		39	39% of all negotiated rates	3954	percent of total billed charges	3954	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1945	percent of total billed charges	1945	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Select Health	HMO		41	41% of all negotiated rates	3825	percent of total billed charges	3825	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4311	percent of total billed charges	4311	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Sierra/HPN	HMO		60	60% of all negotiated rates	2593	percent of total billed charges	2593	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Silversummit Medicare	HMO		39	39% of all negotiated rates	3954	percent of total billed charges	3954	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4214	percent of total billed charges	4214	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	Teachers Trust	PPO		65	65% of all negotiated rates	2269	percent of total billed charges	2269	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	TriWest	PPO		30	30% of all negotiated rates	4538	percent of total billed charges	4538	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1945	percent of total billed charges	1945	6483	
SCP FOOT  and ANKLE KIT			1501220	LOCAL	278	RC		outpatient			6483	5510	United Healthcare	PPO		60	60% of all negotiated rates	2593	percent of total billed charges	2593	6483	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Aetna Medicare	HMO		26	26% of all negotiated rates	171	percent of total billed charges	171	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Alignment Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Optum Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	P3	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Silversummit Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	150	percent of total billed charges	150	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.0X14MM			1501265	LOCAL	278	RC		outpatient			231	196	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Aetna Medicare	HMO		26	26% of all negotiated rates	171	percent of total billed charges	171	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Alignment Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Optum Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	P3	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Silversummit Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	150	percent of total billed charges	150	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.0X16MM			1501274	LOCAL	278	RC		outpatient			231	196	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Aetna	PPO		38	38% of all negotiated rates	182	percent of total billed charges	182	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Alignment Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	147	percent of total billed charges	147	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	One Health	PPO		55	55% of all negotiated rates	132	percent of total billed charges	132	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Optum Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	P3	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Select Health	HMO		41	41% of all negotiated rates	173	percent of total billed charges	173	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Silversummit Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	191	percent of total billed charges	191	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	TriWest	PPO		30	30% of all negotiated rates	206	percent of total billed charges	206	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW CORTICAL 2.4X12MM			1501268	LOCAL	278	RC		outpatient			294	250	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Aetna Medicare	HMO		26	26% of all negotiated rates	171	percent of total billed charges	171	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Alignment Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Optum Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	P3	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Silversummit Medicare	HMO		39	39% of all negotiated rates	141	percent of total billed charges	141	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	150	percent of total billed charges	150	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	231	
SCREW CORTICAL 2.4X9MM			1501267	LOCAL	278	RC		outpatient			231	196	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	231	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Aetna	PPO		38	38% of all negotiated rates	378	percent of total billed charges	378	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Coalition	PPO		49	49% of all negotiated rates	311	percent of total billed charges	311	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW CORTICAL 3.0X16MM			1501101	LOCAL	278	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Aetna	PPO		38	38% of all negotiated rates	378	percent of total billed charges	378	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Coalition	PPO		49	49% of all negotiated rates	311	percent of total billed charges	311	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW CORTICAL 3.0X20MM			1501102	LOCAL	278	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Aetna	PPO		38	38% of all negotiated rates	551	percent of total billed charges	551	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Aetna Medicare	HMO		26	26% of all negotiated rates	657	percent of total billed charges	657	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Alignment Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	355	percent of total billed charges	355	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	444	percent of total billed charges	444	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Cigna	PPO		68	68% of all negotiated rates	284	percent of total billed charges	284	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Coalition	PPO		49	49% of all negotiated rates	453	percent of total billed charges	453	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Coventry	PPO		75	75% of all negotiated rates	222	percent of total billed charges	222	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	178	percent of total billed charges	178	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Humana-Commerical	PPO		70	70% of all negotiated rates	266	percent of total billed charges	266	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Multiplan	PPO		80	80% of all negotiated rates	178	percent of total billed charges	178	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	One Health	PPO		55	55% of all negotiated rates	400	percent of total billed charges	400	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Optum Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	P3	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	266	percent of total billed charges	266	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Select Health	HMO		41	41% of all negotiated rates	524	percent of total billed charges	524	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	591	percent of total billed charges	591	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Sierra/HPN	HMO		60	60% of all negotiated rates	355	percent of total billed charges	355	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Silversummit Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	577	percent of total billed charges	577	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	Teachers Trust	PPO		65	65% of all negotiated rates	311	percent of total billed charges	311	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	TriWest	PPO		30	30% of all negotiated rates	622	percent of total billed charges	622	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	266	percent of total billed charges	266	888	
SCREW CORTICAL 3.5X16MM ORTHOLOC			1501317	LOCAL	278	RC		outpatient			888	755	United Healthcare	PPO		60	60% of all negotiated rates	355	percent of total billed charges	355	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Aetna	PPO		38	38% of all negotiated rates	551	percent of total billed charges	551	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Aetna Medicare	HMO		26	26% of all negotiated rates	657	percent of total billed charges	657	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Alignment Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	355	percent of total billed charges	355	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	444	percent of total billed charges	444	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Cigna	PPO		68	68% of all negotiated rates	284	percent of total billed charges	284	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Coalition	PPO		49	49% of all negotiated rates	453	percent of total billed charges	453	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Coventry	PPO		75	75% of all negotiated rates	222	percent of total billed charges	222	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	178	percent of total billed charges	178	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Humana-Commerical	PPO		70	70% of all negotiated rates	266	percent of total billed charges	266	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Multiplan	PPO		80	80% of all negotiated rates	178	percent of total billed charges	178	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	One Health	PPO		55	55% of all negotiated rates	400	percent of total billed charges	400	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Optum Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	P3	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	266	percent of total billed charges	266	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Select Health	HMO		41	41% of all negotiated rates	524	percent of total billed charges	524	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	591	percent of total billed charges	591	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Sierra/HPN	HMO		60	60% of all negotiated rates	355	percent of total billed charges	355	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Silversummit Medicare	HMO		39	39% of all negotiated rates	542	percent of total billed charges	542	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	577	percent of total billed charges	577	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	Teachers Trust	PPO		65	65% of all negotiated rates	311	percent of total billed charges	311	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	TriWest	PPO		30	30% of all negotiated rates	622	percent of total billed charges	622	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	266	percent of total billed charges	266	888	
SCREW CORTICAL 3.5X26MM ORTHOLOC			1501318	LOCAL	278	RC		outpatient			888	755	United Healthcare	PPO		60	60% of all negotiated rates	355	percent of total billed charges	355	888	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Aetna	PPO		38	38% of all negotiated rates	1385	percent of total billed charges	1385	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Aetna Medicare	HMO		26	26% of all negotiated rates	1653	percent of total billed charges	1653	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Alignment Medicare	HMO		39	39% of all negotiated rates	1362	percent of total billed charges	1362	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	893	percent of total billed charges	893	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1117	percent of total billed charges	1117	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1362	percent of total billed charges	1362	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Cigna	PPO		68	68% of all negotiated rates	715	percent of total billed charges	715	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Coalition	PPO		49	49% of all negotiated rates	1139	percent of total billed charges	1139	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Coventry	PPO		75	75% of all negotiated rates	558	percent of total billed charges	558	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	447	percent of total billed charges	447	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Humana-Commerical	PPO		70	70% of all negotiated rates	670	percent of total billed charges	670	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1362	percent of total billed charges	1362	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Multiplan	PPO		80	80% of all negotiated rates	447	percent of total billed charges	447	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	One Health	PPO		55	55% of all negotiated rates	1005	percent of total billed charges	1005	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Optum Medicare	HMO		39	39% of all negotiated rates	1362	percent of total billed charges	1362	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	P3	HMO		39	39% of all negotiated rates	1362	percent of total billed charges	1362	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	670	percent of total billed charges	670	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Select Health	HMO		41	41% of all negotiated rates	1318	percent of total billed charges	1318	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1485	percent of total billed charges	1485	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Sierra/HPN	HMO		60	60% of all negotiated rates	893	percent of total billed charges	893	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Silversummit Medicare	HMO		39	39% of all negotiated rates	1362	percent of total billed charges	1362	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1452	percent of total billed charges	1452	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	Teachers Trust	PPO		65	65% of all negotiated rates	782	percent of total billed charges	782	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	TriWest	PPO		30	30% of all negotiated rates	1563	percent of total billed charges	1563	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	670	percent of total billed charges	670	2233	
SCREW FASTPITCH 2.7MM.			1501166	LOCAL	278	RC		outpatient			2233	1898	United Healthcare	PPO		60	60% of all negotiated rates	893	percent of total billed charges	893	2233	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Aetna	PPO		38	38% of all negotiated rates	1139	percent of total billed charges	1139	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Aetna Medicare	HMO		26	26% of all negotiated rates	1360	percent of total billed charges	1360	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Alignment Medicare	HMO		39	39% of all negotiated rates	1121	percent of total billed charges	1121	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	735	percent of total billed charges	735	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	919	percent of total billed charges	919	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1121	percent of total billed charges	1121	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Cigna	PPO		68	68% of all negotiated rates	588	percent of total billed charges	588	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Coalition	PPO		49	49% of all negotiated rates	937	percent of total billed charges	937	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Coventry	PPO		75	75% of all negotiated rates	459	percent of total billed charges	459	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	368	percent of total billed charges	368	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Humana-Commerical	PPO		70	70% of all negotiated rates	551	percent of total billed charges	551	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1121	percent of total billed charges	1121	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Multiplan	PPO		80	80% of all negotiated rates	368	percent of total billed charges	368	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	One Health	PPO		55	55% of all negotiated rates	827	percent of total billed charges	827	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Optum Medicare	HMO		39	39% of all negotiated rates	1121	percent of total billed charges	1121	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	P3	HMO		39	39% of all negotiated rates	1121	percent of total billed charges	1121	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	551	percent of total billed charges	551	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Select Health	HMO		41	41% of all negotiated rates	1084	percent of total billed charges	1084	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1222	percent of total billed charges	1222	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Sierra/HPN	HMO		60	60% of all negotiated rates	735	percent of total billed charges	735	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Silversummit Medicare	HMO		39	39% of all negotiated rates	1121	percent of total billed charges	1121	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1194	percent of total billed charges	1194	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	Teachers Trust	PPO		65	65% of all negotiated rates	643	percent of total billed charges	643	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	TriWest	PPO		30	30% of all negotiated rates	1286	percent of total billed charges	1286	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	551	percent of total billed charges	551	1838	
SCREW LOCKING 2.7MM LAPIPLASTY			1501281	LOCAL	278	RC		outpatient			1838	1562	United Healthcare	PPO		60	60% of all negotiated rates	735	percent of total billed charges	735	1838	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Aetna	PPO		38	38% of all negotiated rates	1072	percent of total billed charges	1072	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Aetna Medicare	HMO		26	26% of all negotiated rates	1280	percent of total billed charges	1280	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Alignment Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	692	percent of total billed charges	692	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	865	percent of total billed charges	865	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Cigna	PPO		68	68% of all negotiated rates	553	percent of total billed charges	553	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Coalition	PPO		49	49% of all negotiated rates	882	percent of total billed charges	882	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Coventry	PPO		75	75% of all negotiated rates	432	percent of total billed charges	432	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	346	percent of total billed charges	346	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Humana-Commerical	PPO		70	70% of all negotiated rates	519	percent of total billed charges	519	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Multiplan	PPO		80	80% of all negotiated rates	346	percent of total billed charges	346	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	One Health	PPO		55	55% of all negotiated rates	778	percent of total billed charges	778	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Optum Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	P3	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	519	percent of total billed charges	519	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Select Health	HMO		41	41% of all negotiated rates	1020	percent of total billed charges	1020	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1150	percent of total billed charges	1150	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Sierra/HPN	HMO		60	60% of all negotiated rates	692	percent of total billed charges	692	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Silversummit Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1124	percent of total billed charges	1124	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	Teachers Trust	PPO		65	65% of all negotiated rates	605	percent of total billed charges	605	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	TriWest	PPO		30	30% of all negotiated rates	1211	percent of total billed charges	1211	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	519	percent of total billed charges	519	1729	
SCREW LOCKING 2.7X12MM ORTHOLOC			1501315	LOCAL	278	RC		outpatient			1729	1470	United Healthcare	PPO		60	60% of all negotiated rates	692	percent of total billed charges	692	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Aetna	PPO		38	38% of all negotiated rates	1072	percent of total billed charges	1072	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Aetna Medicare	HMO		26	26% of all negotiated rates	1280	percent of total billed charges	1280	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Alignment Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	692	percent of total billed charges	692	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	865	percent of total billed charges	865	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Cigna	PPO		68	68% of all negotiated rates	553	percent of total billed charges	553	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Coalition	PPO		49	49% of all negotiated rates	882	percent of total billed charges	882	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Coventry	PPO		75	75% of all negotiated rates	432	percent of total billed charges	432	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	346	percent of total billed charges	346	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Humana-Commerical	PPO		70	70% of all negotiated rates	519	percent of total billed charges	519	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Multiplan	PPO		80	80% of all negotiated rates	346	percent of total billed charges	346	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	One Health	PPO		55	55% of all negotiated rates	778	percent of total billed charges	778	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Optum Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	P3	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	519	percent of total billed charges	519	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Select Health	HMO		41	41% of all negotiated rates	1020	percent of total billed charges	1020	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1150	percent of total billed charges	1150	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Sierra/HPN	HMO		60	60% of all negotiated rates	692	percent of total billed charges	692	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Silversummit Medicare	HMO		39	39% of all negotiated rates	1055	percent of total billed charges	1055	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1124	percent of total billed charges	1124	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	Teachers Trust	PPO		65	65% of all negotiated rates	605	percent of total billed charges	605	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	TriWest	PPO		30	30% of all negotiated rates	1211	percent of total billed charges	1211	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	519	percent of total billed charges	519	1729	
SCREW LOCKING 2.7X18MM ORTHOLOC			1501316	LOCAL	278	RC		outpatient			1729	1470	United Healthcare	PPO		60	60% of all negotiated rates	692	percent of total billed charges	692	1729	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Aetna	PPO		38	38% of all negotiated rates	430	percent of total billed charges	430	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Aetna Medicare	HMO		26	26% of all negotiated rates	513	percent of total billed charges	513	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Alignment Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	277	percent of total billed charges	277	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	347	percent of total billed charges	347	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Cigna	PPO		68	68% of all negotiated rates	222	percent of total billed charges	222	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Coalition	PPO		49	49% of all negotiated rates	353	percent of total billed charges	353	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Coventry	PPO		75	75% of all negotiated rates	173	percent of total billed charges	173	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	139	percent of total billed charges	139	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Humana-Commerical	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Multiplan	PPO		80	80% of all negotiated rates	139	percent of total billed charges	139	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	One Health	PPO		55	55% of all negotiated rates	312	percent of total billed charges	312	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Optum Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	P3	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Select Health	HMO		41	41% of all negotiated rates	409	percent of total billed charges	409	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	461	percent of total billed charges	461	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Sierra/HPN	HMO		60	60% of all negotiated rates	277	percent of total billed charges	277	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Silversummit Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	450	percent of total billed charges	450	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	Teachers Trust	PPO		65	65% of all negotiated rates	243	percent of total billed charges	243	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	TriWest	PPO		30	30% of all negotiated rates	485	percent of total billed charges	485	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	693	
SCREW QUICKFIX CANNULATED 4.0X42MM			1501288	LOCAL	278	RC		outpatient			693	589	United Healthcare	PPO		60	60% of all negotiated rates	277	percent of total billed charges	277	693	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Aetna	PPO		38	38% of all negotiated rates	378	percent of total billed charges	378	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Coalition	PPO		49	49% of all negotiated rates	311	percent of total billed charges	311	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
SCREW QUICKFIX CANNULATED PT 2.4X22MM			1501286	LOCAL	278	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Aetna	PPO		38	38% of all negotiated rates	182	percent of total billed charges	182	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Alignment Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	147	percent of total billed charges	147	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	One Health	PPO		55	55% of all negotiated rates	132	percent of total billed charges	132	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Optum Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	P3	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Select Health	HMO		41	41% of all negotiated rates	173	percent of total billed charges	173	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Silversummit Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	191	percent of total billed charges	191	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	TriWest	PPO		30	30% of all negotiated rates	206	percent of total billed charges	206	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X11MM			1501271	LOCAL	278	RC		outpatient			294	250	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Aetna	PPO		38	38% of all negotiated rates	182	percent of total billed charges	182	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Alignment Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	147	percent of total billed charges	147	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	One Health	PPO		55	55% of all negotiated rates	132	percent of total billed charges	132	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Optum Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	P3	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Select Health	HMO		41	41% of all negotiated rates	173	percent of total billed charges	173	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Silversummit Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	191	percent of total billed charges	191	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	TriWest	PPO		30	30% of all negotiated rates	206	percent of total billed charges	206	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X12MM			1501272	LOCAL	278	RC		outpatient			294	250	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Aetna	PPO		38	38% of all negotiated rates	182	percent of total billed charges	182	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Alignment Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	147	percent of total billed charges	147	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	One Health	PPO		55	55% of all negotiated rates	132	percent of total billed charges	132	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Optum Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	P3	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Select Health	HMO		41	41% of all negotiated rates	173	percent of total billed charges	173	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Silversummit Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	191	percent of total billed charges	191	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	TriWest	PPO		30	30% of all negotiated rates	206	percent of total billed charges	206	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X13MM			1501273	LOCAL	278	RC		outpatient			294	250	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Aetna	PPO		38	38% of all negotiated rates	182	percent of total billed charges	182	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Alignment Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	147	percent of total billed charges	147	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Humana-Commerical	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	One Health	PPO		55	55% of all negotiated rates	132	percent of total billed charges	132	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Optum Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	P3	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Select Health	HMO		41	41% of all negotiated rates	173	percent of total billed charges	173	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Silversummit Medicare	HMO		39	39% of all negotiated rates	179	percent of total billed charges	179	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	191	percent of total billed charges	191	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	TriWest	PPO		30	30% of all negotiated rates	206	percent of total billed charges	206	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	88	percent of total billed charges	88	294	
SCREW VAL TI 2.4X8MM			1501270	LOCAL	278	RC		outpatient			294	250	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	294	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Aetna	PPO		38	38% of all negotiated rates	378	percent of total billed charges	378	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Coalition	PPO		49	49% of all negotiated rates	311	percent of total billed charges	311	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X10"			1501211	LOCAL	278	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Aetna	PPO		38	38% of all negotiated rates	378	percent of total billed charges	378	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Coalition	PPO		49	49% of all negotiated rates	311	percent of total billed charges	311	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
"SCREW, CORTICAL NON-LOCK WRIGHT 2.4X8"			1501212	LOCAL	278	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Aetna	PPO		38	38% of all negotiated rates	349	percent of total billed charges	349	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Coalition	PPO		49	49% of all negotiated rates	287	percent of total billed charges	287	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
"SCREW, CORTICAL WRIGHT 2.0X12"			1501179	LOCAL	278	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Aetna	PPO		38	38% of all negotiated rates	331	percent of total billed charges	331	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Aetna Medicare	HMO		26	26% of all negotiated rates	395	percent of total billed charges	395	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Alignment Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	213	percent of total billed charges	213	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	267	percent of total billed charges	267	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Cigna	PPO		68	68% of all negotiated rates	171	percent of total billed charges	171	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Coalition	PPO		49	49% of all negotiated rates	272	percent of total billed charges	272	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Coventry	PPO		75	75% of all negotiated rates	133	percent of total billed charges	133	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	107	percent of total billed charges	107	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Humana-Commerical	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Multiplan	PPO		80	80% of all negotiated rates	107	percent of total billed charges	107	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	One Health	PPO		55	55% of all negotiated rates	240	percent of total billed charges	240	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Optum Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	P3	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Select Health	HMO		41	41% of all negotiated rates	315	percent of total billed charges	315	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	355	percent of total billed charges	355	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Sierra/HPN	HMO		60	60% of all negotiated rates	213	percent of total billed charges	213	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Silversummit Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	347	percent of total billed charges	347	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	Teachers Trust	PPO		65	65% of all negotiated rates	187	percent of total billed charges	187	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	TriWest	PPO		30	30% of all negotiated rates	373	percent of total billed charges	373	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	533	
"SCREW, CORTICAL WRIGHT 3.5X18"			1501184	LOCAL	278	RC		outpatient			533	453	United Healthcare	PPO		60	60% of all negotiated rates	213	percent of total billed charges	213	533	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Aetna	PPO		38	38% of all negotiated rates	1528	percent of total billed charges	1528	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Aetna Medicare	HMO		26	26% of all negotiated rates	1824	percent of total billed charges	1824	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Alignment Medicare	HMO		39	39% of all negotiated rates	1503	percent of total billed charges	1503	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	986	percent of total billed charges	986	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1232	percent of total billed charges	1232	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1503	percent of total billed charges	1503	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Cigna	PPO		68	68% of all negotiated rates	789	percent of total billed charges	789	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Coalition	PPO		49	49% of all negotiated rates	1257	percent of total billed charges	1257	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Coventry	PPO		75	75% of all negotiated rates	616	percent of total billed charges	616	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Humana-Commerical	PPO		70	70% of all negotiated rates	739	percent of total billed charges	739	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1503	percent of total billed charges	1503	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Multiplan	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	One Health	PPO		55	55% of all negotiated rates	1109	percent of total billed charges	1109	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Optum Medicare	HMO		39	39% of all negotiated rates	1503	percent of total billed charges	1503	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	P3	HMO		39	39% of all negotiated rates	1503	percent of total billed charges	1503	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	739	percent of total billed charges	739	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Select Health	HMO		41	41% of all negotiated rates	1454	percent of total billed charges	1454	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1639	percent of total billed charges	1639	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Sierra/HPN	HMO		60	60% of all negotiated rates	986	percent of total billed charges	986	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Silversummit Medicare	HMO		39	39% of all negotiated rates	1503	percent of total billed charges	1503	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1602	percent of total billed charges	1602	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	Teachers Trust	PPO		65	65% of all negotiated rates	863	percent of total billed charges	863	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	TriWest	PPO		30	30% of all negotiated rates	1725	percent of total billed charges	1725	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	739	percent of total billed charges	739	2464	
"SCREW, HIGH PITCH LOCKING 2.7MM"			1501132	LOCAL	278	RC		outpatient			2464	2095	United Healthcare	PPO		60	60% of all negotiated rates	986	percent of total billed charges	986	2464	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Aetna	PPO		38	38% of all negotiated rates	1066	percent of total billed charges	1066	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Aetna Medicare	HMO		26	26% of all negotiated rates	1273	percent of total billed charges	1273	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Alignment Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	688	percent of total billed charges	688	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	860	percent of total billed charges	860	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Cigna	PPO		68	68% of all negotiated rates	550	percent of total billed charges	550	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Coalition	PPO		49	49% of all negotiated rates	877	percent of total billed charges	877	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Coventry	PPO		75	75% of all negotiated rates	430	percent of total billed charges	430	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	344	percent of total billed charges	344	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Humana-Commerical	PPO		70	70% of all negotiated rates	516	percent of total billed charges	516	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Multiplan	PPO		80	80% of all negotiated rates	344	percent of total billed charges	344	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	One Health	PPO		55	55% of all negotiated rates	774	percent of total billed charges	774	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Optum Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	P3	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	516	percent of total billed charges	516	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Select Health	HMO		41	41% of all negotiated rates	1015	percent of total billed charges	1015	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1144	percent of total billed charges	1144	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Sierra/HPN	HMO		60	60% of all negotiated rates	688	percent of total billed charges	688	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Silversummit Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1118	percent of total billed charges	1118	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	Teachers Trust	PPO		65	65% of all negotiated rates	602	percent of total billed charges	602	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	TriWest	PPO		30	30% of all negotiated rates	1204	percent of total billed charges	1204	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	516	percent of total billed charges	516	1720	
"SCREW, LAPIPLASTY 2.0MM"			1501165	LOCAL	278	RC		outpatient			1720	1462	United Healthcare	PPO		60	60% of all negotiated rates	688	percent of total billed charges	688	1720	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Aetna	PPO		38	38% of all negotiated rates	1454	percent of total billed charges	1454	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Aetna Medicare	HMO		26	26% of all negotiated rates	1736	percent of total billed charges	1736	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Alignment Medicare	HMO		39	39% of all negotiated rates	1431	percent of total billed charges	1431	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	938	percent of total billed charges	938	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1173	percent of total billed charges	1173	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1431	percent of total billed charges	1431	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Cigna	PPO		68	68% of all negotiated rates	751	percent of total billed charges	751	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Coalition	PPO		49	49% of all negotiated rates	1196	percent of total billed charges	1196	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Coventry	PPO		75	75% of all negotiated rates	586	percent of total billed charges	586	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	469	percent of total billed charges	469	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Humana-Commerical	PPO		70	70% of all negotiated rates	704	percent of total billed charges	704	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1431	percent of total billed charges	1431	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Multiplan	PPO		80	80% of all negotiated rates	469	percent of total billed charges	469	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	One Health	PPO		55	55% of all negotiated rates	1056	percent of total billed charges	1056	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Optum Medicare	HMO		39	39% of all negotiated rates	1431	percent of total billed charges	1431	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	P3	HMO		39	39% of all negotiated rates	1431	percent of total billed charges	1431	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	704	percent of total billed charges	704	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Select Health	HMO		41	41% of all negotiated rates	1384	percent of total billed charges	1384	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1560	percent of total billed charges	1560	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Sierra/HPN	HMO		60	60% of all negotiated rates	938	percent of total billed charges	938	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Silversummit Medicare	HMO		39	39% of all negotiated rates	1431	percent of total billed charges	1431	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1525	percent of total billed charges	1525	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	Teachers Trust	PPO		65	65% of all negotiated rates	821	percent of total billed charges	821	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	TriWest	PPO		30	30% of all negotiated rates	1642	percent of total billed charges	1642	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	704	percent of total billed charges	704	2346	
"SCREW, LOCKING FASTPATCH 12MM"			1501172	LOCAL	278	RC		outpatient			2346	1994	United Healthcare	PPO		60	60% of all negotiated rates	938	percent of total billed charges	938	2346	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Aetna	PPO		38	38% of all negotiated rates	824	percent of total billed charges	824	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Aetna Medicare	HMO		26	26% of all negotiated rates	984	percent of total billed charges	984	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Alignment Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	665	percent of total billed charges	665	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Cigna	PPO		68	68% of all negotiated rates	425	percent of total billed charges	425	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Coalition	PPO		49	49% of all negotiated rates	678	percent of total billed charges	678	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Coventry	PPO		75	75% of all negotiated rates	332	percent of total billed charges	332	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Humana-Commerical	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Multiplan	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	One Health	PPO		55	55% of all negotiated rates	598	percent of total billed charges	598	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Optum Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	P3	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Select Health	HMO		41	41% of all negotiated rates	784	percent of total billed charges	784	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	884	percent of total billed charges	884	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Sierra/HPN	HMO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Silversummit Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	864	percent of total billed charges	864	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	Teachers Trust	PPO		65	65% of all negotiated rates	465	percent of total billed charges	465	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	TriWest	PPO		30	30% of all negotiated rates	931	percent of total billed charges	931	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X10"			1501176	LOCAL	278	RC		outpatient			1329	1130	United Healthcare	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Aetna	PPO		38	38% of all negotiated rates	824	percent of total billed charges	824	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Aetna Medicare	HMO		26	26% of all negotiated rates	984	percent of total billed charges	984	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Alignment Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	665	percent of total billed charges	665	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Cigna	PPO		68	68% of all negotiated rates	425	percent of total billed charges	425	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Coalition	PPO		49	49% of all negotiated rates	678	percent of total billed charges	678	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Coventry	PPO		75	75% of all negotiated rates	332	percent of total billed charges	332	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Humana-Commerical	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Multiplan	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	One Health	PPO		55	55% of all negotiated rates	598	percent of total billed charges	598	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Optum Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	P3	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Select Health	HMO		41	41% of all negotiated rates	784	percent of total billed charges	784	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	884	percent of total billed charges	884	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Sierra/HPN	HMO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Silversummit Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	864	percent of total billed charges	864	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	Teachers Trust	PPO		65	65% of all negotiated rates	465	percent of total billed charges	465	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	TriWest	PPO		30	30% of all negotiated rates	931	percent of total billed charges	931	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X12"			1501177	LOCAL	278	RC		outpatient			1329	1130	United Healthcare	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Aetna	PPO		38	38% of all negotiated rates	824	percent of total billed charges	824	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Aetna Medicare	HMO		26	26% of all negotiated rates	984	percent of total billed charges	984	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Alignment Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	665	percent of total billed charges	665	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Cigna	PPO		68	68% of all negotiated rates	425	percent of total billed charges	425	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Coalition	PPO		49	49% of all negotiated rates	678	percent of total billed charges	678	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Coventry	PPO		75	75% of all negotiated rates	332	percent of total billed charges	332	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Humana-Commerical	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Multiplan	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	One Health	PPO		55	55% of all negotiated rates	598	percent of total billed charges	598	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Optum Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	P3	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Select Health	HMO		41	41% of all negotiated rates	784	percent of total billed charges	784	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	884	percent of total billed charges	884	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Sierra/HPN	HMO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Silversummit Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	864	percent of total billed charges	864	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	Teachers Trust	PPO		65	65% of all negotiated rates	465	percent of total billed charges	465	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	TriWest	PPO		30	30% of all negotiated rates	931	percent of total billed charges	931	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X14"			1501178	LOCAL	278	RC		outpatient			1329	1130	United Healthcare	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Aetna	PPO		38	38% of all negotiated rates	824	percent of total billed charges	824	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Aetna Medicare	HMO		26	26% of all negotiated rates	984	percent of total billed charges	984	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Alignment Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	665	percent of total billed charges	665	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Cigna	PPO		68	68% of all negotiated rates	425	percent of total billed charges	425	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Coalition	PPO		49	49% of all negotiated rates	678	percent of total billed charges	678	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Coventry	PPO		75	75% of all negotiated rates	332	percent of total billed charges	332	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Humana-Commerical	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Multiplan	PPO		80	80% of all negotiated rates	266	percent of total billed charges	266	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	One Health	PPO		55	55% of all negotiated rates	598	percent of total billed charges	598	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Optum Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	P3	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Select Health	HMO		41	41% of all negotiated rates	784	percent of total billed charges	784	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	884	percent of total billed charges	884	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Sierra/HPN	HMO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Silversummit Medicare	HMO		39	39% of all negotiated rates	811	percent of total billed charges	811	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	864	percent of total billed charges	864	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	Teachers Trust	PPO		65	65% of all negotiated rates	465	percent of total billed charges	465	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	TriWest	PPO		30	30% of all negotiated rates	931	percent of total billed charges	931	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	399	percent of total billed charges	399	1329	
"SCREW, LOCKING WRIGHT 2.4X16"			1501187	LOCAL	278	RC		outpatient			1329	1130	United Healthcare	PPO		60	60% of all negotiated rates	532	percent of total billed charges	532	1329	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Aetna	PPO		38	38% of all negotiated rates	891	percent of total billed charges	891	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Aetna Medicare	HMO		26	26% of all negotiated rates	1064	percent of total billed charges	1064	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Alignment Medicare	HMO		39	39% of all negotiated rates	877	percent of total billed charges	877	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	575	percent of total billed charges	575	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	719	percent of total billed charges	719	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	877	percent of total billed charges	877	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Cigna	PPO		68	68% of all negotiated rates	460	percent of total billed charges	460	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Coalition	PPO		49	49% of all negotiated rates	733	percent of total billed charges	733	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Coventry	PPO		75	75% of all negotiated rates	359	percent of total billed charges	359	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	287	percent of total billed charges	287	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Humana-Commerical	PPO		70	70% of all negotiated rates	431	percent of total billed charges	431	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	877	percent of total billed charges	877	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Multiplan	PPO		80	80% of all negotiated rates	287	percent of total billed charges	287	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	One Health	PPO		55	55% of all negotiated rates	647	percent of total billed charges	647	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Optum Medicare	HMO		39	39% of all negotiated rates	877	percent of total billed charges	877	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	P3	HMO		39	39% of all negotiated rates	877	percent of total billed charges	877	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	431	percent of total billed charges	431	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Select Health	HMO		41	41% of all negotiated rates	848	percent of total billed charges	848	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	956	percent of total billed charges	956	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Sierra/HPN	HMO		60	60% of all negotiated rates	575	percent of total billed charges	575	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Silversummit Medicare	HMO		39	39% of all negotiated rates	877	percent of total billed charges	877	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	934	percent of total billed charges	934	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	Teachers Trust	PPO		65	65% of all negotiated rates	503	percent of total billed charges	503	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	TriWest	PPO		30	30% of all negotiated rates	1006	percent of total billed charges	1006	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	431	percent of total billed charges	431	1437	
"SCREW, LOCKING WRIGHT 2.4X8"			1501210	LOCAL	278	RC		outpatient			1437	1222	United Healthcare	PPO		60	60% of all negotiated rates	575	percent of total billed charges	575	1437	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Aetna	PPO		38	38% of all negotiated rates	648	percent of total billed charges	648	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Aetna Medicare	HMO		26	26% of all negotiated rates	773	percent of total billed charges	773	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Alignment Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	522	percent of total billed charges	522	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Cigna	PPO		68	68% of all negotiated rates	334	percent of total billed charges	334	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Coalition	PPO		49	49% of all negotiated rates	533	percent of total billed charges	533	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Humana-Commerical	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	One Health	PPO		55	55% of all negotiated rates	470	percent of total billed charges	470	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Optum Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	P3	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Select Health	HMO		41	41% of all negotiated rates	616	percent of total billed charges	616	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Silversummit Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	679	percent of total billed charges	679	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	TriWest	PPO		30	30% of all negotiated rates	731	percent of total billed charges	731	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X14"			1501185	LOCAL	278	RC		outpatient			1045	888	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Aetna	PPO		38	38% of all negotiated rates	648	percent of total billed charges	648	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Aetna Medicare	HMO		26	26% of all negotiated rates	773	percent of total billed charges	773	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Alignment Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	522	percent of total billed charges	522	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Cigna	PPO		68	68% of all negotiated rates	334	percent of total billed charges	334	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Coalition	PPO		49	49% of all negotiated rates	533	percent of total billed charges	533	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Humana-Commerical	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	One Health	PPO		55	55% of all negotiated rates	470	percent of total billed charges	470	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Optum Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	P3	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Select Health	HMO		41	41% of all negotiated rates	616	percent of total billed charges	616	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Silversummit Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	679	percent of total billed charges	679	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	TriWest	PPO		30	30% of all negotiated rates	731	percent of total billed charges	731	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X16"			1501186	LOCAL	278	RC		outpatient			1045	888	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Aetna	PPO		38	38% of all negotiated rates	648	percent of total billed charges	648	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Aetna Medicare	HMO		26	26% of all negotiated rates	773	percent of total billed charges	773	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Alignment Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	522	percent of total billed charges	522	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Cigna	PPO		68	68% of all negotiated rates	334	percent of total billed charges	334	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Coalition	PPO		49	49% of all negotiated rates	533	percent of total billed charges	533	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Humana-Commerical	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	One Health	PPO		55	55% of all negotiated rates	470	percent of total billed charges	470	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Optum Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	P3	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Select Health	HMO		41	41% of all negotiated rates	616	percent of total billed charges	616	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Silversummit Medicare	HMO		39	39% of all negotiated rates	637	percent of total billed charges	637	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	679	percent of total billed charges	679	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	TriWest	PPO		30	30% of all negotiated rates	731	percent of total billed charges	731	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	313	percent of total billed charges	313	1045	
"SCREW, LOCKING WRIGHT 3.5X18"			1501183	LOCAL	278	RC		outpatient			1045	888	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1045	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Aetna	PPO		38	38% of all negotiated rates	349	percent of total billed charges	349	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Coalition	PPO		49	49% of all negotiated rates	287	percent of total billed charges	287	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
"SCREW, NON-LOCK WRIGHT 2.4X12"			1501188	LOCAL	278	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Aetna	PPO		38	38% of all negotiated rates	1066	percent of total billed charges	1066	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Aetna Medicare	HMO		26	26% of all negotiated rates	1273	percent of total billed charges	1273	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Alignment Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	688	percent of total billed charges	688	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	860	percent of total billed charges	860	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Cigna	PPO		68	68% of all negotiated rates	550	percent of total billed charges	550	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Coalition	PPO		49	49% of all negotiated rates	877	percent of total billed charges	877	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Coventry	PPO		75	75% of all negotiated rates	430	percent of total billed charges	430	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	344	percent of total billed charges	344	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Humana-Commerical	PPO		70	70% of all negotiated rates	516	percent of total billed charges	516	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Multiplan	PPO		80	80% of all negotiated rates	344	percent of total billed charges	344	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	One Health	PPO		55	55% of all negotiated rates	774	percent of total billed charges	774	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Optum Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	P3	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	516	percent of total billed charges	516	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Select Health	HMO		41	41% of all negotiated rates	1015	percent of total billed charges	1015	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1144	percent of total billed charges	1144	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Sierra/HPN	HMO		60	60% of all negotiated rates	688	percent of total billed charges	688	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Silversummit Medicare	HMO		39	39% of all negotiated rates	1049	percent of total billed charges	1049	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1118	percent of total billed charges	1118	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	Teachers Trust	PPO		65	65% of all negotiated rates	602	percent of total billed charges	602	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	TriWest	PPO		30	30% of all negotiated rates	1204	percent of total billed charges	1204	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	516	percent of total billed charges	516	1720	
"SCREW, TRANSVERSE LAPIPLASTY 3.5MM"			1501167	LOCAL	278	RC		outpatient			1720	1462	United Healthcare	PPO		60	60% of all negotiated rates	688	percent of total billed charges	688	1720	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Aetna	PPO		38	38% of all negotiated rates	1280	percent of total billed charges	1280	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Aetna Medicare	HMO		26	26% of all negotiated rates	1528	percent of total billed charges	1528	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Alignment Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	826	percent of total billed charges	826	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1032	percent of total billed charges	1032	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Cigna	PPO		68	68% of all negotiated rates	661	percent of total billed charges	661	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Coalition	PPO		49	49% of all negotiated rates	1053	percent of total billed charges	1053	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Coventry	PPO		75	75% of all negotiated rates	516	percent of total billed charges	516	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	413	percent of total billed charges	413	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Humana-Commerical	PPO		70	70% of all negotiated rates	619	percent of total billed charges	619	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Multiplan	PPO		80	80% of all negotiated rates	413	percent of total billed charges	413	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	One Health	PPO		55	55% of all negotiated rates	929	percent of total billed charges	929	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Optum Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	P3	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	619	percent of total billed charges	619	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Select Health	HMO		41	41% of all negotiated rates	1218	percent of total billed charges	1218	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1373	percent of total billed charges	1373	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Sierra/HPN	HMO		60	60% of all negotiated rates	826	percent of total billed charges	826	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Silversummit Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1342	percent of total billed charges	1342	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	Teachers Trust	PPO		65	65% of all negotiated rates	723	percent of total billed charges	723	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	TriWest	PPO		30	30% of all negotiated rates	1445	percent of total billed charges	1445	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	619	percent of total billed charges	619	2064	
SONIC ANCHOR KIT 2.5X10MM #0 FORCE FIBER			1501234	LOCAL	278	RC		outpatient			2064	1755	United Healthcare	PPO		60	60% of all negotiated rates	826	percent of total billed charges	826	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Aetna	PPO		38	38% of all negotiated rates	1280	percent of total billed charges	1280	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Aetna Medicare	HMO		26	26% of all negotiated rates	1528	percent of total billed charges	1528	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Alignment Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	826	percent of total billed charges	826	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1032	percent of total billed charges	1032	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Cigna	PPO		68	68% of all negotiated rates	661	percent of total billed charges	661	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Coalition	PPO		49	49% of all negotiated rates	1053	percent of total billed charges	1053	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Coventry	PPO		75	75% of all negotiated rates	516	percent of total billed charges	516	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	413	percent of total billed charges	413	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Humana-Commerical	PPO		70	70% of all negotiated rates	619	percent of total billed charges	619	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Multiplan	PPO		80	80% of all negotiated rates	413	percent of total billed charges	413	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	One Health	PPO		55	55% of all negotiated rates	929	percent of total billed charges	929	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Optum Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	P3	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	619	percent of total billed charges	619	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Select Health	HMO		41	41% of all negotiated rates	1218	percent of total billed charges	1218	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1373	percent of total billed charges	1373	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Sierra/HPN	HMO		60	60% of all negotiated rates	826	percent of total billed charges	826	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Silversummit Medicare	HMO		39	39% of all negotiated rates	1259	percent of total billed charges	1259	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1342	percent of total billed charges	1342	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	Teachers Trust	PPO		65	65% of all negotiated rates	723	percent of total billed charges	723	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	TriWest	PPO		30	30% of all negotiated rates	1445	percent of total billed charges	1445	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	619	percent of total billed charges	619	2064	
SONIC ANCHOR KIT 2.5X10MM #2-0 FORCE FIBER			1501235	LOCAL	278	RC		outpatient			2064	1755	United Healthcare	PPO		60	60% of all negotiated rates	826	percent of total billed charges	826	2064	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Aetna	PPO		38	38% of all negotiated rates	1035	percent of total billed charges	1035	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Aetna Medicare	HMO		26	26% of all negotiated rates	1235	percent of total billed charges	1235	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Alignment Medicare	HMO		39	39% of all negotiated rates	1018	percent of total billed charges	1018	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	668	percent of total billed charges	668	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	835	percent of total billed charges	835	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1018	percent of total billed charges	1018	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Cigna	PPO		68	68% of all negotiated rates	534	percent of total billed charges	534	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Coalition	PPO		49	49% of all negotiated rates	851	percent of total billed charges	851	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Coventry	PPO		75	75% of all negotiated rates	417	percent of total billed charges	417	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	334	percent of total billed charges	334	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Humana-Commerical	PPO		70	70% of all negotiated rates	501	percent of total billed charges	501	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1018	percent of total billed charges	1018	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Multiplan	PPO		80	80% of all negotiated rates	334	percent of total billed charges	334	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	One Health	PPO		55	55% of all negotiated rates	751	percent of total billed charges	751	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Optum Medicare	HMO		39	39% of all negotiated rates	1018	percent of total billed charges	1018	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	P3	HMO		39	39% of all negotiated rates	1018	percent of total billed charges	1018	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	501	percent of total billed charges	501	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Select Health	HMO		41	41% of all negotiated rates	985	percent of total billed charges	985	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1110	percent of total billed charges	1110	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Sierra/HPN	HMO		60	60% of all negotiated rates	668	percent of total billed charges	668	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Silversummit Medicare	HMO		39	39% of all negotiated rates	1018	percent of total billed charges	1018	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1085	percent of total billed charges	1085	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	Teachers Trust	PPO		65	65% of all negotiated rates	584	percent of total billed charges	584	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	TriWest	PPO		30	30% of all negotiated rates	1169	percent of total billed charges	1169	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	501	percent of total billed charges	501	1670	
T-PLATE 2.4MM 6-HOLE			1501269	LOCAL	278	RC		outpatient			1670	1419	United Healthcare	PPO		60	60% of all negotiated rates	668	percent of total billed charges	668	1670	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Aetna	PPO		38	38% of all negotiated rates	3430	percent of total billed charges	3430	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Aetna Medicare	HMO		26	26% of all negotiated rates	4094	percent of total billed charges	4094	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Alignment Medicare	HMO		39	39% of all negotiated rates	3375	percent of total billed charges	3375	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2213	percent of total billed charges	2213	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2766	percent of total billed charges	2766	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3375	percent of total billed charges	3375	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Cigna	PPO		68	68% of all negotiated rates	1770	percent of total billed charges	1770	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Coalition	PPO		49	49% of all negotiated rates	2822	percent of total billed charges	2822	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Coventry	PPO		75	75% of all negotiated rates	1383	percent of total billed charges	1383	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1106	percent of total billed charges	1106	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Humana-Commerical	PPO		70	70% of all negotiated rates	1660	percent of total billed charges	1660	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3375	percent of total billed charges	3375	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Multiplan	PPO		80	80% of all negotiated rates	1106	percent of total billed charges	1106	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	One Health	PPO		55	55% of all negotiated rates	2490	percent of total billed charges	2490	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Optum Medicare	HMO		39	39% of all negotiated rates	3375	percent of total billed charges	3375	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	P3	HMO		39	39% of all negotiated rates	3375	percent of total billed charges	3375	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1660	percent of total billed charges	1660	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Select Health	HMO		41	41% of all negotiated rates	3264	percent of total billed charges	3264	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3679	percent of total billed charges	3679	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Sierra/HPN	HMO		60	60% of all negotiated rates	2213	percent of total billed charges	2213	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Silversummit Medicare	HMO		39	39% of all negotiated rates	3375	percent of total billed charges	3375	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3596	percent of total billed charges	3596	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	Teachers Trust	PPO		65	65% of all negotiated rates	1936	percent of total billed charges	1936	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	TriWest	PPO		30	30% of all negotiated rates	3873	percent of total billed charges	3873	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1660	percent of total billed charges	1660	5532	
T-PLATE WRIGHT			1501189	LOCAL	278	RC		outpatient			5532	4703	United Healthcare	PPO		60	60% of all negotiated rates	2213	percent of total billed charges	2213	5532	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Aetna	PPO		38	38% of all negotiated rates	4581	percent of total billed charges	4581	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Aetna Medicare	HMO		26	26% of all negotiated rates	5468	percent of total billed charges	5468	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Alignment Medicare	HMO		39	39% of all negotiated rates	4507	percent of total billed charges	4507	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2956	percent of total billed charges	2956	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3694	percent of total billed charges	3694	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4507	percent of total billed charges	4507	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Cigna	PPO		68	68% of all negotiated rates	2364	percent of total billed charges	2364	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Coalition	PPO		49	49% of all negotiated rates	3768	percent of total billed charges	3768	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Coventry	PPO		75	75% of all negotiated rates	1847	percent of total billed charges	1847	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1478	percent of total billed charges	1478	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Humana-Commerical	PPO		70	70% of all negotiated rates	2217	percent of total billed charges	2217	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4507	percent of total billed charges	4507	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Multiplan	PPO		80	80% of all negotiated rates	1478	percent of total billed charges	1478	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	One Health	PPO		55	55% of all negotiated rates	3325	percent of total billed charges	3325	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Optum Medicare	HMO		39	39% of all negotiated rates	4507	percent of total billed charges	4507	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	P3	HMO		39	39% of all negotiated rates	4507	percent of total billed charges	4507	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2217	percent of total billed charges	2217	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Select Health	HMO		41	41% of all negotiated rates	4359	percent of total billed charges	4359	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4914	percent of total billed charges	4914	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Sierra/HPN	HMO		60	60% of all negotiated rates	2956	percent of total billed charges	2956	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Silversummit Medicare	HMO		39	39% of all negotiated rates	4507	percent of total billed charges	4507	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4803	percent of total billed charges	4803	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	Teachers Trust	PPO		65	65% of all negotiated rates	2586	percent of total billed charges	2586	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	TriWest	PPO		30	30% of all negotiated rates	5172	percent of total billed charges	5172	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2217	percent of total billed charges	2217	7389	
TRICORTICAL BLOCK MEDIUM			1501191	LOCAL	278	RC		outpatient			7389	6281	United Healthcare	PPO		60	60% of all negotiated rates	2956	percent of total billed charges	2956	7389	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Aetna	PPO		38	38% of all negotiated rates	2239	percent of total billed charges	2239	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Aetna Medicare	HMO		26	26% of all negotiated rates	2672	percent of total billed charges	2672	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Alignment Medicare	HMO		39	39% of all negotiated rates	2203	percent of total billed charges	2203	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1444	percent of total billed charges	1444	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1805	percent of total billed charges	1805	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2203	percent of total billed charges	2203	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Cigna	PPO		68	68% of all negotiated rates	1156	percent of total billed charges	1156	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Coalition	PPO		49	49% of all negotiated rates	1842	percent of total billed charges	1842	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Coventry	PPO		75	75% of all negotiated rates	903	percent of total billed charges	903	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	722	percent of total billed charges	722	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2203	percent of total billed charges	2203	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Multiplan	PPO		80	80% of all negotiated rates	722	percent of total billed charges	722	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	One Health	PPO		55	55% of all negotiated rates	1625	percent of total billed charges	1625	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Optum Medicare	HMO		39	39% of all negotiated rates	2203	percent of total billed charges	2203	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	P3	HMO		39	39% of all negotiated rates	2203	percent of total billed charges	2203	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1083	percent of total billed charges	1083	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Select Health	HMO		41	41% of all negotiated rates	2130	percent of total billed charges	2130	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2401	percent of total billed charges	2401	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Sierra/HPN	HMO		60	60% of all negotiated rates	1444	percent of total billed charges	1444	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Silversummit Medicare	HMO		39	39% of all negotiated rates	2203	percent of total billed charges	2203	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2347	percent of total billed charges	2347	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	Teachers Trust	PPO		65	65% of all negotiated rates	1264	percent of total billed charges	1264	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	TriWest	PPO		30	30% of all negotiated rates	2528	percent of total billed charges	2528	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1083	percent of total billed charges	1083	3611	
Z-STAPLE 10/11MM			1501133	LOCAL	278	RC		outpatient			3611	3069	United Healthcare	PPO		60	60% of all negotiated rates	1444	percent of total billed charges	1444	3611	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Aetna	PPO		38	38% of all negotiated rates	142	percent of total billed charges	142	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Aetna Medicare	HMO		26	26% of all negotiated rates	169	percent of total billed charges	169	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	114	percent of total billed charges	114	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Coalition	PPO		49	49% of all negotiated rates	117	percent of total billed charges	117	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Multiplan	HMO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Saint Mary's Health Plan	HMO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Select Health	HMO		41	41% of all negotiated rates	135	percent of total billed charges	135	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	152	percent of total billed charges	152	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	TriWest	PPO		30	30% of all negotiated rates	160	percent of total billed charges	160	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	TriWest	PPO		30	30% of all negotiated rates	160	percent of total billed charges	160	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	218	Coinsurance and deductible may apply
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	218	Coinsurance and deductible may apply
36592 LAB COLLECTION VIA PICC CHARGE	36592	CPT	3275520	LOCAL	300	RC		outpatient			229	195	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	218	Coinsurance and deductible may apply
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO 3	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO/Rh	86900	CPT	4029001	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
ABO/Rh Retype	86901	CPT	4010109	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Aetna	PPO		38	38% of all negotiated rates	132	percent of total billed charges	132	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Aetna Medicare	HMO		26	26% of all negotiated rates	158	percent of total billed charges	158	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Alignment Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	107	percent of total billed charges	107	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Cigna	PPO		68	68% of all negotiated rates	68	percent of total billed charges	68	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Coalition	PPO		49	49% of all negotiated rates	109	percent of total billed charges	109	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Coventry	PPO		75	75% of all negotiated rates	53	percent of total billed charges	53	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Humana-Commerical	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Multiplan	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	One Health	PPO		55	55% of all negotiated rates	96	percent of total billed charges	96	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Optum Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	P3	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Select Health	HMO		41	41% of all negotiated rates	126	percent of total billed charges	126	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	142	percent of total billed charges	142	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Sierra/HPN	HMO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Silversummit Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	139	percent of total billed charges	139	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Teachers Trust	PPO		65	65% of all negotiated rates	75	percent of total billed charges	75	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	TriWest	PPO		30	30% of all negotiated rates	149	percent of total billed charges	149	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	United Healthcare	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	203	Coinsurance and deductible may apply
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	203	Coinsurance and deductible may apply
Bill Antigen Class I Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	203	Coinsurance and deductible may apply
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Aetna	PPO		38	38% of all negotiated rates	180	percent of total billed charges	180	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Aetna Medicare	HMO		26	26% of all negotiated rates	215	percent of total billed charges	215	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Alignment Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	145	percent of total billed charges	145	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Cigna	PPO		68	68% of all negotiated rates	93	percent of total billed charges	93	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Coalition	PPO		49	49% of all negotiated rates	148	percent of total billed charges	148	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Coventry	PPO		75	75% of all negotiated rates	73	percent of total billed charges	73	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	One Health	PPO		55	55% of all negotiated rates	131	percent of total billed charges	131	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Optum Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	P3	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Select Health	HMO		41	41% of all negotiated rates	172	percent of total billed charges	172	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	193	percent of total billed charges	193	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Silversummit Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	189	percent of total billed charges	189	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Teachers Trust	PPO		65	65% of all negotiated rates	102	percent of total billed charges	102	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	TriWest	PPO		30	30% of all negotiated rates	204	percent of total billed charges	204	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	277	Coinsurance and deductible may apply
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	277	Coinsurance and deductible may apply
Bill Antigen Class I Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			291	247	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	277	Coinsurance and deductible may apply
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Aetna	PPO		38	38% of all negotiated rates	158	percent of total billed charges	158	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Aetna Medicare	HMO		26	26% of all negotiated rates	188	percent of total billed charges	188	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Alignment Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	102	percent of total billed charges	102	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	127	percent of total billed charges	127	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Cigna	PPO		68	68% of all negotiated rates	81	percent of total billed charges	81	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Coalition	PPO		49	49% of all negotiated rates	130	percent of total billed charges	130	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Coventry	PPO		75	75% of all negotiated rates	64	percent of total billed charges	64	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	51	percent of total billed charges	51	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Humana-Commerical	PPO		70	70% of all negotiated rates	76	percent of total billed charges	76	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Multiplan	PPO		80	80% of all negotiated rates	51	percent of total billed charges	51	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	One Health	PPO		55	55% of all negotiated rates	114	percent of total billed charges	114	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Optum Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	P3	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	76	percent of total billed charges	76	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Select Health	HMO		41	41% of all negotiated rates	150	percent of total billed charges	150	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	169	percent of total billed charges	169	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Sierra/HPN	HMO		60	60% of all negotiated rates	102	percent of total billed charges	102	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Silversummit Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	165	percent of total billed charges	165	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Teachers Trust	PPO		65	65% of all negotiated rates	89	percent of total billed charges	89	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	TriWest	PPO		30	30% of all negotiated rates	178	percent of total billed charges	178	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	76	percent of total billed charges	76	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	United Healthcare	PPO		60	60% of all negotiated rates	102	percent of total billed charges	102	254	
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	242	Coinsurance and deductible may apply
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	242	Coinsurance and deductible may apply
Bill Antigen Class II Patient	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			254	216	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	242	Coinsurance and deductible may apply
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Aetna	PPO		38	38% of all negotiated rates	217	percent of total billed charges	217	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Aetna Medicare	HMO		26	26% of all negotiated rates	260	percent of total billed charges	260	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Alignment Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	140	percent of total billed charges	140	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	175	percent of total billed charges	175	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Cigna	PPO		68	68% of all negotiated rates	112	percent of total billed charges	112	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Coalition	PPO		49	49% of all negotiated rates	179	percent of total billed charges	179	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Coventry	PPO		75	75% of all negotiated rates	88	percent of total billed charges	88	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Humana-Commerical	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Multiplan	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	One Health	PPO		55	55% of all negotiated rates	158	percent of total billed charges	158	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Optum Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	P3	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Select Health	HMO		41	41% of all negotiated rates	207	percent of total billed charges	207	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	233	percent of total billed charges	233	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Sierra/HPN	HMO		60	60% of all negotiated rates	140	percent of total billed charges	140	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Silversummit Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	228	percent of total billed charges	228	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Teachers Trust	PPO		65	65% of all negotiated rates	123	percent of total billed charges	123	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	TriWest	PPO		30	30% of all negotiated rates	245	percent of total billed charges	245	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	United Healthcare	PPO		60	60% of all negotiated rates	140	percent of total billed charges	140	351	
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	334	Coinsurance and deductible may apply
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	334	Coinsurance and deductible may apply
Bill Antigen Class II Unit	86902	CPT	4020293SO	LOCAL	300	RC		outpatient			351	298	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	334	Coinsurance and deductible may apply
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Aetna	PPO		38	38% of all negotiated rates	180	percent of total billed charges	180	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Aetna Medicare	HMO		26	26% of all negotiated rates	215	percent of total billed charges	215	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Alignment Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	145	percent of total billed charges	145	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Cigna	PPO		68	68% of all negotiated rates	93	percent of total billed charges	93	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Coalition	PPO		49	49% of all negotiated rates	148	percent of total billed charges	148	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Coventry	PPO		75	75% of all negotiated rates	73	percent of total billed charges	73	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	One Health	PPO		55	55% of all negotiated rates	131	percent of total billed charges	131	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Optum Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	P3	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Select Health	HMO		41	41% of all negotiated rates	172	percent of total billed charges	172	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	193	percent of total billed charges	193	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Silversummit Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	189	percent of total billed charges	189	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Teachers Trust	PPO		65	65% of all negotiated rates	102	percent of total billed charges	102	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	TriWest	PPO		30	30% of all negotiated rates	204	percent of total billed charges	204	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	291	
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	277	Coinsurance and deductible may apply
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	277	Coinsurance and deductible may apply
Bill Antigen Type Product	86902	CPT	4020293	LOCAL	300	RC		outpatient			291	247	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	277	Coinsurance and deductible may apply
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Aetna	PPO		38	38% of all negotiated rates	132	percent of total billed charges	132	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Aetna Medicare	HMO		26	26% of all negotiated rates	158	percent of total billed charges	158	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Alignment Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	107	percent of total billed charges	107	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Cigna	PPO		68	68% of all negotiated rates	68	percent of total billed charges	68	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Coalition	PPO		49	49% of all negotiated rates	109	percent of total billed charges	109	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Coventry	PPO		75	75% of all negotiated rates	53	percent of total billed charges	53	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Humana-Commerical	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Multiplan	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	One Health	PPO		55	55% of all negotiated rates	96	percent of total billed charges	96	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Optum Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	P3	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Select Health	HMO		41	41% of all negotiated rates	126	percent of total billed charges	126	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	142	percent of total billed charges	142	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Sierra/HPN	HMO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Silversummit Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	139	percent of total billed charges	139	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Teachers Trust	PPO		65	65% of all negotiated rates	75	percent of total billed charges	75	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	TriWest	PPO		30	30% of all negotiated rates	149	percent of total billed charges	149	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	United Healthcare	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	203	Coinsurance and deductible may apply
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	203	Coinsurance and deductible may apply
Bill Antigen Type RBC	86905	CPT	4020290SO	LOCAL	300	RC		outpatient			213	181	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	203	Coinsurance and deductible may apply
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Aetna	PPO		38	38% of all negotiated rates	123	percent of total billed charges	123	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Aetna Medicare	HMO		26	26% of all negotiated rates	147	percent of total billed charges	147	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Alignment Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	99	percent of total billed charges	99	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Cigna	PPO		68	68% of all negotiated rates	64	percent of total billed charges	64	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Coalition	PPO		49	49% of all negotiated rates	101	percent of total billed charges	101	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Coventry	PPO		75	75% of all negotiated rates	50	percent of total billed charges	50	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Humana-Commerical	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Multiplan	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	One Health	PPO		55	55% of all negotiated rates	89	percent of total billed charges	89	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Optum Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	P3	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Select Health	HMO		41	41% of all negotiated rates	117	percent of total billed charges	117	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	132	percent of total billed charges	132	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Sierra/HPN	HMO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Silversummit Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	129	percent of total billed charges	129	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Teachers Trust	PPO		65	65% of all negotiated rates	69	percent of total billed charges	69	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	TriWest	PPO		30	30% of all negotiated rates	139	percent of total billed charges	139	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	United Healthcare	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
Bill CMV Screening	86902	CPT	4026903SO	LOCAL	300	RC		outpatient			198	169	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Aetna	PPO		38	38% of all negotiated rates	471	percent of total billed charges	471	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Aetna Medicare	HMO		26	26% of all negotiated rates	562	percent of total billed charges	562	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Alignment Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	380	percent of total billed charges	380	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Cigna	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Coalition	PPO		49	49% of all negotiated rates	387	percent of total billed charges	387	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Coventry	PPO		75	75% of all negotiated rates	190	percent of total billed charges	190	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Humana-Commerical	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Multiplan	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	One Health	PPO		55	55% of all negotiated rates	342	percent of total billed charges	342	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Optum Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	P3	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Select Health	HMO		41	41% of all negotiated rates	448	percent of total billed charges	448	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	505	percent of total billed charges	505	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Sierra/HPN	HMO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Silversummit Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	493	percent of total billed charges	493	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	Teachers Trust	PPO		65	65% of all negotiated rates	266	percent of total billed charges	266	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	TriWest	PPO		30	30% of all negotiated rates	531	percent of total billed charges	531	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
Bill Only Molecular Red Cell Phenotype (HEA)	81403	CPT	4010006SO	LOCAL	300	RC		outpatient			759	645	United Healthcare	PPO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Aetna	PPO		38	38% of all negotiated rates	250	percent of total billed charges	250	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Aetna Medicare	HMO		26	26% of all negotiated rates	298	percent of total billed charges	298	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Alignment Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	202	percent of total billed charges	202	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Cigna	PPO		68	68% of all negotiated rates	129	percent of total billed charges	129	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Coalition	PPO		49	49% of all negotiated rates	206	percent of total billed charges	206	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Humana-Commerical	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	One Health	PPO		55	55% of all negotiated rates	181	percent of total billed charges	181	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Optum Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	P3	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Select Health	HMO		41	41% of all negotiated rates	238	percent of total billed charges	238	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	268	percent of total billed charges	268	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Sierra/HPN	HMO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Silversummit Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	262	percent of total billed charges	262	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Teachers Trust	PPO		65	65% of all negotiated rates	141	percent of total billed charges	141	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	TriWest	PPO		30	30% of all negotiated rates	282	percent of total billed charges	282	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	United Healthcare	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	384	Coinsurance and deductible may apply
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	384	Coinsurance and deductible may apply
Bill RBC Pretreatment Serum	86978	CPT	4020257SO	LOCAL	300	RC		outpatient			403	343	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	384	Coinsurance and deductible may apply
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Aetna	PPO		38	38% of all negotiated rates	145	percent of total billed charges	145	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	117	percent of total billed charges	117	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Cigna	PPO		68	68% of all negotiated rates	75	percent of total billed charges	75	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Coalition	PPO		49	49% of all negotiated rates	119	percent of total billed charges	119	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	One Health	PPO		55	55% of all negotiated rates	105	percent of total billed charges	105	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Select Health	HMO		41	41% of all negotiated rates	138	percent of total billed charges	138	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	155	percent of total billed charges	155	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	152	percent of total billed charges	152	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	Teachers Trust	PPO		65	65% of all negotiated rates	82	percent of total billed charges	82	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	TriWest	PPO		30	30% of all negotiated rates	163	percent of total billed charges	163	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	233	
Chlamydia and Gonorrhoeae	0353U	CPT	4010303SO	LOCAL	300	RC		outpatient			233	198	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	233	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Aetna	PPO		38	38% of all negotiated rates	123	percent of total billed charges	123	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Aetna Medicare	HMO		26	26% of all negotiated rates	147	percent of total billed charges	147	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Alignment Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	99	percent of total billed charges	99	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Cigna	PPO		68	68% of all negotiated rates	64	percent of total billed charges	64	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Coalition	PPO		49	49% of all negotiated rates	101	percent of total billed charges	101	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Coventry	PPO		75	75% of all negotiated rates	50	percent of total billed charges	50	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Humana-Commerical	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Multiplan	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	One Health	PPO		55	55% of all negotiated rates	89	percent of total billed charges	89	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Optum Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	P3	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Select Health	HMO		41	41% of all negotiated rates	117	percent of total billed charges	117	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	132	percent of total billed charges	132	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Sierra/HPN	HMO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Silversummit Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	129	percent of total billed charges	129	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Teachers Trust	PPO		65	65% of all negotiated rates	69	percent of total billed charges	69	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	TriWest	PPO		30	30% of all negotiated rates	139	percent of total billed charges	139	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	United Healthcare	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
CMV Neg	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Aetna	PPO		38	38% of all negotiated rates	123	percent of total billed charges	123	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Aetna Medicare	HMO		26	26% of all negotiated rates	147	percent of total billed charges	147	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Alignment Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	99	percent of total billed charges	99	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Cigna	PPO		68	68% of all negotiated rates	64	percent of total billed charges	64	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Coalition	PPO		49	49% of all negotiated rates	101	percent of total billed charges	101	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Coventry	PPO		75	75% of all negotiated rates	50	percent of total billed charges	50	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Humana-Commerical	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Multiplan	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	One Health	PPO		55	55% of all negotiated rates	89	percent of total billed charges	89	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Optum Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	P3	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Select Health	HMO		41	41% of all negotiated rates	117	percent of total billed charges	117	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	132	percent of total billed charges	132	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Sierra/HPN	HMO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Silversummit Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	129	percent of total billed charges	129	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Teachers Trust	PPO		65	65% of all negotiated rates	69	percent of total billed charges	69	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	TriWest	PPO		30	30% of all negotiated rates	139	percent of total billed charges	139	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	United Healthcare	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
CMV/Irradiated	86902	CPT	4026903	LOCAL	300	RC		outpatient			198	169	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	189	Coinsurance and deductible may apply
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Aetna	PPO		38	38% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Aetna Medicare	HMO		26	26% of all negotiated rates	42	percent of total billed charges	42	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Alignment Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	23	percent of total billed charges	23	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	28	percent of total billed charges	28	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Cigna	PPO		68	68% of all negotiated rates	18	percent of total billed charges	18	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Coalition	PPO		49	49% of all negotiated rates	29	percent of total billed charges	29	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Coventry	PPO		75	75% of all negotiated rates	14	percent of total billed charges	14	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Humana-Commerical	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	One Health	PPO		55	55% of all negotiated rates	26	percent of total billed charges	26	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Optum Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	P3	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Select Health	HMO		41	41% of all negotiated rates	33	percent of total billed charges	33	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	38	percent of total billed charges	38	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Sierra/HPN	HMO		60	60% of all negotiated rates	23	percent of total billed charges	23	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Silversummit Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	37	percent of total billed charges	37	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Teachers Trust	PPO		65	65% of all negotiated rates	20	percent of total billed charges	20	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	TriWest	PPO		30	30% of all negotiated rates	40	percent of total billed charges	40	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	United Healthcare	PPO		60	60% of all negotiated rates	23	percent of total billed charges	23	57	
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	54	Coinsurance and deductible may apply
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	54	Coinsurance and deductible may apply
COLLECTION: Venous Draw	36415	CPT	4004158SO	LOCAL	300	RC		outpatient			57	48	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	54	Coinsurance and deductible may apply
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Aetna	PPO		38	38% of all negotiated rates	226	percent of total billed charges	226	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Aetna Medicare	HMO		26	26% of all negotiated rates	270	percent of total billed charges	270	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Alignment Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	182	percent of total billed charges	182	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Cigna	PPO		68	68% of all negotiated rates	117	percent of total billed charges	117	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Coalition	PPO		49	49% of all negotiated rates	186	percent of total billed charges	186	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Coventry	PPO		75	75% of all negotiated rates	91	percent of total billed charges	91	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	73	percent of total billed charges	73	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Humana-Commerical	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Multiplan	PPO		80	80% of all negotiated rates	73	percent of total billed charges	73	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	One Health	PPO		55	55% of all negotiated rates	164	percent of total billed charges	164	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Optum Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	P3	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Select Health	HMO		41	41% of all negotiated rates	215	percent of total billed charges	215	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	242	percent of total billed charges	242	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Sierra/HPN	HMO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Silversummit Medicare	HMO		39	39% of all negotiated rates	222	percent of total billed charges	222	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	237	percent of total billed charges	237	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Teachers Trust	PPO		65	65% of all negotiated rates	128	percent of total billed charges	128	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	TriWest	PPO		30	30% of all negotiated rates	255	percent of total billed charges	255	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	109	percent of total billed charges	109	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	United Healthcare	PPO		60	60% of all negotiated rates	146	percent of total billed charges	146	364	
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	347	Coinsurance and deductible may apply
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	347	Coinsurance and deductible may apply
Crossmatch	86922	CPT	4000684	LOCAL	300	RC		outpatient			364	310	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	347	Coinsurance and deductible may apply
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Aetna	PPO		38	38% of all negotiated rates	90	percent of total billed charges	90	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Aetna Medicare	HMO		26	26% of all negotiated rates	108	percent of total billed charges	108	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Alignment Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	58	percent of total billed charges	58	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	73	percent of total billed charges	73	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Cigna	PPO		68	68% of all negotiated rates	47	percent of total billed charges	47	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Coalition	PPO		49	49% of all negotiated rates	74	percent of total billed charges	74	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Coventry	PPO		75	75% of all negotiated rates	36	percent of total billed charges	36	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Humana-Commerical	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Multiplan	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	One Health	PPO		55	55% of all negotiated rates	66	percent of total billed charges	66	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Optum Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	P3	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Select Health	HMO		41	41% of all negotiated rates	86	percent of total billed charges	86	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	97	percent of total billed charges	97	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Sierra/HPN	HMO		60	60% of all negotiated rates	58	percent of total billed charges	58	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Silversummit Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	95	percent of total billed charges	95	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Teachers Trust	PPO		65	65% of all negotiated rates	51	percent of total billed charges	51	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	TriWest	PPO		30	30% of all negotiated rates	102	percent of total billed charges	102	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	United Healthcare	PPO		60	60% of all negotiated rates	58	percent of total billed charges	58	146	
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	139	Coinsurance and deductible may apply
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	139	Coinsurance and deductible may apply
Electrolytes	80051	CPT	4000037	LOCAL	300	RC		outpatient			146	124	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	139	Coinsurance and deductible may apply
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Aetna	PPO		38	38% of all negotiated rates	88	percent of total billed charges	88	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Aetna Medicare	HMO		26	26% of all negotiated rates	105	percent of total billed charges	105	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Alignment Medicare	HMO		39	39% of all negotiated rates	86	percent of total billed charges	86	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	57	percent of total billed charges	57	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	71	percent of total billed charges	71	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	86	percent of total billed charges	86	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Cigna	PPO		68	68% of all negotiated rates	45	percent of total billed charges	45	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Coalition	PPO		49	49% of all negotiated rates	72	percent of total billed charges	72	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Coventry	PPO		75	75% of all negotiated rates	35	percent of total billed charges	35	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Humana-Commerical	PPO		70	70% of all negotiated rates	43	percent of total billed charges	43	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	86	percent of total billed charges	86	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Multiplan	PPO		80	80% of all negotiated rates	28	percent of total billed charges	28	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	One Health	PPO		55	55% of all negotiated rates	64	percent of total billed charges	64	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Optum Medicare	HMO		39	39% of all negotiated rates	86	percent of total billed charges	86	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	P3	HMO		39	39% of all negotiated rates	86	percent of total billed charges	86	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	43	percent of total billed charges	43	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Select Health	HMO		41	41% of all negotiated rates	84	percent of total billed charges	84	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	94	percent of total billed charges	94	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Sierra/HPN	HMO		60	60% of all negotiated rates	57	percent of total billed charges	57	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Silversummit Medicare	HMO		39	39% of all negotiated rates	86	percent of total billed charges	86	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	92	percent of total billed charges	92	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Teachers Trust	PPO		65	65% of all negotiated rates	50	percent of total billed charges	50	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	TriWest	PPO		30	30% of all negotiated rates	99	percent of total billed charges	99	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	43	percent of total billed charges	43	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	United Healthcare	PPO		60	60% of all negotiated rates	57	percent of total billed charges	57	142	
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	135	Coinsurance and deductible may apply
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	135	Coinsurance and deductible may apply
General Health Pane 80050 -  Bill only	80050	CPT	4010331SO	LOCAL	300	RC		outpatient			142	120	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	135	Coinsurance and deductible may apply
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Aetna	PPO		38	38% of all negotiated rates	1548	percent of total billed charges	1548	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Aetna Medicare	HMO		26	26% of all negotiated rates	1848	percent of total billed charges	1848	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Alignment Medicare	HMO		39	39% of all negotiated rates	1523	percent of total billed charges	1523	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	999	percent of total billed charges	999	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1248	percent of total billed charges	1248	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1523	percent of total billed charges	1523	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Cigna	PPO		68	68% of all negotiated rates	799	percent of total billed charges	799	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Coalition	PPO		49	49% of all negotiated rates	1273	percent of total billed charges	1273	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Coventry	PPO		75	75% of all negotiated rates	624	percent of total billed charges	624	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	499	percent of total billed charges	499	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Humana-Commerical	PPO		70	70% of all negotiated rates	749	percent of total billed charges	749	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1523	percent of total billed charges	1523	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Multiplan	PPO		80	80% of all negotiated rates	499	percent of total billed charges	499	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	One Health	PPO		55	55% of all negotiated rates	1124	percent of total billed charges	1124	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Optum Medicare	HMO		39	39% of all negotiated rates	1523	percent of total billed charges	1523	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	P3	HMO		39	39% of all negotiated rates	1523	percent of total billed charges	1523	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	749	percent of total billed charges	749	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Select Health	HMO		41	41% of all negotiated rates	1473	percent of total billed charges	1473	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1660	percent of total billed charges	1660	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Sierra/HPN	HMO		60	60% of all negotiated rates	999	percent of total billed charges	999	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Silversummit Medicare	HMO		39	39% of all negotiated rates	1523	percent of total billed charges	1523	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1623	percent of total billed charges	1623	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	Teachers Trust	PPO		65	65% of all negotiated rates	874	percent of total billed charges	874	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	TriWest	PPO		30	30% of all negotiated rates	1748	percent of total billed charges	1748	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	749	percent of total billed charges	749	2497	
Respiratory Panel 2.1 (BioFire)	87631	CPT	4010259	LOCAL	300	RC		outpatient			2497	2122	United Healthcare	PPO		60	60% of all negotiated rates	999	percent of total billed charges	999	2497	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh Retype	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh3	86901	CPT	4029010	LOCAL	300	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	42	Coinsurance and deductible may apply
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	42	Coinsurance and deductible may apply
RN CAPILLARY LAB DRAW	36416	CPT	3230902	LOCAL	300	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	42	Coinsurance and deductible may apply
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Aetna	PPO		38	38% of all negotiated rates	180	percent of total billed charges	180	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Aetna Medicare	HMO		26	26% of all negotiated rates	214	percent of total billed charges	214	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Alignment Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	145	percent of total billed charges	145	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Cigna	PPO		68	68% of all negotiated rates	93	percent of total billed charges	93	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Coalition	PPO		49	49% of all negotiated rates	148	percent of total billed charges	148	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	One Health	PPO		55	55% of all negotiated rates	130	percent of total billed charges	130	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Optum Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	P3	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Select Health	HMO		41	41% of all negotiated rates	171	percent of total billed charges	171	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	193	percent of total billed charges	193	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Silversummit Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	188	percent of total billed charges	188	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Teachers Trust	PPO		65	65% of all negotiated rates	101	percent of total billed charges	101	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	TriWest	PPO		30	30% of all negotiated rates	203	percent of total billed charges	203	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	290	
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	276	Coinsurance and deductible may apply
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	276	Coinsurance and deductible may apply
RN LAB VIA PICC	36592	CPT	3230904	LOCAL	300	RC		outpatient			290	246	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	276	Coinsurance and deductible may apply
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Aetna	PPO		38	38% of all negotiated rates	180	percent of total billed charges	180	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Aetna Medicare	HMO		26	26% of all negotiated rates	214	percent of total billed charges	214	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Alignment Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	145	percent of total billed charges	145	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Cigna	PPO		68	68% of all negotiated rates	93	percent of total billed charges	93	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Coalition	PPO		49	49% of all negotiated rates	148	percent of total billed charges	148	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	One Health	PPO		55	55% of all negotiated rates	130	percent of total billed charges	130	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Optum Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	P3	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Select Health	HMO		41	41% of all negotiated rates	171	percent of total billed charges	171	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	193	percent of total billed charges	193	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Silversummit Medicare	HMO		39	39% of all negotiated rates	177	percent of total billed charges	177	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	188	percent of total billed charges	188	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Teachers Trust	PPO		65	65% of all negotiated rates	101	percent of total billed charges	101	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	TriWest	PPO		30	30% of all negotiated rates	203	percent of total billed charges	203	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	290	
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	276	Coinsurance and deductible may apply
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	276	Coinsurance and deductible may apply
RN LAB VIA VENOUS DEVICE	36591	CPT	3230903	LOCAL	300	RC		outpatient			290	246	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	276	Coinsurance and deductible may apply
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Aetna	PPO		38	38% of all negotiated rates	43	percent of total billed charges	43	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	35	percent of total billed charges	35	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Humana-Commerical	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Select Health	HMO		41	41% of all negotiated rates	41	percent of total billed charges	41	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	46	percent of total billed charges	46	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Sierra/HPN	HMO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	45	percent of total billed charges	45	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	TriWest	PPO		30	30% of all negotiated rates	49	percent of total billed charges	49	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	United Healthcare	PPO		60	60% of all negotiated rates	28	percent of total billed charges	28	69	
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	66	Coinsurance and deductible may apply
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	66	Coinsurance and deductible may apply
"SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC"	87635	CPT	4010257	LOCAL	300	RC		outpatient			69	59	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	66	Coinsurance and deductible may apply
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Aetna	PPO		38	38% of all negotiated rates	292	percent of total billed charges	292	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Aetna Medicare	HMO		26	26% of all negotiated rates	349	percent of total billed charges	349	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Alignment Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	236	percent of total billed charges	236	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Coalition	PPO		49	49% of all negotiated rates	240	percent of total billed charges	240	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Optum Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	P3	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	314	percent of total billed charges	314	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Sierra/HPN	HMO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Silversummit Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	TriWest	PPO		30	30% of all negotiated rates	330	percent of total billed charges	330	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
SARS-CoV-2 (COVID-19)/Flu (GeneXpert)	0240U	CPT	4010319	LOCAL	300	RC		outpatient			471	401	United Healthcare	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Aetna	PPO		38	38% of all negotiated rates	292	percent of total billed charges	292	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Aetna Medicare	HMO		26	26% of all negotiated rates	349	percent of total billed charges	349	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Alignment Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	236	percent of total billed charges	236	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Coalition	PPO		49	49% of all negotiated rates	240	percent of total billed charges	240	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Optum Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	P3	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	314	percent of total billed charges	314	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Sierra/HPN	HMO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Silversummit Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	TriWest	PPO		30	30% of all negotiated rates	330	percent of total billed charges	330	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert)	0241U	CPT	4010321	LOCAL	300	RC		outpatient			471	401	United Healthcare	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Aetna	PPO		38	38% of all negotiated rates	165	percent of total billed charges	165	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Aetna Medicare	HMO		26	26% of all negotiated rates	197	percent of total billed charges	197	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Alignment Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	107	percent of total billed charges	107	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	133	percent of total billed charges	133	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Cigna	PPO		68	68% of all negotiated rates	85	percent of total billed charges	85	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Coalition	PPO		49	49% of all negotiated rates	136	percent of total billed charges	136	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Coventry	PPO		75	75% of all negotiated rates	67	percent of total billed charges	67	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Humana-Commerical	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Multiplan	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	One Health	PPO		55	55% of all negotiated rates	120	percent of total billed charges	120	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Optum Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	P3	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Select Health	HMO		41	41% of all negotiated rates	157	percent of total billed charges	157	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	177	percent of total billed charges	177	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Sierra/HPN	HMO		60	60% of all negotiated rates	107	percent of total billed charges	107	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Silversummit Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	173	percent of total billed charges	173	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Teachers Trust	PPO		65	65% of all negotiated rates	93	percent of total billed charges	93	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	TriWest	PPO		30	30% of all negotiated rates	187	percent of total billed charges	187	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	United Healthcare	PPO		60	60% of all negotiated rates	107	percent of total billed charges	107	267	
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	254	Coinsurance and deductible may apply
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	254	Coinsurance and deductible may apply
Western Blot Test	84181	CPT	4010003SO	LOCAL	300	RC		outpatient			267	227	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	254	Coinsurance and deductible may apply
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Aetna Medicare	HMO		26	26% of all negotiated rates	17	percent of total billed charges	17	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Alignment Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	12	percent of total billed charges	12	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Coalition	PPO		49	49% of all negotiated rates	12	percent of total billed charges	12	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Optum Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	P3	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Select Health	HMO		41	41% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Silversummit Medicare	HMO		39	39% of all negotiated rates	14	percent of total billed charges	14	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	15	percent of total billed charges	15	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	TriWest	PPO		30	30% of all negotiated rates	16	percent of total billed charges	16	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	23	
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	22	Coinsurance and deductible may apply
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	22	Coinsurance and deductible may apply
White Blood Count	85048	CPT	4000487	LOCAL	300	RC		outpatient			23	20	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	22	Coinsurance and deductible may apply
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Aetna	PPO		38	38% of all negotiated rates	292	percent of total billed charges	292	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Aetna Medicare	HMO		26	26% of all negotiated rates	349	percent of total billed charges	349	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Alignment Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	236	percent of total billed charges	236	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Coalition	PPO		49	49% of all negotiated rates	240	percent of total billed charges	240	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Optum Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	P3	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	314	percent of total billed charges	314	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Sierra/HPN	HMO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Silversummit Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	TriWest	PPO		30	30% of all negotiated rates	330	percent of total billed charges	330	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
Xpress MVP (GeneXpert)	0352U	CPT	4010327	LOCAL	300	RC		outpatient			471	401	United Healthcare	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
.Gestational GTT 1-Hr	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
.Glucose Fasting	82947	CPT	4010275	LOCAL	301	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Aetna	PPO		38	38% of all negotiated rates	61	percent of total billed charges	61	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Aetna Medicare	HMO		26	26% of all negotiated rates	72	percent of total billed charges	72	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Alignment Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	49	percent of total billed charges	49	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Coalition	PPO		49	49% of all negotiated rates	50	percent of total billed charges	50	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	One Health	PPO		55	55% of all negotiated rates	44	percent of total billed charges	44	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Optum Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	P3	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Select Health	HMO		41	41% of all negotiated rates	58	percent of total billed charges	58	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	65	percent of total billed charges	65	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Silversummit Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	93	Coinsurance and deductible may apply
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	93	Coinsurance and deductible may apply
.GTT-1 Hr	82950	CPT	4010277	LOCAL	301	RC		outpatient			98	83	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	93	Coinsurance and deductible may apply
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Aetna	PPO		38	38% of all negotiated rates	61	percent of total billed charges	61	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Aetna Medicare	HMO		26	26% of all negotiated rates	72	percent of total billed charges	72	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Alignment Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	49	percent of total billed charges	49	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Coalition	PPO		49	49% of all negotiated rates	50	percent of total billed charges	50	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	One Health	PPO		55	55% of all negotiated rates	44	percent of total billed charges	44	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Optum Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	P3	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Select Health	HMO		41	41% of all negotiated rates	58	percent of total billed charges	58	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	65	percent of total billed charges	65	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Silversummit Medicare	HMO		39	39% of all negotiated rates	60	percent of total billed charges	60	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	98	
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	93	Coinsurance and deductible may apply
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	93	Coinsurance and deductible may apply
.GTT-2 Hr	82950	CPT	4010279	LOCAL	301	RC		outpatient			98	83	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	93	Coinsurance and deductible may apply
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Aetna	PPO		38	38% of all negotiated rates	160	percent of total billed charges	160	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Aetna Medicare	HMO		26	26% of all negotiated rates	191	percent of total billed charges	191	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	129	percent of total billed charges	129	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Humana-Commerical	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	One Health	PPO		55	55% of all negotiated rates	116	percent of total billed charges	116	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Select Health	HMO		41	41% of all negotiated rates	152	percent of total billed charges	152	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Sierra/HPN	HMO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	168	percent of total billed charges	168	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Teachers Trust	PPO		65	65% of all negotiated rates	90	percent of total billed charges	90	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	TriWest	PPO		30	30% of all negotiated rates	181	percent of total billed charges	181	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	United Healthcare	PPO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	246	Coinsurance and deductible may apply
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	246	Coinsurance and deductible may apply
.GTT-3 Hr	82951	CPT	4010281	LOCAL	301	RC		outpatient			258	220	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	246	Coinsurance and deductible may apply
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Aetna	PPO		38	38% of all negotiated rates	25	percent of total billed charges	25	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Aetna Medicare	HMO		26	26% of all negotiated rates	30	percent of total billed charges	30	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Alignment Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	20	percent of total billed charges	20	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Coalition	PPO		49	49% of all negotiated rates	20	percent of total billed charges	20	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Coventry	PPO		75	75% of all negotiated rates	10	percent of total billed charges	10	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Humana-Commerical	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	One Health	PPO		55	55% of all negotiated rates	18	percent of total billed charges	18	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Optum Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	P3	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Select Health	HMO		41	41% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	27	percent of total billed charges	27	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Sierra/HPN	HMO		60	60% of all negotiated rates	16	percent of total billed charges	16	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Silversummit Medicare	HMO		39	39% of all negotiated rates	24	percent of total billed charges	24	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	26	percent of total billed charges	26	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Teachers Trust	PPO		65	65% of all negotiated rates	14	percent of total billed charges	14	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	TriWest	PPO		30	30% of all negotiated rates	28	percent of total billed charges	28	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	12	percent of total billed charges	12	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	United Healthcare	PPO		60	60% of all negotiated rates	16	percent of total billed charges	16	40	
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	38	Coinsurance and deductible may apply
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	38	Coinsurance and deductible may apply
82962 ACCUCHECK	82962	CPT	4000078	LOCAL	301	RC		outpatient			40	34	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	38	Coinsurance and deductible may apply
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Aetna	PPO		38	38% of all negotiated rates	775	percent of total billed charges	775	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Aetna Medicare	HMO		26	26% of all negotiated rates	925	percent of total billed charges	925	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Alignment Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	625	percent of total billed charges	625	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Cigna	PPO		68	68% of all negotiated rates	400	percent of total billed charges	400	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Coalition	PPO		49	49% of all negotiated rates	637	percent of total billed charges	637	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Coventry	PPO		75	75% of all negotiated rates	312	percent of total billed charges	312	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Humana-Commerical	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Multiplan	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	One Health	PPO		55	55% of all negotiated rates	562	percent of total billed charges	562	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Optum Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	P3	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Select Health	HMO		41	41% of all negotiated rates	737	percent of total billed charges	737	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	831	percent of total billed charges	831	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Sierra/HPN	HMO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Silversummit Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	812	percent of total billed charges	812	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Teachers Trust	PPO		65	65% of all negotiated rates	437	percent of total billed charges	437	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	TriWest	PPO		30	30% of all negotiated rates	875	percent of total billed charges	875	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	United Healthcare	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	1190	Coinsurance and deductible may apply
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	1190	Coinsurance and deductible may apply
ABG ANALYSIS	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	1190	Coinsurance and deductible may apply
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	350	Coinsurance and deductible may apply
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	350	Coinsurance and deductible may apply
Acetaminophen Level	80143	CPT	9000035	LOCAL	301	RC		outpatient			368	312	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	350	Coinsurance and deductible may apply
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Aetna	PPO		38	38% of all negotiated rates	59	percent of total billed charges	59	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Alignment Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Optum Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	P3	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Select Health	HMO		41	41% of all negotiated rates	56	percent of total billed charges	56	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Sierra/HPN	HMO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Silversummit Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	62	percent of total billed charges	62	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Teachers Trust	PPO		65	65% of all negotiated rates	33	percent of total billed charges	33	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	TriWest	PPO		30	30% of all negotiated rates	67	percent of total billed charges	67	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	United Healthcare	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	91	Coinsurance and deductible may apply
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	91	Coinsurance and deductible may apply
"Acetone, Serum"	82009	CPT	4000100	LOCAL	301	RC		outpatient			96	81	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	91	Coinsurance and deductible may apply
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Aetna	PPO		38	38% of all negotiated rates	64	percent of total billed charges	64	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Aetna Medicare	HMO		26	26% of all negotiated rates	76	percent of total billed charges	76	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	41	percent of total billed charges	41	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	51	percent of total billed charges	51	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Coalition	PPO		49	49% of all negotiated rates	52	percent of total billed charges	52	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	One Health	PPO		55	55% of all negotiated rates	46	percent of total billed charges	46	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	68	percent of total billed charges	68	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Sierra/HPN	HMO		60	60% of all negotiated rates	41	percent of total billed charges	41	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	67	percent of total billed charges	67	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Teachers Trust	PPO		65	65% of all negotiated rates	36	percent of total billed charges	36	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	TriWest	PPO		30	30% of all negotiated rates	72	percent of total billed charges	72	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	United Healthcare	PPO		60	60% of all negotiated rates	41	percent of total billed charges	41	103	
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	98	Coinsurance and deductible may apply
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	98	Coinsurance and deductible may apply
Albumin Level	82040	CPT	4000407	LOCAL	301	RC		outpatient			103	87	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	98	Coinsurance and deductible may apply
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Alkaline Phosphatase	84075	CPT	4000751	LOCAL	301	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Allergen Specific IgE	86003	CPT	4010057SO	LOCAL	301	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Almond	86003	CPT	25632489SO	LOCAL	301	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Aetna Medicare	HMO		26	26% of all negotiated rates	79	percent of total billed charges	79	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	54	percent of total billed charges	54	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Coalition	PPO		49	49% of all negotiated rates	55	percent of total billed charges	55	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Sierra/HPN	HMO		60	60% of all negotiated rates	43	percent of total billed charges	43	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	70	percent of total billed charges	70	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	TriWest	PPO		30	30% of all negotiated rates	75	percent of total billed charges	75	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	United Healthcare	PPO		60	60% of all negotiated rates	43	percent of total billed charges	43	107	
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	102	Coinsurance and deductible may apply
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	102	Coinsurance and deductible may apply
ALT	84460	CPT	4004605	LOCAL	301	RC		outpatient			107	91	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	102	Coinsurance and deductible may apply
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	350	Coinsurance and deductible may apply
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	350	Coinsurance and deductible may apply
Ammonia Level	82140	CPT	4001405	LOCAL	301	RC		outpatient			368	312	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	350	Coinsurance and deductible may apply
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Aetna	PPO		38	38% of all negotiated rates	90	percent of total billed charges	90	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Aetna Medicare	HMO		26	26% of all negotiated rates	108	percent of total billed charges	108	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Alignment Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	58	percent of total billed charges	58	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	73	percent of total billed charges	73	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Cigna	PPO		68	68% of all negotiated rates	47	percent of total billed charges	47	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Coalition	PPO		49	49% of all negotiated rates	74	percent of total billed charges	74	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Coventry	PPO		75	75% of all negotiated rates	36	percent of total billed charges	36	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Humana-Commerical	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Multiplan	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	One Health	PPO		55	55% of all negotiated rates	66	percent of total billed charges	66	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Optum Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	P3	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Select Health	HMO		41	41% of all negotiated rates	86	percent of total billed charges	86	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	97	percent of total billed charges	97	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Sierra/HPN	HMO		60	60% of all negotiated rates	58	percent of total billed charges	58	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Silversummit Medicare	HMO		39	39% of all negotiated rates	89	percent of total billed charges	89	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	95	percent of total billed charges	95	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Teachers Trust	PPO		65	65% of all negotiated rates	51	percent of total billed charges	51	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	TriWest	PPO		30	30% of all negotiated rates	102	percent of total billed charges	102	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	United Healthcare	PPO		60	60% of all negotiated rates	58	percent of total billed charges	58	146	
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	139	Coinsurance and deductible may apply
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	139	Coinsurance and deductible may apply
Amylase Level	82150	CPT	4001504	LOCAL	301	RC		outpatient			146	124	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	139	Coinsurance and deductible may apply
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Aetna Medicare	HMO		26	26% of all negotiated rates	50	percent of total billed charges	50	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Alignment Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Optum Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	P3	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Silversummit Medicare	HMO		39	39% of all negotiated rates	41	percent of total billed charges	41	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	TriWest	PPO		30	30% of all negotiated rates	47	percent of total billed charges	47	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	67	
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	64	Coinsurance and deductible may apply
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	64	Coinsurance and deductible may apply
ANA Titer and Pattern Rflx	86039	CPT	4010114SO	LOCAL	301	RC		outpatient			67	57	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	64	Coinsurance and deductible may apply
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Aetna	PPO		38	38% of all negotiated rates	202	percent of total billed charges	202	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Aetna Medicare	HMO		26	26% of all negotiated rates	242	percent of total billed charges	242	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Alignment Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	163	percent of total billed charges	163	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Cigna	PPO		68	68% of all negotiated rates	104	percent of total billed charges	104	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Coalition	PPO		49	49% of all negotiated rates	167	percent of total billed charges	167	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Coventry	PPO		75	75% of all negotiated rates	82	percent of total billed charges	82	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	65	percent of total billed charges	65	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Humana-Commerical	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Multiplan	PPO		80	80% of all negotiated rates	65	percent of total billed charges	65	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	One Health	PPO		55	55% of all negotiated rates	147	percent of total billed charges	147	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Optum Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	P3	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Select Health	HMO		41	41% of all negotiated rates	193	percent of total billed charges	193	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	217	percent of total billed charges	217	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Sierra/HPN	HMO		60	60% of all negotiated rates	131	percent of total billed charges	131	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Silversummit Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	212	percent of total billed charges	212	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Teachers Trust	PPO		65	65% of all negotiated rates	114	percent of total billed charges	114	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	TriWest	PPO		30	30% of all negotiated rates	229	percent of total billed charges	229	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	United Healthcare	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	327	
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	311	Coinsurance and deductible may apply
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	311	Coinsurance and deductible may apply
Antibody ID	86077	CPT	4000282SO	LOCAL	301	RC		outpatient			327	278	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	311	Coinsurance and deductible may apply
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
AST	84450	CPT	4004506	LOCAL	301	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Aetna	PPO		38	38% of all negotiated rates	109	percent of total billed charges	109	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Aetna Medicare	HMO		26	26% of all negotiated rates	130	percent of total billed charges	130	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Alignment Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	70	percent of total billed charges	70	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	88	percent of total billed charges	88	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Cigna	PPO		68	68% of all negotiated rates	56	percent of total billed charges	56	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Coalition	PPO		49	49% of all negotiated rates	89	percent of total billed charges	89	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Coventry	PPO		75	75% of all negotiated rates	44	percent of total billed charges	44	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Humana-Commerical	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Multiplan	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	One Health	PPO		55	55% of all negotiated rates	79	percent of total billed charges	79	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Optum Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	P3	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Select Health	HMO		41	41% of all negotiated rates	103	percent of total billed charges	103	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	117	percent of total billed charges	117	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Sierra/HPN	HMO		60	60% of all negotiated rates	70	percent of total billed charges	70	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Silversummit Medicare	HMO		39	39% of all negotiated rates	107	percent of total billed charges	107	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	114	percent of total billed charges	114	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Teachers Trust	PPO		65	65% of all negotiated rates	61	percent of total billed charges	61	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	TriWest	PPO		30	30% of all negotiated rates	123	percent of total billed charges	123	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	United Healthcare	PPO		60	60% of all negotiated rates	70	percent of total billed charges	70	175	
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	167	Coinsurance and deductible may apply
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	167	Coinsurance and deductible may apply
Basic Metabolic Panel 9	80048	CPT	4000061	LOCAL	301	RC		outpatient			175	149	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	167	Coinsurance and deductible may apply
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Aetna	PPO		38	38% of all negotiated rates	64	percent of total billed charges	64	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Coalition	PPO		49	49% of all negotiated rates	53	percent of total billed charges	53	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Teachers Trust	PPO		65	65% of all negotiated rates	36	percent of total billed charges	36	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	99	Coinsurance and deductible may apply
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	99	Coinsurance and deductible may apply
Bilirubin Direct	82248	CPT	4002510SO	LOCAL	301	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	99	Coinsurance and deductible may apply
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Aetna	PPO		38	38% of all negotiated rates	64	percent of total billed charges	64	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Coalition	PPO		49	49% of all negotiated rates	53	percent of total billed charges	53	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Teachers Trust	PPO		65	65% of all negotiated rates	36	percent of total billed charges	36	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	99	Coinsurance and deductible may apply
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	99	Coinsurance and deductible may apply
Bilirubin Total	82247	CPT	4002502SO	LOCAL	301	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	99	Coinsurance and deductible may apply
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Blood Urea Nitrogen	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Aetna	PPO		38	38% of all negotiated rates	286	percent of total billed charges	286	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Aetna Medicare	HMO		26	26% of all negotiated rates	341	percent of total billed charges	341	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Alignment Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	184	percent of total billed charges	184	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	230	percent of total billed charges	230	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Cigna	PPO		68	68% of all negotiated rates	148	percent of total billed charges	148	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Coalition	PPO		49	49% of all negotiated rates	235	percent of total billed charges	235	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Coventry	PPO		75	75% of all negotiated rates	115	percent of total billed charges	115	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	92	percent of total billed charges	92	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Humana-Commerical	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Multiplan	PPO		80	80% of all negotiated rates	92	percent of total billed charges	92	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	One Health	PPO		55	55% of all negotiated rates	207	percent of total billed charges	207	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Optum Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	P3	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Select Health	HMO		41	41% of all negotiated rates	272	percent of total billed charges	272	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	307	percent of total billed charges	307	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Sierra/HPN	HMO		60	60% of all negotiated rates	184	percent of total billed charges	184	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Silversummit Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	300	percent of total billed charges	300	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Teachers Trust	PPO		65	65% of all negotiated rates	161	percent of total billed charges	161	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	TriWest	PPO		30	30% of all negotiated rates	323	percent of total billed charges	323	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	United Healthcare	PPO		60	60% of all negotiated rates	184	percent of total billed charges	184	461	
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	439	Coinsurance and deductible may apply
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	439	Coinsurance and deductible may apply
Brain Natriuretic Peptide	83880	CPT	4007400	LOCAL	301	RC		outpatient			461	392	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	439	Coinsurance and deductible may apply
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
BUN	84520	CPT	4005206	LOCAL	301	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Calcium Level	82310	CPT	4003104	LOCAL	301	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Aetna	PPO		38	38% of all negotiated rates	106	percent of total billed charges	106	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Aetna Medicare	HMO		26	26% of all negotiated rates	127	percent of total billed charges	127	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Alignment Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	86	percent of total billed charges	86	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Cigna	PPO		68	68% of all negotiated rates	55	percent of total billed charges	55	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Coalition	PPO		49	49% of all negotiated rates	87	percent of total billed charges	87	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Coventry	PPO		75	75% of all negotiated rates	43	percent of total billed charges	43	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Humana-Commerical	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Multiplan	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	One Health	PPO		55	55% of all negotiated rates	77	percent of total billed charges	77	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Optum Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	P3	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Select Health	HMO		41	41% of all negotiated rates	101	percent of total billed charges	101	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	114	percent of total billed charges	114	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Sierra/HPN	HMO		60	60% of all negotiated rates	68	percent of total billed charges	68	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Silversummit Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	111	percent of total billed charges	111	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Teachers Trust	PPO		65	65% of all negotiated rates	60	percent of total billed charges	60	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	TriWest	PPO		30	30% of all negotiated rates	120	percent of total billed charges	120	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	United Healthcare	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	171	
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	163	Coinsurance and deductible may apply
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	163	Coinsurance and deductible may apply
Carbon Dioxide Level	82374	CPT	4003740	LOCAL	301	RC		outpatient			171	145	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	163	Coinsurance and deductible may apply
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Aetna	PPO		38	38% of all negotiated rates	380	percent of total billed charges	380	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Aetna Medicare	HMO		26	26% of all negotiated rates	454	percent of total billed charges	454	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Alignment Medicare	HMO		39	39% of all negotiated rates	374	percent of total billed charges	374	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	245	percent of total billed charges	245	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	307	percent of total billed charges	307	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	374	percent of total billed charges	374	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Cigna	PPO		68	68% of all negotiated rates	196	percent of total billed charges	196	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Coalition	PPO		49	49% of all negotiated rates	313	percent of total billed charges	313	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Coventry	PPO		75	75% of all negotiated rates	153	percent of total billed charges	153	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Humana-Commerical	PPO		70	70% of all negotiated rates	184	percent of total billed charges	184	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	374	percent of total billed charges	374	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	One Health	PPO		55	55% of all negotiated rates	276	percent of total billed charges	276	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Optum Medicare	HMO		39	39% of all negotiated rates	374	percent of total billed charges	374	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	P3	HMO		39	39% of all negotiated rates	374	percent of total billed charges	374	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	184	percent of total billed charges	184	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Select Health	HMO		41	41% of all negotiated rates	362	percent of total billed charges	362	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	408	percent of total billed charges	408	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Sierra/HPN	HMO		60	60% of all negotiated rates	245	percent of total billed charges	245	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Silversummit Medicare	HMO		39	39% of all negotiated rates	374	percent of total billed charges	374	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	399	percent of total billed charges	399	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Teachers Trust	PPO		65	65% of all negotiated rates	215	percent of total billed charges	215	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	TriWest	PPO		30	30% of all negotiated rates	429	percent of total billed charges	429	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	184	percent of total billed charges	184	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	United Healthcare	PPO		60	60% of all negotiated rates	245	percent of total billed charges	245	613	
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	584	Coinsurance and deductible may apply
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	584	Coinsurance and deductible may apply
Carboxy Hgb	82375	CPT	4000011SO	LOCAL	301	RC		outpatient			613	521	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	584	Coinsurance and deductible may apply
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Aetna	PPO		38	38% of all negotiated rates	60	percent of total billed charges	60	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Alignment Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Optum Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	P3	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Select Health	HMO		41	41% of all negotiated rates	57	percent of total billed charges	57	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Silversummit Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Chloride Level	82435	CPT	4004359	LOCAL	301	RC		outpatient			97	82	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Aetna	PPO		38	38% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Aetna Medicare	HMO		26	26% of all negotiated rates	53	percent of total billed charges	53	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Alignment Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	29	percent of total billed charges	29	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	36	percent of total billed charges	36	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Cigna	PPO		68	68% of all negotiated rates	23	percent of total billed charges	23	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Coalition	PPO		49	49% of all negotiated rates	36	percent of total billed charges	36	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Coventry	PPO		75	75% of all negotiated rates	18	percent of total billed charges	18	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Humana-Commerical	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	One Health	PPO		55	55% of all negotiated rates	32	percent of total billed charges	32	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Optum Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	P3	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Select Health	HMO		41	41% of all negotiated rates	42	percent of total billed charges	42	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	47	percent of total billed charges	47	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Sierra/HPN	HMO		60	60% of all negotiated rates	29	percent of total billed charges	29	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Silversummit Medicare	HMO		39	39% of all negotiated rates	44	percent of total billed charges	44	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	46	percent of total billed charges	46	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Teachers Trust	PPO		65	65% of all negotiated rates	25	percent of total billed charges	25	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	TriWest	PPO		30	30% of all negotiated rates	50	percent of total billed charges	50	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	21	percent of total billed charges	21	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	United Healthcare	PPO		60	60% of all negotiated rates	29	percent of total billed charges	29	71	
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	68	Coinsurance and deductible may apply
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	68	Coinsurance and deductible may apply
Chloride Level Urine	82436	CPT	4001464	LOCAL	301	RC		outpatient			71	61	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	68	Coinsurance and deductible may apply
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Aetna	PPO		38	38% of all negotiated rates	105	percent of total billed charges	105	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Aetna Medicare	HMO		26	26% of all negotiated rates	126	percent of total billed charges	126	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Alignment Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	85	percent of total billed charges	85	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Cigna	PPO		68	68% of all negotiated rates	54	percent of total billed charges	54	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Coalition	PPO		49	49% of all negotiated rates	87	percent of total billed charges	87	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Coventry	PPO		75	75% of all negotiated rates	43	percent of total billed charges	43	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Humana-Commerical	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Multiplan	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	One Health	PPO		55	55% of all negotiated rates	77	percent of total billed charges	77	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Optum Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	P3	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Select Health	HMO		41	41% of all negotiated rates	100	percent of total billed charges	100	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	113	percent of total billed charges	113	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Sierra/HPN	HMO		60	60% of all negotiated rates	68	percent of total billed charges	68	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Silversummit Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	111	percent of total billed charges	111	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Teachers Trust	PPO		65	65% of all negotiated rates	60	percent of total billed charges	60	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	TriWest	PPO		30	30% of all negotiated rates	119	percent of total billed charges	119	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	United Healthcare	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	170	
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	162	Coinsurance and deductible may apply
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	162	Coinsurance and deductible may apply
Cholesterol HDL	83718	CPT	4008541	LOCAL	301	RC		outpatient			170	145	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	162	Coinsurance and deductible may apply
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Aetna	PPO		38	38% of all negotiated rates	57	percent of total billed charges	57	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Aetna Medicare	HMO		26	26% of all negotiated rates	68	percent of total billed charges	68	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Alignment Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	46	percent of total billed charges	46	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Cigna	PPO		68	68% of all negotiated rates	29	percent of total billed charges	29	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Coalition	PPO		49	49% of all negotiated rates	47	percent of total billed charges	47	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Coventry	PPO		75	75% of all negotiated rates	23	percent of total billed charges	23	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Humana-Commerical	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	One Health	PPO		55	55% of all negotiated rates	41	percent of total billed charges	41	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Optum Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	P3	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Select Health	HMO		41	41% of all negotiated rates	54	percent of total billed charges	54	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	61	percent of total billed charges	61	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Sierra/HPN	HMO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Silversummit Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	59	percent of total billed charges	59	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Teachers Trust	PPO		65	65% of all negotiated rates	32	percent of total billed charges	32	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	TriWest	PPO		30	30% of all negotiated rates	64	percent of total billed charges	64	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	United Healthcare	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	91	
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	87	Coinsurance and deductible may apply
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	87	Coinsurance and deductible may apply
Cholesterol Total	82465	CPT	4004656	LOCAL	301	RC		outpatient			91	78	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	87	Coinsurance and deductible may apply
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Aetna	PPO		38	38% of all negotiated rates	298	percent of total billed charges	298	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Aetna Medicare	HMO		26	26% of all negotiated rates	355	percent of total billed charges	355	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Alignment Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	240	percent of total billed charges	240	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Cigna	PPO		68	68% of all negotiated rates	154	percent of total billed charges	154	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Coalition	PPO		49	49% of all negotiated rates	245	percent of total billed charges	245	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	One Health	PPO		55	55% of all negotiated rates	216	percent of total billed charges	216	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Optum Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	P3	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Select Health	HMO		41	41% of all negotiated rates	283	percent of total billed charges	283	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	319	percent of total billed charges	319	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Silversummit Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	312	percent of total billed charges	312	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Teachers Trust	PPO		65	65% of all negotiated rates	168	percent of total billed charges	168	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	TriWest	PPO		30	30% of all negotiated rates	336	percent of total billed charges	336	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	United Healthcare	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	457	Coinsurance and deductible may apply
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	457	Coinsurance and deductible may apply
CK with Reflex	82553	CPT	4006555	LOCAL	301	RC		outpatient			480	408	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	457	Coinsurance and deductible may apply
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Aetna	PPO		38	38% of all negotiated rates	311	percent of total billed charges	311	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Aetna Medicare	HMO		26	26% of all negotiated rates	371	percent of total billed charges	371	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Alignment Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	201	percent of total billed charges	201	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	251	percent of total billed charges	251	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Coalition	PPO		49	49% of all negotiated rates	256	percent of total billed charges	256	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Coventry	PPO		75	75% of all negotiated rates	125	percent of total billed charges	125	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Multiplan	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	One Health	PPO		55	55% of all negotiated rates	226	percent of total billed charges	226	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Optum Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	P3	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Select Health	HMO		41	41% of all negotiated rates	296	percent of total billed charges	296	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	334	percent of total billed charges	334	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Sierra/HPN	HMO		60	60% of all negotiated rates	201	percent of total billed charges	201	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Silversummit Medicare	HMO		39	39% of all negotiated rates	306	percent of total billed charges	306	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	326	percent of total billed charges	326	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	TriWest	PPO		30	30% of all negotiated rates	351	percent of total billed charges	351	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	United Healthcare	PPO		60	60% of all negotiated rates	201	percent of total billed charges	201	502	
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	478	Coinsurance and deductible may apply
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	478	Coinsurance and deductible may apply
"CK, CKMB with Index"	82553	CPT	4006555	LOCAL	301	RC		outpatient			502	427	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	478	Coinsurance and deductible may apply
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Aetna	PPO		38	38% of all negotiated rates	540	percent of total billed charges	540	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Aetna Medicare	HMO		26	26% of all negotiated rates	645	percent of total billed charges	645	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Alignment Medicare	HMO		39	39% of all negotiated rates	532	percent of total billed charges	532	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	349	percent of total billed charges	349	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	436	percent of total billed charges	436	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	532	percent of total billed charges	532	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Cigna	PPO		68	68% of all negotiated rates	279	percent of total billed charges	279	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Coalition	PPO		49	49% of all negotiated rates	444	percent of total billed charges	444	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Coventry	PPO		75	75% of all negotiated rates	218	percent of total billed charges	218	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	174	percent of total billed charges	174	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Humana-Commerical	PPO		70	70% of all negotiated rates	261	percent of total billed charges	261	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	532	percent of total billed charges	532	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Multiplan	PPO		80	80% of all negotiated rates	174	percent of total billed charges	174	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	One Health	PPO		55	55% of all negotiated rates	392	percent of total billed charges	392	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Optum Medicare	HMO		39	39% of all negotiated rates	532	percent of total billed charges	532	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	P3	HMO		39	39% of all negotiated rates	532	percent of total billed charges	532	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	261	percent of total billed charges	261	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Select Health	HMO		41	41% of all negotiated rates	514	percent of total billed charges	514	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	580	percent of total billed charges	580	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Sierra/HPN	HMO		60	60% of all negotiated rates	349	percent of total billed charges	349	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Silversummit Medicare	HMO		39	39% of all negotiated rates	532	percent of total billed charges	532	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	566	percent of total billed charges	566	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Teachers Trust	PPO		65	65% of all negotiated rates	305	percent of total billed charges	305	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	TriWest	PPO		30	30% of all negotiated rates	610	percent of total billed charges	610	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	261	percent of total billed charges	261	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	United Healthcare	PPO		60	60% of all negotiated rates	349	percent of total billed charges	349	872	
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	830	Coinsurance and deductible may apply
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	830	Coinsurance and deductible may apply
Comprehensive Metabolic Panel 12	80053	CPT	4000194	LOCAL	301	RC		outpatient			872	741	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	830	Coinsurance and deductible may apply
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Aetna	PPO		38	38% of all negotiated rates	83	percent of total billed charges	83	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Aetna Medicare	HMO		26	26% of all negotiated rates	99	percent of total billed charges	99	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Alignment Medicare	HMO		39	39% of all negotiated rates	81	percent of total billed charges	81	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	53	percent of total billed charges	53	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	67	percent of total billed charges	67	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	81	percent of total billed charges	81	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Cigna	PPO		68	68% of all negotiated rates	43	percent of total billed charges	43	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Coalition	PPO		49	49% of all negotiated rates	68	percent of total billed charges	68	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Coventry	PPO		75	75% of all negotiated rates	33	percent of total billed charges	33	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Humana-Commerical	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	81	percent of total billed charges	81	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Multiplan	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	One Health	PPO		55	55% of all negotiated rates	60	percent of total billed charges	60	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Optum Medicare	HMO		39	39% of all negotiated rates	81	percent of total billed charges	81	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	P3	HMO		39	39% of all negotiated rates	81	percent of total billed charges	81	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Select Health	HMO		41	41% of all negotiated rates	79	percent of total billed charges	79	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	89	percent of total billed charges	89	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Sierra/HPN	HMO		60	60% of all negotiated rates	53	percent of total billed charges	53	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Silversummit Medicare	HMO		39	39% of all negotiated rates	81	percent of total billed charges	81	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	87	percent of total billed charges	87	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Teachers Trust	PPO		65	65% of all negotiated rates	47	percent of total billed charges	47	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	TriWest	PPO		30	30% of all negotiated rates	93	percent of total billed charges	93	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	40	percent of total billed charges	40	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	United Healthcare	PPO		60	60% of all negotiated rates	53	percent of total billed charges	53	133	
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	127	Coinsurance and deductible may apply
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	127	Coinsurance and deductible may apply
Creatine Kinase	82550	CPT	4005515	LOCAL	301	RC		outpatient			133	113	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	127	Coinsurance and deductible may apply
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Creatinine	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Creatinine Level	82565	CPT	4005653	LOCAL	301	RC		outpatient			105	89	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Aetna	PPO		38	38% of all negotiated rates	59	percent of total billed charges	59	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Aetna Medicare	HMO		26	26% of all negotiated rates	70	percent of total billed charges	70	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Alignment Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	47	percent of total billed charges	47	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Cigna	PPO		68	68% of all negotiated rates	30	percent of total billed charges	30	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Coalition	PPO		49	49% of all negotiated rates	48	percent of total billed charges	48	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Humana-Commerical	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Optum Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	P3	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Select Health	HMO		41	41% of all negotiated rates	56	percent of total billed charges	56	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	63	percent of total billed charges	63	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Sierra/HPN	HMO		60	60% of all negotiated rates	38	percent of total billed charges	38	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Silversummit Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	61	percent of total billed charges	61	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Teachers Trust	PPO		65	65% of all negotiated rates	33	percent of total billed charges	33	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	TriWest	PPO		30	30% of all negotiated rates	66	percent of total billed charges	66	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	United Healthcare	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	95	
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	90	Coinsurance and deductible may apply
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	90	Coinsurance and deductible may apply
Creatinine Level Urine	82570	CPT	4005651	LOCAL	301	RC		outpatient			95	80	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	90	Coinsurance and deductible may apply
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
CSF Glucose	82947	CPT	4009471	LOCAL	301	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Aetna	PPO		38	38% of all negotiated rates	128	percent of total billed charges	128	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Alignment Medicare	HMO		39	39% of all negotiated rates	126	percent of total billed charges	126	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	103	percent of total billed charges	103	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	126	percent of total billed charges	126	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Coalition	PPO		49	49% of all negotiated rates	105	percent of total billed charges	105	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Humana-Commerical	PPO		70	70% of all negotiated rates	62	percent of total billed charges	62	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	126	percent of total billed charges	126	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	One Health	PPO		55	55% of all negotiated rates	93	percent of total billed charges	93	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Optum Medicare	HMO		39	39% of all negotiated rates	126	percent of total billed charges	126	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	P3	HMO		39	39% of all negotiated rates	126	percent of total billed charges	126	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	62	percent of total billed charges	62	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	137	percent of total billed charges	137	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Silversummit Medicare	HMO		39	39% of all negotiated rates	126	percent of total billed charges	126	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	134	percent of total billed charges	134	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Teachers Trust	PPO		65	65% of all negotiated rates	72	percent of total billed charges	72	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	TriWest	PPO		30	30% of all negotiated rates	144	percent of total billed charges	144	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	62	percent of total billed charges	62	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	206	
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	196	Coinsurance and deductible may apply
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	196	Coinsurance and deductible may apply
CSF Protein	84157	CPT	4001552	LOCAL	301	RC		outpatient			206	175	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	196	Coinsurance and deductible may apply
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Aetna	PPO		38	38% of all negotiated rates	207	percent of total billed charges	207	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Aetna Medicare	HMO		26	26% of all negotiated rates	247	percent of total billed charges	247	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Alignment Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	167	percent of total billed charges	167	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Cigna	PPO		68	68% of all negotiated rates	107	percent of total billed charges	107	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Coalition	PPO		49	49% of all negotiated rates	170	percent of total billed charges	170	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	One Health	PPO		55	55% of all negotiated rates	150	percent of total billed charges	150	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Optum Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	P3	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Select Health	HMO		41	41% of all negotiated rates	197	percent of total billed charges	197	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	222	percent of total billed charges	222	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Sierra/HPN	HMO		60	60% of all negotiated rates	134	percent of total billed charges	134	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Silversummit Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	217	percent of total billed charges	217	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Teachers Trust	PPO		65	65% of all negotiated rates	117	percent of total billed charges	117	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	TriWest	PPO		30	30% of all negotiated rates	234	percent of total billed charges	234	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	United Healthcare	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	334	
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	318	Coinsurance and deductible may apply
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	318	Coinsurance and deductible may apply
DESC-Serum Pregnancy Test	84703	CPT	4007038SO	LOCAL	301	RC		outpatient			334	284	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	318	Coinsurance and deductible may apply
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Aetna	PPO		38	38% of all negotiated rates	303	percent of total billed charges	303	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Aetna Medicare	HMO		26	26% of all negotiated rates	362	percent of total billed charges	362	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Alignment Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	245	percent of total billed charges	245	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Coalition	PPO		49	49% of all negotiated rates	250	percent of total billed charges	250	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Coventry	PPO		75	75% of all negotiated rates	122	percent of total billed charges	122	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	One Health	PPO		55	55% of all negotiated rates	220	percent of total billed charges	220	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Optum Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	P3	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Select Health	HMO		41	41% of all negotiated rates	289	percent of total billed charges	289	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	325	percent of total billed charges	325	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Sierra/HPN	HMO		60	60% of all negotiated rates	196	percent of total billed charges	196	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Silversummit Medicare	HMO		39	39% of all negotiated rates	298	percent of total billed charges	298	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	318	percent of total billed charges	318	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Teachers Trust	PPO		65	65% of all negotiated rates	171	percent of total billed charges	171	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	TriWest	PPO		30	30% of all negotiated rates	343	percent of total billed charges	343	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	United Healthcare	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	489	
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	466	Coinsurance and deductible may apply
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	466	Coinsurance and deductible may apply
Digoxin Level	80162	CPT	4006438	LOCAL	301	RC		outpatient			489	416	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	466	Coinsurance and deductible may apply
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Aetna	PPO		38	38% of all negotiated rates	169	percent of total billed charges	169	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Aetna Medicare	HMO		26	26% of all negotiated rates	201	percent of total billed charges	201	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Alignment Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	109	percent of total billed charges	109	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	136	percent of total billed charges	136	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Cigna	PPO		68	68% of all negotiated rates	87	percent of total billed charges	87	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Coalition	PPO		49	49% of all negotiated rates	139	percent of total billed charges	139	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Coventry	PPO		75	75% of all negotiated rates	68	percent of total billed charges	68	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	54	percent of total billed charges	54	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Humana-Commerical	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Multiplan	PPO		80	80% of all negotiated rates	54	percent of total billed charges	54	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	One Health	PPO		55	55% of all negotiated rates	122	percent of total billed charges	122	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Optum Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	P3	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Select Health	HMO		41	41% of all negotiated rates	160	percent of total billed charges	160	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	181	percent of total billed charges	181	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Sierra/HPN	HMO		60	60% of all negotiated rates	109	percent of total billed charges	109	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Silversummit Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	177	percent of total billed charges	177	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Teachers Trust	PPO		65	65% of all negotiated rates	95	percent of total billed charges	95	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	TriWest	PPO		30	30% of all negotiated rates	190	percent of total billed charges	190	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	United Healthcare	PPO		60	60% of all negotiated rates	109	percent of total billed charges	109	272	
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	259	Coinsurance and deductible may apply
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	259	Coinsurance and deductible may apply
Dilantin Level 2	80185	CPT	4000454	LOCAL	301	RC		outpatient			272	231	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	259	Coinsurance and deductible may apply
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Aetna	PPO		38	38% of all negotiated rates	97	percent of total billed charges	97	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Aetna Medicare	HMO		26	26% of all negotiated rates	116	percent of total billed charges	116	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Alignment Medicare	HMO		39	39% of all negotiated rates	95	percent of total billed charges	95	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	63	percent of total billed charges	63	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	78	percent of total billed charges	78	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	95	percent of total billed charges	95	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Cigna	PPO		68	68% of all negotiated rates	50	percent of total billed charges	50	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Coalition	PPO		49	49% of all negotiated rates	80	percent of total billed charges	80	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Coventry	PPO		75	75% of all negotiated rates	39	percent of total billed charges	39	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	31	percent of total billed charges	31	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Humana-Commerical	PPO		70	70% of all negotiated rates	47	percent of total billed charges	47	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	95	percent of total billed charges	95	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Multiplan	PPO		80	80% of all negotiated rates	31	percent of total billed charges	31	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	One Health	PPO		55	55% of all negotiated rates	70	percent of total billed charges	70	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Optum Medicare	HMO		39	39% of all negotiated rates	95	percent of total billed charges	95	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	P3	HMO		39	39% of all negotiated rates	95	percent of total billed charges	95	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	47	percent of total billed charges	47	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Select Health	HMO		41	41% of all negotiated rates	92	percent of total billed charges	92	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	104	percent of total billed charges	104	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Sierra/HPN	HMO		60	60% of all negotiated rates	63	percent of total billed charges	63	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Silversummit Medicare	HMO		39	39% of all negotiated rates	95	percent of total billed charges	95	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	102	percent of total billed charges	102	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Teachers Trust	PPO		65	65% of all negotiated rates	55	percent of total billed charges	55	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	TriWest	PPO		30	30% of all negotiated rates	110	percent of total billed charges	110	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	47	percent of total billed charges	47	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	United Healthcare	PPO		60	60% of all negotiated rates	63	percent of total billed charges	63	156	
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	149	Coinsurance and deductible may apply
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	149	Coinsurance and deductible may apply
Direct LDL	83721	CPT	4003721SO	LOCAL	301	RC		outpatient			156	133	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	149	Coinsurance and deductible may apply
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Aetna	PPO		38	38% of all negotiated rates	163	percent of total billed charges	163	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Aetna Medicare	HMO		26	26% of all negotiated rates	195	percent of total billed charges	195	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Alignment Medicare	HMO		39	39% of all negotiated rates	161	percent of total billed charges	161	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	105	percent of total billed charges	105	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	132	percent of total billed charges	132	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	161	percent of total billed charges	161	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Cigna	PPO		68	68% of all negotiated rates	84	percent of total billed charges	84	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Coalition	PPO		49	49% of all negotiated rates	134	percent of total billed charges	134	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Coventry	PPO		75	75% of all negotiated rates	66	percent of total billed charges	66	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Humana-Commerical	PPO		70	70% of all negotiated rates	79	percent of total billed charges	79	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	161	percent of total billed charges	161	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Multiplan	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	One Health	PPO		55	55% of all negotiated rates	119	percent of total billed charges	119	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Optum Medicare	HMO		39	39% of all negotiated rates	161	percent of total billed charges	161	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	P3	HMO		39	39% of all negotiated rates	161	percent of total billed charges	161	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	79	percent of total billed charges	79	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Select Health	HMO		41	41% of all negotiated rates	155	percent of total billed charges	155	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	175	percent of total billed charges	175	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Sierra/HPN	HMO		60	60% of all negotiated rates	105	percent of total billed charges	105	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Silversummit Medicare	HMO		39	39% of all negotiated rates	161	percent of total billed charges	161	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	171	percent of total billed charges	171	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Teachers Trust	PPO		65	65% of all negotiated rates	92	percent of total billed charges	92	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	TriWest	PPO		30	30% of all negotiated rates	184	percent of total billed charges	184	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	79	percent of total billed charges	79	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	United Healthcare	PPO		60	60% of all negotiated rates	105	percent of total billed charges	105	264	
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	251	Coinsurance and deductible may apply
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	251	Coinsurance and deductible may apply
Ferritin Level	82728	CPT	4007287	LOCAL	301	RC		outpatient			264	224	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	251	Coinsurance and deductible may apply
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Aetna	PPO		38	38% of all negotiated rates	305	percent of total billed charges	305	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Aetna Medicare	HMO		26	26% of all negotiated rates	364	percent of total billed charges	364	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Alignment Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	246	percent of total billed charges	246	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Coalition	PPO		49	49% of all negotiated rates	251	percent of total billed charges	251	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	One Health	PPO		55	55% of all negotiated rates	221	percent of total billed charges	221	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Optum Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	P3	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Select Health	HMO		41	41% of all negotiated rates	290	percent of total billed charges	290	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	327	percent of total billed charges	327	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Sierra/HPN	HMO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Silversummit Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	319	percent of total billed charges	319	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Teachers Trust	PPO		65	65% of all negotiated rates	172	percent of total billed charges	172	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	TriWest	PPO		30	30% of all negotiated rates	344	percent of total billed charges	344	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	United Healthcare	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	468	Coinsurance and deductible may apply
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	468	Coinsurance and deductible may apply
Folate	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	468	Coinsurance and deductible may apply
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Aetna	PPO		38	38% of all negotiated rates	305	percent of total billed charges	305	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Aetna Medicare	HMO		26	26% of all negotiated rates	364	percent of total billed charges	364	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Alignment Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	246	percent of total billed charges	246	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Coalition	PPO		49	49% of all negotiated rates	251	percent of total billed charges	251	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	One Health	PPO		55	55% of all negotiated rates	221	percent of total billed charges	221	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Optum Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	P3	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Select Health	HMO		41	41% of all negotiated rates	290	percent of total billed charges	290	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	327	percent of total billed charges	327	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Sierra/HPN	HMO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Silversummit Medicare	HMO		39	39% of all negotiated rates	300	percent of total billed charges	300	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	319	percent of total billed charges	319	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Teachers Trust	PPO		65	65% of all negotiated rates	172	percent of total billed charges	172	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	TriWest	PPO		30	30% of all negotiated rates	344	percent of total billed charges	344	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	United Healthcare	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	491	
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	468	Coinsurance and deductible may apply
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	468	Coinsurance and deductible may apply
Folate Level	82746	CPT	4007469	LOCAL	301	RC		outpatient			491	418	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	468	Coinsurance and deductible may apply
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Aetna	PPO		38	38% of all negotiated rates	183	percent of total billed charges	183	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Alignment Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	148	percent of total billed charges	148	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Coalition	PPO		49	49% of all negotiated rates	150	percent of total billed charges	150	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Humana-Commerical	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	One Health	PPO		55	55% of all negotiated rates	133	percent of total billed charges	133	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Optum Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	P3	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Select Health	HMO		41	41% of all negotiated rates	174	percent of total billed charges	174	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Silversummit Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	192	percent of total billed charges	192	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Teachers Trust	PPO		65	65% of all negotiated rates	103	percent of total billed charges	103	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	TriWest	PPO		30	30% of all negotiated rates	207	percent of total billed charges	207	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	281	Coinsurance and deductible may apply
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	281	Coinsurance and deductible may apply
Free T4	84439	CPT	90084439	LOCAL	301	RC		outpatient			295	251	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	281	Coinsurance and deductible may apply
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Glucose Level	82947	CPT	4009473	LOCAL	301	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Aetna	PPO		38	38% of all negotiated rates	154	percent of total billed charges	154	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Aetna Medicare	HMO		26	26% of all negotiated rates	184	percent of total billed charges	184	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Alignment Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	124	percent of total billed charges	124	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Cigna	PPO		68	68% of all negotiated rates	80	percent of total billed charges	80	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Coalition	PPO		49	49% of all negotiated rates	127	percent of total billed charges	127	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Coventry	PPO		75	75% of all negotiated rates	62	percent of total billed charges	62	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	50	percent of total billed charges	50	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Humana-Commerical	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Multiplan	PPO		80	80% of all negotiated rates	50	percent of total billed charges	50	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	One Health	PPO		55	55% of all negotiated rates	112	percent of total billed charges	112	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Optum Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	P3	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Select Health	HMO		41	41% of all negotiated rates	147	percent of total billed charges	147	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	165	percent of total billed charges	165	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Sierra/HPN	HMO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Silversummit Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	162	percent of total billed charges	162	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Teachers Trust	PPO		65	65% of all negotiated rates	87	percent of total billed charges	87	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	TriWest	PPO		30	30% of all negotiated rates	174	percent of total billed charges	174	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	United Healthcare	PPO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	237	Coinsurance and deductible may apply
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	237	Coinsurance and deductible may apply
Glycohemoglobin	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	237	Coinsurance and deductible may apply
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Aetna	PPO		38	38% of all negotiated rates	160	percent of total billed charges	160	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Aetna Medicare	HMO		26	26% of all negotiated rates	191	percent of total billed charges	191	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	129	percent of total billed charges	129	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Humana-Commerical	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	One Health	PPO		55	55% of all negotiated rates	116	percent of total billed charges	116	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Select Health	HMO		41	41% of all negotiated rates	152	percent of total billed charges	152	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Sierra/HPN	HMO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	168	percent of total billed charges	168	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Teachers Trust	PPO		65	65% of all negotiated rates	90	percent of total billed charges	90	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	TriWest	PPO		30	30% of all negotiated rates	181	percent of total billed charges	181	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	United Healthcare	PPO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	246	Coinsurance and deductible may apply
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	246	Coinsurance and deductible may apply
GTT 3-Hr	82951	CPT	4009507	LOCAL	301	RC		outpatient			258	220	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	246	Coinsurance and deductible may apply
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Aetna	PPO		38	38% of all negotiated rates	133	percent of total billed charges	133	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Aetna Medicare	HMO		26	26% of all negotiated rates	159	percent of total billed charges	159	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Alignment Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	86	percent of total billed charges	86	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	108	percent of total billed charges	108	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Cigna	PPO		68	68% of all negotiated rates	69	percent of total billed charges	69	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Coalition	PPO		49	49% of all negotiated rates	110	percent of total billed charges	110	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Coventry	PPO		75	75% of all negotiated rates	54	percent of total billed charges	54	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Humana-Commerical	PPO		70	70% of all negotiated rates	65	percent of total billed charges	65	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Multiplan	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	One Health	PPO		55	55% of all negotiated rates	97	percent of total billed charges	97	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Optum Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	P3	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	65	percent of total billed charges	65	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Select Health	HMO		41	41% of all negotiated rates	127	percent of total billed charges	127	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	143	percent of total billed charges	143	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Sierra/HPN	HMO		60	60% of all negotiated rates	86	percent of total billed charges	86	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Silversummit Medicare	HMO		39	39% of all negotiated rates	131	percent of total billed charges	131	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	140	percent of total billed charges	140	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Teachers Trust	PPO		65	65% of all negotiated rates	75	percent of total billed charges	75	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	TriWest	PPO		30	30% of all negotiated rates	151	percent of total billed charges	151	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	65	percent of total billed charges	65	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	United Healthcare	PPO		60	60% of all negotiated rates	86	percent of total billed charges	86	215	
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	205	Coinsurance and deductible may apply
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	205	Coinsurance and deductible may apply
GTT 4-Hr	82952	CPT	4009515	LOCAL	301	RC		outpatient			215	183	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	205	Coinsurance and deductible may apply
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Aetna	PPO		38	38% of all negotiated rates	250	percent of total billed charges	250	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Aetna Medicare	HMO		26	26% of all negotiated rates	298	percent of total billed charges	298	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Alignment Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	202	percent of total billed charges	202	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Cigna	PPO		68	68% of all negotiated rates	129	percent of total billed charges	129	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Coalition	PPO		49	49% of all negotiated rates	206	percent of total billed charges	206	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Humana-Commerical	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	One Health	PPO		55	55% of all negotiated rates	181	percent of total billed charges	181	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Optum Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	P3	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Select Health	HMO		41	41% of all negotiated rates	238	percent of total billed charges	238	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	268	percent of total billed charges	268	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Sierra/HPN	HMO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Silversummit Medicare	HMO		39	39% of all negotiated rates	246	percent of total billed charges	246	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	262	percent of total billed charges	262	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Teachers Trust	PPO		65	65% of all negotiated rates	141	percent of total billed charges	141	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	TriWest	PPO		30	30% of all negotiated rates	282	percent of total billed charges	282	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	121	percent of total billed charges	121	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	United Healthcare	PPO		60	60% of all negotiated rates	161	percent of total billed charges	161	403	
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	384	Coinsurance and deductible may apply
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	384	Coinsurance and deductible may apply
hCG Quantitative	84702	CPT	4010297	LOCAL	301	RC		outpatient			403	343	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	384	Coinsurance and deductible may apply
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Aetna	PPO		38	38% of all negotiated rates	20	percent of total billed charges	20	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Aetna Medicare	HMO		26	26% of all negotiated rates	23	percent of total billed charges	23	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Alignment Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	16	percent of total billed charges	16	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Cigna	PPO		68	68% of all negotiated rates	10	percent of total billed charges	10	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Coalition	PPO		49	49% of all negotiated rates	16	percent of total billed charges	16	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Coventry	PPO		75	75% of all negotiated rates	8	percent of total billed charges	8	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Humana-Commerical	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Multiplan	PPO		80	80% of all negotiated rates	6	percent of total billed charges	6	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	One Health	PPO		55	55% of all negotiated rates	14	percent of total billed charges	14	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Optum Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	P3	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Select Health	HMO		41	41% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	21	percent of total billed charges	21	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Sierra/HPN	HMO		60	60% of all negotiated rates	13	percent of total billed charges	13	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Silversummit Medicare	HMO		39	39% of all negotiated rates	19	percent of total billed charges	19	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	20	percent of total billed charges	20	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	Teachers Trust	PPO		65	65% of all negotiated rates	11	percent of total billed charges	11	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	TriWest	PPO		30	30% of all negotiated rates	22	percent of total billed charges	22	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	9	percent of total billed charges	9	32	
Health Fair Female BCH	82947|80061|84443	CPT	25135198	LOCAL	301	RC		outpatient			32	27	United Healthcare	PPO		60	60% of all negotiated rates	13	percent of total billed charges	13	32	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Aetna	PPO		38	38% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Aetna Medicare	HMO		26	26% of all negotiated rates	31	percent of total billed charges	31	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Alignment Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	21	percent of total billed charges	21	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	One Health	PPO		55	55% of all negotiated rates	19	percent of total billed charges	19	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Optum Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	P3	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Select Health	HMO		41	41% of all negotiated rates	25	percent of total billed charges	25	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	28	percent of total billed charges	28	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Sierra/HPN	HMO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Silversummit Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
Health Fair Male	82947|80061|84153|84443	CPT	25135194	LOCAL	301	RC		outpatient			42	36	United Healthcare	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Aetna	PPO		38	38% of all negotiated rates	154	percent of total billed charges	154	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Aetna Medicare	HMO		26	26% of all negotiated rates	184	percent of total billed charges	184	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Alignment Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	124	percent of total billed charges	124	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Cigna	PPO		68	68% of all negotiated rates	80	percent of total billed charges	80	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Coalition	PPO		49	49% of all negotiated rates	127	percent of total billed charges	127	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Coventry	PPO		75	75% of all negotiated rates	62	percent of total billed charges	62	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	50	percent of total billed charges	50	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Humana-Commerical	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Multiplan	PPO		80	80% of all negotiated rates	50	percent of total billed charges	50	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	One Health	PPO		55	55% of all negotiated rates	112	percent of total billed charges	112	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Optum Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	P3	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Select Health	HMO		41	41% of all negotiated rates	147	percent of total billed charges	147	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	165	percent of total billed charges	165	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Sierra/HPN	HMO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Silversummit Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	162	percent of total billed charges	162	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Teachers Trust	PPO		65	65% of all negotiated rates	87	percent of total billed charges	87	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	TriWest	PPO		30	30% of all negotiated rates	174	percent of total billed charges	174	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	United Healthcare	PPO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	237	Coinsurance and deductible may apply
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	237	Coinsurance and deductible may apply
Hemoglobin A1c	83036	CPT	4000364	LOCAL	301	RC		outpatient			249	212	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	237	Coinsurance and deductible may apply
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Aetna	PPO		38	38% of all negotiated rates	211	percent of total billed charges	211	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Aetna Medicare	HMO		26	26% of all negotiated rates	252	percent of total billed charges	252	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Alignment Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	170	percent of total billed charges	170	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Cigna	PPO		68	68% of all negotiated rates	109	percent of total billed charges	109	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Coalition	PPO		49	49% of all negotiated rates	174	percent of total billed charges	174	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Coventry	PPO		75	75% of all negotiated rates	85	percent of total billed charges	85	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Humana-Commerical	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Multiplan	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	One Health	PPO		55	55% of all negotiated rates	153	percent of total billed charges	153	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Optum Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	P3	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Select Health	HMO		41	41% of all negotiated rates	201	percent of total billed charges	201	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	226	percent of total billed charges	226	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Sierra/HPN	HMO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Silversummit Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	221	percent of total billed charges	221	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Teachers Trust	PPO		65	65% of all negotiated rates	119	percent of total billed charges	119	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	TriWest	PPO		30	30% of all negotiated rates	238	percent of total billed charges	238	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	United Healthcare	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Hemoglobin A1c MCL	84443	CPT	4004431SO	LOCAL	301	RC		outpatient			340	289	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	100	Coinsurance and deductible may apply
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	100	Coinsurance and deductible may apply
Hemosure iFOB Screen	82274	CPT	4010093	LOCAL	301	RC		outpatient			105	89	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	100	Coinsurance and deductible may apply
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Aetna	PPO		38	38% of all negotiated rates	104	percent of total billed charges	104	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Aetna Medicare	HMO		26	26% of all negotiated rates	124	percent of total billed charges	124	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Alignment Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	67	percent of total billed charges	67	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	84	percent of total billed charges	84	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Cigna	PPO		68	68% of all negotiated rates	54	percent of total billed charges	54	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Coalition	PPO		49	49% of all negotiated rates	86	percent of total billed charges	86	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Coventry	PPO		75	75% of all negotiated rates	42	percent of total billed charges	42	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Humana-Commerical	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Multiplan	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	One Health	PPO		55	55% of all negotiated rates	76	percent of total billed charges	76	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Optum Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	P3	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Select Health	HMO		41	41% of all negotiated rates	99	percent of total billed charges	99	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	112	percent of total billed charges	112	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Sierra/HPN	HMO		60	60% of all negotiated rates	67	percent of total billed charges	67	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Silversummit Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	109	percent of total billed charges	109	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Teachers Trust	PPO		65	65% of all negotiated rates	59	percent of total billed charges	59	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	TriWest	PPO		30	30% of all negotiated rates	118	percent of total billed charges	118	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	United Healthcare	PPO		60	60% of all negotiated rates	67	percent of total billed charges	67	168	
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	160	Coinsurance and deductible may apply
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	160	Coinsurance and deductible may apply
Hepatic Panel 1	80076	CPT	4000581	LOCAL	301	RC		outpatient			168	143	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	160	Coinsurance and deductible may apply
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Aetna	PPO		38	38% of all negotiated rates	283	percent of total billed charges	283	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Aetna Medicare	HMO		26	26% of all negotiated rates	338	percent of total billed charges	338	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Alignment Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	228	percent of total billed charges	228	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Cigna	PPO		68	68% of all negotiated rates	146	percent of total billed charges	146	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Coalition	PPO		49	49% of all negotiated rates	233	percent of total billed charges	233	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Coventry	PPO		75	75% of all negotiated rates	114	percent of total billed charges	114	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Humana-Commerical	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Multiplan	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	One Health	PPO		55	55% of all negotiated rates	206	percent of total billed charges	206	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Optum Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	P3	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Select Health	HMO		41	41% of all negotiated rates	269	percent of total billed charges	269	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	304	percent of total billed charges	304	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Sierra/HPN	HMO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Silversummit Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	297	percent of total billed charges	297	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Teachers Trust	PPO		65	65% of all negotiated rates	160	percent of total billed charges	160	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	TriWest	PPO		30	30% of all negotiated rates	320	percent of total billed charges	320	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	United Healthcare	PPO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	435	Coinsurance and deductible may apply
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	435	Coinsurance and deductible may apply
High Sensitivity Troponin	84484	CPT	4004484	LOCAL	301	RC		outpatient			457	388	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	435	Coinsurance and deductible may apply
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	350	Coinsurance and deductible may apply
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	350	Coinsurance and deductible may apply
"IGF-1, LC/MS"	84305	CPT	4010054SO	LOCAL	301	RC		outpatient			368	312	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	350	Coinsurance and deductible may apply
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Aetna	PPO		38	38% of all negotiated rates	79	percent of total billed charges	79	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Aetna Medicare	HMO		26	26% of all negotiated rates	94	percent of total billed charges	94	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Alignment Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	64	percent of total billed charges	64	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Cigna	PPO		68	68% of all negotiated rates	41	percent of total billed charges	41	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Coalition	PPO		49	49% of all negotiated rates	65	percent of total billed charges	65	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	One Health	PPO		55	55% of all negotiated rates	57	percent of total billed charges	57	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Optum Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	P3	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Select Health	HMO		41	41% of all negotiated rates	75	percent of total billed charges	75	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	84	percent of total billed charges	84	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Sierra/HPN	HMO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Silversummit Medicare	HMO		39	39% of all negotiated rates	78	percent of total billed charges	78	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	83	percent of total billed charges	83	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Teachers Trust	PPO		65	65% of all negotiated rates	44	percent of total billed charges	44	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	TriWest	PPO		30	30% of all negotiated rates	89	percent of total billed charges	89	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	United Healthcare	PPO		60	60% of all negotiated rates	51	percent of total billed charges	51	127	
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	121	Coinsurance and deductible may apply
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	121	Coinsurance and deductible may apply
Lactate Dehydrogenase	83615	CPT	4006155	LOCAL	301	RC		outpatient			127	108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	121	Coinsurance and deductible may apply
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Aetna	PPO		38	38% of all negotiated rates	253	percent of total billed charges	253	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Aetna Medicare	HMO		26	26% of all negotiated rates	302	percent of total billed charges	302	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Alignment Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	204	percent of total billed charges	204	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Cigna	PPO		68	68% of all negotiated rates	131	percent of total billed charges	131	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Coalition	PPO		49	49% of all negotiated rates	208	percent of total billed charges	208	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	82	percent of total billed charges	82	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Humana-Commerical	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Multiplan	PPO		80	80% of all negotiated rates	82	percent of total billed charges	82	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	One Health	PPO		55	55% of all negotiated rates	184	percent of total billed charges	184	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Optum Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	P3	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Select Health	HMO		41	41% of all negotiated rates	241	percent of total billed charges	241	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	272	percent of total billed charges	272	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Silversummit Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	265	percent of total billed charges	265	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Teachers Trust	PPO		65	65% of all negotiated rates	143	percent of total billed charges	143	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	TriWest	PPO		30	30% of all negotiated rates	286	percent of total billed charges	286	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	389	Coinsurance and deductible may apply
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	389	Coinsurance and deductible may apply
Lactic Acid	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	389	Coinsurance and deductible may apply
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Aetna	PPO		38	38% of all negotiated rates	253	percent of total billed charges	253	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Aetna Medicare	HMO		26	26% of all negotiated rates	302	percent of total billed charges	302	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Alignment Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	204	percent of total billed charges	204	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Cigna	PPO		68	68% of all negotiated rates	131	percent of total billed charges	131	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Coalition	PPO		49	49% of all negotiated rates	208	percent of total billed charges	208	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	82	percent of total billed charges	82	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Humana-Commerical	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Multiplan	PPO		80	80% of all negotiated rates	82	percent of total billed charges	82	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	One Health	PPO		55	55% of all negotiated rates	184	percent of total billed charges	184	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Optum Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	P3	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Select Health	HMO		41	41% of all negotiated rates	241	percent of total billed charges	241	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	272	percent of total billed charges	272	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Silversummit Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	265	percent of total billed charges	265	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Teachers Trust	PPO		65	65% of all negotiated rates	143	percent of total billed charges	143	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	TriWest	PPO		30	30% of all negotiated rates	286	percent of total billed charges	286	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	389	Coinsurance and deductible may apply
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	389	Coinsurance and deductible may apply
Lactic Acid 3	83605	CPT	4006056	LOCAL	301	RC		outpatient			408	347	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	389	Coinsurance and deductible may apply
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Aetna	PPO		38	38% of all negotiated rates	165	percent of total billed charges	165	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Aetna Medicare	HMO		26	26% of all negotiated rates	197	percent of total billed charges	197	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Alignment Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	107	percent of total billed charges	107	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	133	percent of total billed charges	133	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Cigna	PPO		68	68% of all negotiated rates	85	percent of total billed charges	85	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Coalition	PPO		49	49% of all negotiated rates	136	percent of total billed charges	136	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Coventry	PPO		75	75% of all negotiated rates	67	percent of total billed charges	67	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Humana-Commerical	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Multiplan	PPO		80	80% of all negotiated rates	53	percent of total billed charges	53	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	One Health	PPO		55	55% of all negotiated rates	120	percent of total billed charges	120	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Optum Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	P3	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Select Health	HMO		41	41% of all negotiated rates	157	percent of total billed charges	157	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	177	percent of total billed charges	177	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Sierra/HPN	HMO		60	60% of all negotiated rates	107	percent of total billed charges	107	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Silversummit Medicare	HMO		39	39% of all negotiated rates	163	percent of total billed charges	163	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	173	percent of total billed charges	173	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Teachers Trust	PPO		65	65% of all negotiated rates	93	percent of total billed charges	93	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	TriWest	PPO		30	30% of all negotiated rates	187	percent of total billed charges	187	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	80	percent of total billed charges	80	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	United Healthcare	PPO		60	60% of all negotiated rates	107	percent of total billed charges	107	267	
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	254	Coinsurance and deductible may apply
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	254	Coinsurance and deductible may apply
Levetiracetam (Keppra) PML	80177	CPT	4000431SO	LOCAL	301	RC		outpatient			267	227	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	254	Coinsurance and deductible may apply
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Aetna	PPO		38	38% of all negotiated rates	209	percent of total billed charges	209	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Aetna Medicare	HMO		26	26% of all negotiated rates	249	percent of total billed charges	249	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Alignment Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	135	percent of total billed charges	135	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	169	percent of total billed charges	169	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Cigna	PPO		68	68% of all negotiated rates	108	percent of total billed charges	108	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Coalition	PPO		49	49% of all negotiated rates	172	percent of total billed charges	172	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Coventry	PPO		75	75% of all negotiated rates	84	percent of total billed charges	84	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Humana-Commerical	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	One Health	PPO		55	55% of all negotiated rates	152	percent of total billed charges	152	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Optum Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	P3	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Select Health	HMO		41	41% of all negotiated rates	199	percent of total billed charges	199	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	224	percent of total billed charges	224	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Sierra/HPN	HMO		60	60% of all negotiated rates	135	percent of total billed charges	135	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Silversummit Medicare	HMO		39	39% of all negotiated rates	206	percent of total billed charges	206	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	219	percent of total billed charges	219	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Teachers Trust	PPO		65	65% of all negotiated rates	118	percent of total billed charges	118	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	TriWest	PPO		30	30% of all negotiated rates	236	percent of total billed charges	236	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	United Healthcare	PPO		60	60% of all negotiated rates	135	percent of total billed charges	135	337	
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	321	Coinsurance and deductible may apply
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	321	Coinsurance and deductible may apply
Lipase Level	83690	CPT	4006908	LOCAL	301	RC		outpatient			337	286	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	321	Coinsurance and deductible may apply
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Aetna	PPO		38	38% of all negotiated rates	170	percent of total billed charges	170	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Aetna Medicare	HMO		26	26% of all negotiated rates	203	percent of total billed charges	203	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Alignment Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	110	percent of total billed charges	110	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	137	percent of total billed charges	137	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Cigna	PPO		68	68% of all negotiated rates	88	percent of total billed charges	88	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Coalition	PPO		49	49% of all negotiated rates	140	percent of total billed charges	140	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Coventry	PPO		75	75% of all negotiated rates	69	percent of total billed charges	69	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Humana-Commerical	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Multiplan	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	One Health	PPO		55	55% of all negotiated rates	123	percent of total billed charges	123	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Optum Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	P3	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Select Health	HMO		41	41% of all negotiated rates	162	percent of total billed charges	162	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	182	percent of total billed charges	182	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Sierra/HPN	HMO		60	60% of all negotiated rates	110	percent of total billed charges	110	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Silversummit Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	178	percent of total billed charges	178	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Teachers Trust	PPO		65	65% of all negotiated rates	96	percent of total billed charges	96	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	TriWest	PPO		30	30% of all negotiated rates	192	percent of total billed charges	192	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	United Healthcare	PPO		60	60% of all negotiated rates	110	percent of total billed charges	110	274	
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	261	Coinsurance and deductible may apply
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	261	Coinsurance and deductible may apply
Lipid Profile	80061	CPT	4000615	LOCAL	301	RC		outpatient			274	233	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	261	Coinsurance and deductible may apply
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Aetna	PPO		38	38% of all negotiated rates	85	percent of total billed charges	85	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Aetna Medicare	HMO		26	26% of all negotiated rates	101	percent of total billed charges	101	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Alignment Medicare	HMO		39	39% of all negotiated rates	83	percent of total billed charges	83	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	68	percent of total billed charges	68	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	83	percent of total billed charges	83	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Cigna	PPO		68	68% of all negotiated rates	44	percent of total billed charges	44	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Coalition	PPO		49	49% of all negotiated rates	70	percent of total billed charges	70	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Coventry	PPO		75	75% of all negotiated rates	34	percent of total billed charges	34	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Humana-Commerical	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	83	percent of total billed charges	83	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Multiplan	PPO		80	80% of all negotiated rates	27	percent of total billed charges	27	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	One Health	PPO		55	55% of all negotiated rates	61	percent of total billed charges	61	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Optum Medicare	HMO		39	39% of all negotiated rates	83	percent of total billed charges	83	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	P3	HMO		39	39% of all negotiated rates	83	percent of total billed charges	83	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Select Health	HMO		41	41% of all negotiated rates	81	percent of total billed charges	81	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	91	percent of total billed charges	91	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Sierra/HPN	HMO		60	60% of all negotiated rates	55	percent of total billed charges	55	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Silversummit Medicare	HMO		39	39% of all negotiated rates	83	percent of total billed charges	83	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	89	percent of total billed charges	89	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Teachers Trust	PPO		65	65% of all negotiated rates	48	percent of total billed charges	48	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	TriWest	PPO		30	30% of all negotiated rates	96	percent of total billed charges	96	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	41	percent of total billed charges	41	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	United Healthcare	PPO		60	60% of all negotiated rates	55	percent of total billed charges	55	137	
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	130	Coinsurance and deductible may apply
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	130	Coinsurance and deductible may apply
Magnesium Level	83735	CPT	4007351	LOCAL	301	RC		outpatient			137	116	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	130	Coinsurance and deductible may apply
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	TriWest	PPO		30	30% of all negotiated rates	48	percent of total billed charges	48	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	TriWest	PPO		30	30% of all negotiated rates	48	percent of total billed charges	48	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	TriWest	PPO		30	30% of all negotiated rates	48	percent of total billed charges	48	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Diagnostic 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	TriWest	PPO		30	30% of all negotiated rates	48	percent of total billed charges	48	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Screen 1-3	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	TriWest	PPO		30	30% of all negotiated rates	48	percent of total billed charges	48	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Occult Blood Screening 1-3 BCH	82270	CPT	4002059	LOCAL	301	RC		outpatient			68	58	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Aetna	PPO		38	38% of all negotiated rates	62	percent of total billed charges	62	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Aetna Medicare	HMO		26	26% of all negotiated rates	75	percent of total billed charges	75	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Alignment Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	50	percent of total billed charges	50	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Cigna	PPO		68	68% of all negotiated rates	32	percent of total billed charges	32	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Coalition	PPO		49	49% of all negotiated rates	51	percent of total billed charges	51	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Coventry	PPO		75	75% of all negotiated rates	25	percent of total billed charges	25	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Humana-Commerical	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Multiplan	PPO		80	80% of all negotiated rates	20	percent of total billed charges	20	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	One Health	PPO		55	55% of all negotiated rates	45	percent of total billed charges	45	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Optum Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	P3	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Select Health	HMO		41	41% of all negotiated rates	59	percent of total billed charges	59	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	67	percent of total billed charges	67	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Sierra/HPN	HMO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Silversummit Medicare	HMO		39	39% of all negotiated rates	61	percent of total billed charges	61	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	66	percent of total billed charges	66	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Teachers Trust	PPO		65	65% of all negotiated rates	35	percent of total billed charges	35	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	TriWest	PPO		30	30% of all negotiated rates	71	percent of total billed charges	71	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	30	percent of total billed charges	30	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	United Healthcare	PPO		60	60% of all negotiated rates	40	percent of total billed charges	40	101	
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	96	Coinsurance and deductible may apply
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	96	Coinsurance and deductible may apply
Phosphorus Level	84100	CPT	4001007	LOCAL	301	RC		outpatient			101	86	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	96	Coinsurance and deductible may apply
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Aetna	PPO		38	38% of all negotiated rates	60	percent of total billed charges	60	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Alignment Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Optum Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	P3	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Select Health	HMO		41	41% of all negotiated rates	57	percent of total billed charges	57	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Silversummit Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Potassium Level	84132	CPT	4003121	LOCAL	301	RC		outpatient			97	82	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	47	Coinsurance and deductible may apply
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	47	Coinsurance and deductible may apply
Potassium Level Urine	84133	CPT	4001465	LOCAL	301	RC		outpatient			49	42	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	47	Coinsurance and deductible may apply
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Aetna	PPO		38	38% of all negotiated rates	91	percent of total billed charges	91	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Aetna Medicare	HMO		26	26% of all negotiated rates	109	percent of total billed charges	109	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Alignment Medicare	HMO		39	39% of all negotiated rates	90	percent of total billed charges	90	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	59	percent of total billed charges	59	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	74	percent of total billed charges	74	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	90	percent of total billed charges	90	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Cigna	PPO		68	68% of all negotiated rates	47	percent of total billed charges	47	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Coalition	PPO		49	49% of all negotiated rates	75	percent of total billed charges	75	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Coventry	PPO		75	75% of all negotiated rates	37	percent of total billed charges	37	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Humana-Commerical	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	90	percent of total billed charges	90	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Multiplan	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	One Health	PPO		55	55% of all negotiated rates	66	percent of total billed charges	66	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Optum Medicare	HMO		39	39% of all negotiated rates	90	percent of total billed charges	90	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	P3	HMO		39	39% of all negotiated rates	90	percent of total billed charges	90	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Select Health	HMO		41	41% of all negotiated rates	87	percent of total billed charges	87	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	98	percent of total billed charges	98	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Sierra/HPN	HMO		60	60% of all negotiated rates	59	percent of total billed charges	59	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Silversummit Medicare	HMO		39	39% of all negotiated rates	90	percent of total billed charges	90	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	96	percent of total billed charges	96	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Teachers Trust	PPO		65	65% of all negotiated rates	51	percent of total billed charges	51	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	TriWest	PPO		30	30% of all negotiated rates	103	percent of total billed charges	103	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	44	percent of total billed charges	44	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	United Healthcare	PPO		60	60% of all negotiated rates	59	percent of total billed charges	59	147	
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	140	Coinsurance and deductible may apply
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	140	Coinsurance and deductible may apply
Potassium/Creatinine Rand Ur Panel	84133	CPT	94005651SO	LOCAL	301	RC		outpatient			147	125	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	140	Coinsurance and deductible may apply
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Aetna	PPO		38	38% of all negotiated rates	207	percent of total billed charges	207	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Aetna Medicare	HMO		26	26% of all negotiated rates	247	percent of total billed charges	247	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Alignment Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	167	percent of total billed charges	167	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Cigna	PPO		68	68% of all negotiated rates	107	percent of total billed charges	107	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Coalition	PPO		49	49% of all negotiated rates	170	percent of total billed charges	170	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	One Health	PPO		55	55% of all negotiated rates	150	percent of total billed charges	150	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Optum Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	P3	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Select Health	HMO		41	41% of all negotiated rates	197	percent of total billed charges	197	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	222	percent of total billed charges	222	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Sierra/HPN	HMO		60	60% of all negotiated rates	134	percent of total billed charges	134	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Silversummit Medicare	HMO		39	39% of all negotiated rates	204	percent of total billed charges	204	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	217	percent of total billed charges	217	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Teachers Trust	PPO		65	65% of all negotiated rates	117	percent of total billed charges	117	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	TriWest	PPO		30	30% of all negotiated rates	234	percent of total billed charges	234	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	United Healthcare	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	334	
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	318	Coinsurance and deductible may apply
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	318	Coinsurance and deductible may apply
Pregnancy Test Serum 1	84703	CPT	4007038	LOCAL	301	RC		outpatient			334	284	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	318	Coinsurance and deductible may apply
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Protein Total	84155	CPT	4001551	LOCAL	301	RC		outpatient			76	64	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Aetna	PPO		38	38% of all negotiated rates	231	percent of total billed charges	231	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Aetna Medicare	HMO		26	26% of all negotiated rates	276	percent of total billed charges	276	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Alignment Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	149	percent of total billed charges	149	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	186	percent of total billed charges	186	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Cigna	PPO		68	68% of all negotiated rates	119	percent of total billed charges	119	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Coalition	PPO		49	49% of all negotiated rates	190	percent of total billed charges	190	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Coventry	PPO		75	75% of all negotiated rates	93	percent of total billed charges	93	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Humana-Commerical	PPO		70	70% of all negotiated rates	112	percent of total billed charges	112	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Multiplan	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	One Health	PPO		55	55% of all negotiated rates	168	percent of total billed charges	168	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Optum Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	P3	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	112	percent of total billed charges	112	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Select Health	HMO		41	41% of all negotiated rates	220	percent of total billed charges	220	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	248	percent of total billed charges	248	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Sierra/HPN	HMO		60	60% of all negotiated rates	149	percent of total billed charges	149	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Silversummit Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	242	percent of total billed charges	242	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Teachers Trust	PPO		65	65% of all negotiated rates	130	percent of total billed charges	130	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	TriWest	PPO		30	30% of all negotiated rates	261	percent of total billed charges	261	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	112	percent of total billed charges	112	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	United Healthcare	PPO		60	60% of all negotiated rates	149	percent of total billed charges	149	373	
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	355	Coinsurance and deductible may apply
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	355	Coinsurance and deductible may apply
PSA Diagnostic	84152	CPT	4007457	LOCAL	301	RC		outpatient			373	317	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	355	Coinsurance and deductible may apply
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Aetna	PPO		38	38% of all negotiated rates	190	percent of total billed charges	190	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Aetna Medicare	HMO		26	26% of all negotiated rates	227	percent of total billed charges	227	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Alignment Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	153	percent of total billed charges	153	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Coalition	PPO		49	49% of all negotiated rates	156	percent of total billed charges	156	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	One Health	PPO		55	55% of all negotiated rates	138	percent of total billed charges	138	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Optum Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	P3	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Select Health	HMO		41	41% of all negotiated rates	181	percent of total billed charges	181	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	204	percent of total billed charges	204	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Silversummit Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	199	percent of total billed charges	199	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Teachers Trust	PPO		65	65% of all negotiated rates	107	percent of total billed charges	107	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	292	Coinsurance and deductible may apply
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	292	Coinsurance and deductible may apply
PSA Screen	84153	CPT	4000651	LOCAL	301	RC		outpatient			307	261	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	292	Coinsurance and deductible may apply
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Aetna	PPO		38	38% of all negotiated rates	238	percent of total billed charges	238	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Aetna Medicare	HMO		26	26% of all negotiated rates	284	percent of total billed charges	284	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Alignment Medicare	HMO		39	39% of all negotiated rates	234	percent of total billed charges	234	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	153	percent of total billed charges	153	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	192	percent of total billed charges	192	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	234	percent of total billed charges	234	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Cigna	PPO		68	68% of all negotiated rates	123	percent of total billed charges	123	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Coalition	PPO		49	49% of all negotiated rates	195	percent of total billed charges	195	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Coventry	PPO		75	75% of all negotiated rates	96	percent of total billed charges	96	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	77	percent of total billed charges	77	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Humana-Commerical	PPO		70	70% of all negotiated rates	115	percent of total billed charges	115	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	234	percent of total billed charges	234	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Multiplan	PPO		80	80% of all negotiated rates	77	percent of total billed charges	77	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	One Health	PPO		55	55% of all negotiated rates	172	percent of total billed charges	172	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Optum Medicare	HMO		39	39% of all negotiated rates	234	percent of total billed charges	234	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	P3	HMO		39	39% of all negotiated rates	234	percent of total billed charges	234	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	115	percent of total billed charges	115	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Select Health	HMO		41	41% of all negotiated rates	226	percent of total billed charges	226	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	255	percent of total billed charges	255	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Sierra/HPN	HMO		60	60% of all negotiated rates	153	percent of total billed charges	153	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Silversummit Medicare	HMO		39	39% of all negotiated rates	234	percent of total billed charges	234	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	249	percent of total billed charges	249	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Teachers Trust	PPO		65	65% of all negotiated rates	134	percent of total billed charges	134	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	TriWest	PPO		30	30% of all negotiated rates	268	percent of total billed charges	268	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	115	percent of total billed charges	115	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	United Healthcare	PPO		60	60% of all negotiated rates	153	percent of total billed charges	153	383	
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	365	Coinsurance and deductible may apply
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	365	Coinsurance and deductible may apply
Renal Function Panel	80069	CPT	4000425	LOCAL	301	RC		outpatient			383	326	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	365	Coinsurance and deductible may apply
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	350	Coinsurance and deductible may apply
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	350	Coinsurance and deductible may apply
Salicylate Level	80179	CPT	9000118	LOCAL	301	RC		outpatient			368	312	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	350	Coinsurance and deductible may apply
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Aetna	PPO		38	38% of all negotiated rates	60	percent of total billed charges	60	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Alignment Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Optum Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	P3	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Select Health	HMO		41	41% of all negotiated rates	57	percent of total billed charges	57	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Silversummit Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Sodium Level	84295	CPT	4002955	LOCAL	301	RC		outpatient			97	82	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Aetna	PPO		38	38% of all negotiated rates	60	percent of total billed charges	60	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Alignment Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Optum Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	P3	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Select Health	HMO		41	41% of all negotiated rates	57	percent of total billed charges	57	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Silversummit Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	United Healthcare	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
Sodium Level Urine	84300	CPT	4001466	LOCAL	301	RC		outpatient			97	82	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	92	Coinsurance and deductible may apply
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Aetna	PPO		38	38% of all negotiated rates	178	percent of total billed charges	178	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Aetna Medicare	HMO		26	26% of all negotiated rates	212	percent of total billed charges	212	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Alignment Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	115	percent of total billed charges	115	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	143	percent of total billed charges	143	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Cigna	PPO		68	68% of all negotiated rates	92	percent of total billed charges	92	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Coalition	PPO		49	49% of all negotiated rates	146	percent of total billed charges	146	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	57	percent of total billed charges	57	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Humana-Commerical	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Multiplan	PPO		80	80% of all negotiated rates	57	percent of total billed charges	57	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	One Health	PPO		55	55% of all negotiated rates	129	percent of total billed charges	129	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Optum Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	P3	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Select Health	HMO		41	41% of all negotiated rates	169	percent of total billed charges	169	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	191	percent of total billed charges	191	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Sierra/HPN	HMO		60	60% of all negotiated rates	115	percent of total billed charges	115	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Silversummit Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	186	percent of total billed charges	186	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Teachers Trust	PPO		65	65% of all negotiated rates	100	percent of total billed charges	100	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	TriWest	PPO		30	30% of all negotiated rates	201	percent of total billed charges	201	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	United Healthcare	PPO		60	60% of all negotiated rates	115	percent of total billed charges	115	287	
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	273	Coinsurance and deductible may apply
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	273	Coinsurance and deductible may apply
"T4, Total"	84436	CPT	4004399	LOCAL	301	RC		outpatient			287	244	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	273	Coinsurance and deductible may apply
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Aetna	PPO		38	38% of all negotiated rates	211	percent of total billed charges	211	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Aetna Medicare	HMO		26	26% of all negotiated rates	252	percent of total billed charges	252	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Alignment Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	170	percent of total billed charges	170	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Cigna	PPO		68	68% of all negotiated rates	109	percent of total billed charges	109	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Coalition	PPO		49	49% of all negotiated rates	174	percent of total billed charges	174	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Coventry	PPO		75	75% of all negotiated rates	85	percent of total billed charges	85	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Humana-Commerical	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Multiplan	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	One Health	PPO		55	55% of all negotiated rates	153	percent of total billed charges	153	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Optum Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	P3	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Select Health	HMO		41	41% of all negotiated rates	201	percent of total billed charges	201	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	226	percent of total billed charges	226	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Sierra/HPN	HMO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Silversummit Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	221	percent of total billed charges	221	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Teachers Trust	PPO		65	65% of all negotiated rates	119	percent of total billed charges	119	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	TriWest	PPO		30	30% of all negotiated rates	238	percent of total billed charges	238	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	United Healthcare	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Thyroid Stimulating Hormone	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Aetna Medicare	HMO		26	26% of all negotiated rates	89	percent of total billed charges	89	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Alignment Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	48	percent of total billed charges	48	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	60	percent of total billed charges	60	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	One Health	PPO		55	55% of all negotiated rates	54	percent of total billed charges	54	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Optum Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	P3	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Select Health	HMO		41	41% of all negotiated rates	71	percent of total billed charges	71	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	80	percent of total billed charges	80	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Sierra/HPN	HMO		60	60% of all negotiated rates	48	percent of total billed charges	48	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Silversummit Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	78	percent of total billed charges	78	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	TriWest	PPO		30	30% of all negotiated rates	84	percent of total billed charges	84	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	United Healthcare	PPO		60	60% of all negotiated rates	48	percent of total billed charges	48	120	
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	114	Coinsurance and deductible may apply
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	114	Coinsurance and deductible may apply
Triglycerides	84478	CPT	4004787	LOCAL	301	RC		outpatient			120	102	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	114	Coinsurance and deductible may apply
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Aetna	PPO		38	38% of all negotiated rates	283	percent of total billed charges	283	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Aetna Medicare	HMO		26	26% of all negotiated rates	338	percent of total billed charges	338	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Alignment Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	228	percent of total billed charges	228	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Cigna	PPO		68	68% of all negotiated rates	146	percent of total billed charges	146	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Coalition	PPO		49	49% of all negotiated rates	233	percent of total billed charges	233	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Coventry	PPO		75	75% of all negotiated rates	114	percent of total billed charges	114	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Humana-Commerical	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Multiplan	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	One Health	PPO		55	55% of all negotiated rates	206	percent of total billed charges	206	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Optum Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	P3	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Select Health	HMO		41	41% of all negotiated rates	269	percent of total billed charges	269	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	304	percent of total billed charges	304	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Sierra/HPN	HMO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Silversummit Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	297	percent of total billed charges	297	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Teachers Trust	PPO		65	65% of all negotiated rates	160	percent of total billed charges	160	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	TriWest	PPO		30	30% of all negotiated rates	320	percent of total billed charges	320	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	United Healthcare	PPO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	435	Coinsurance and deductible may apply
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	435	Coinsurance and deductible may apply
Troponin I	84484	CPT	4004484SO	LOCAL	301	RC		outpatient			457	388	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	435	Coinsurance and deductible may apply
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Aetna	PPO		38	38% of all negotiated rates	211	percent of total billed charges	211	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Aetna Medicare	HMO		26	26% of all negotiated rates	252	percent of total billed charges	252	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Alignment Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	170	percent of total billed charges	170	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Cigna	PPO		68	68% of all negotiated rates	109	percent of total billed charges	109	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Coalition	PPO		49	49% of all negotiated rates	174	percent of total billed charges	174	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Coventry	PPO		75	75% of all negotiated rates	85	percent of total billed charges	85	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Humana-Commerical	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Multiplan	PPO		80	80% of all negotiated rates	68	percent of total billed charges	68	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	One Health	PPO		55	55% of all negotiated rates	153	percent of total billed charges	153	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Optum Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	P3	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Select Health	HMO		41	41% of all negotiated rates	201	percent of total billed charges	201	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	226	percent of total billed charges	226	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Sierra/HPN	HMO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Silversummit Medicare	HMO		39	39% of all negotiated rates	208	percent of total billed charges	208	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	221	percent of total billed charges	221	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Teachers Trust	PPO		65	65% of all negotiated rates	119	percent of total billed charges	119	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	TriWest	PPO		30	30% of all negotiated rates	238	percent of total billed charges	238	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	102	percent of total billed charges	102	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	United Healthcare	PPO		60	60% of all negotiated rates	136	percent of total billed charges	136	340	
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
TSH	84443	CPT	4004431	LOCAL	301	RC		outpatient			340	289	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	324	Coinsurance and deductible may apply
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Aetna	PPO		38	38% of all negotiated rates	59	percent of total billed charges	59	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Alignment Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Coalition	PPO		49	49% of all negotiated rates	49	percent of total billed charges	49	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Optum Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	P3	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Select Health	HMO		41	41% of all negotiated rates	56	percent of total billed charges	56	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Sierra/HPN	HMO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Silversummit Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	62	percent of total billed charges	62	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Teachers Trust	PPO		65	65% of all negotiated rates	33	percent of total billed charges	33	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	TriWest	PPO		30	30% of all negotiated rates	67	percent of total billed charges	67	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	United Healthcare	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	96	
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	91	Coinsurance and deductible may apply
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	91	Coinsurance and deductible may apply
Uric Acid	84550	CPT	4005503	LOCAL	301	RC		outpatient			96	81	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	91	Coinsurance and deductible may apply
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Aetna	PPO		38	38% of all negotiated rates	391	percent of total billed charges	391	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Aetna Medicare	HMO		26	26% of all negotiated rates	467	percent of total billed charges	467	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Alignment Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Coalition	PPO		49	49% of all negotiated rates	322	percent of total billed charges	322	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Optum Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	P3	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	40	fee schedule	40	601	Coinsurance and deductible may apply
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	40	fee schedule	40	601	Coinsurance and deductible may apply
Urine Drug Screen 14	80307	CPT	4006602SO	LOCAL	301	RC		outpatient			631	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	40	fee schedule	40	601	Coinsurance and deductible may apply
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	247	Coinsurance and deductible may apply
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	247	Coinsurance and deductible may apply
Valproic Acid Level	80164	CPT	4000301	LOCAL	301	RC		outpatient			259	220	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	247	Coinsurance and deductible may apply
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Aetna	PPO		38	38% of all negotiated rates	306	percent of total billed charges	306	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Aetna Medicare	HMO		26	26% of all negotiated rates	365	percent of total billed charges	365	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Alignment Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	247	percent of total billed charges	247	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Cigna	PPO		68	68% of all negotiated rates	158	percent of total billed charges	158	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Coalition	PPO		49	49% of all negotiated rates	252	percent of total billed charges	252	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Humana-Commerical	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Multiplan	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	One Health	PPO		55	55% of all negotiated rates	222	percent of total billed charges	222	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Optum Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	P3	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Select Health	HMO		41	41% of all negotiated rates	291	percent of total billed charges	291	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	328	percent of total billed charges	328	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Sierra/HPN	HMO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Silversummit Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	321	percent of total billed charges	321	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Teachers Trust	PPO		65	65% of all negotiated rates	173	percent of total billed charges	173	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	TriWest	PPO		30	30% of all negotiated rates	345	percent of total billed charges	345	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	United Healthcare	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	470	Coinsurance and deductible may apply
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	470	Coinsurance and deductible may apply
Vancomycin Peak	80202	CPT	4000128	LOCAL	301	RC		outpatient			494	419	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	470	Coinsurance and deductible may apply
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Aetna	PPO		38	38% of all negotiated rates	228	percent of total billed charges	228	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Coalition	PPO		49	49% of all negotiated rates	187	percent of total billed charges	187	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Teachers Trust	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	350	Coinsurance and deductible may apply
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	350	Coinsurance and deductible may apply
Vancomycin Random	84630	CPT	4009358	LOCAL	301	RC		outpatient			368	312	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	350	Coinsurance and deductible may apply
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Aetna	PPO		38	38% of all negotiated rates	306	percent of total billed charges	306	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Aetna Medicare	HMO		26	26% of all negotiated rates	365	percent of total billed charges	365	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Alignment Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	247	percent of total billed charges	247	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Cigna	PPO		68	68% of all negotiated rates	158	percent of total billed charges	158	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Coalition	PPO		49	49% of all negotiated rates	252	percent of total billed charges	252	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Humana-Commerical	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Multiplan	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	One Health	PPO		55	55% of all negotiated rates	222	percent of total billed charges	222	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Optum Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	P3	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Select Health	HMO		41	41% of all negotiated rates	291	percent of total billed charges	291	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	328	percent of total billed charges	328	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Sierra/HPN	HMO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Silversummit Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	321	percent of total billed charges	321	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Teachers Trust	PPO		65	65% of all negotiated rates	173	percent of total billed charges	173	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	TriWest	PPO		30	30% of all negotiated rates	345	percent of total billed charges	345	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	United Healthcare	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	470	Coinsurance and deductible may apply
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	470	Coinsurance and deductible may apply
Vancomycin Trough	80202	CPT	4000129	LOCAL	301	RC		outpatient			494	419	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	470	Coinsurance and deductible may apply
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Aetna	PPO		38	38% of all negotiated rates	775	percent of total billed charges	775	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Aetna Medicare	HMO		26	26% of all negotiated rates	925	percent of total billed charges	925	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Alignment Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	625	percent of total billed charges	625	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Cigna	PPO		68	68% of all negotiated rates	400	percent of total billed charges	400	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Coalition	PPO		49	49% of all negotiated rates	637	percent of total billed charges	637	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Coventry	PPO		75	75% of all negotiated rates	312	percent of total billed charges	312	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Humana-Commerical	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Multiplan	PPO		80	80% of all negotiated rates	250	percent of total billed charges	250	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	One Health	PPO		55	55% of all negotiated rates	562	percent of total billed charges	562	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Optum Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	P3	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Select Health	HMO		41	41% of all negotiated rates	737	percent of total billed charges	737	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	831	percent of total billed charges	831	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Sierra/HPN	HMO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Silversummit Medicare	HMO		39	39% of all negotiated rates	762	percent of total billed charges	762	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	812	percent of total billed charges	812	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Teachers Trust	PPO		65	65% of all negotiated rates	437	percent of total billed charges	437	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	TriWest	PPO		30	30% of all negotiated rates	875	percent of total billed charges	875	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	375	percent of total billed charges	375	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	United Healthcare	PPO		60	60% of all negotiated rates	500	percent of total billed charges	500	1250	
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	1190	Coinsurance and deductible may apply
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	1190	Coinsurance and deductible may apply
Venous Blood Gas 4	82803	CPT	4167002	LOCAL	301	RC		outpatient			1250	1062	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	1190	Coinsurance and deductible may apply
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Aetna	PPO		38	38% of all negotiated rates	188	percent of total billed charges	188	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Alignment Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Coalition	PPO		49	49% of all negotiated rates	155	percent of total billed charges	155	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Optum Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	P3	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Select Health	HMO		41	41% of all negotiated rates	179	percent of total billed charges	179	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Silversummit Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	197	percent of total billed charges	197	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Teachers Trust	PPO		65	65% of all negotiated rates	106	percent of total billed charges	106	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	TriWest	PPO		30	30% of all negotiated rates	212	percent of total billed charges	212	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	United Healthcare	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	289	Coinsurance and deductible may apply
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	289	Coinsurance and deductible may apply
Vitamin B12 Level	82607	CPT	4006065	LOCAL	301	RC		outpatient			303	258	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	289	Coinsurance and deductible may apply
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Aetna	PPO		38	38% of all negotiated rates	428	percent of total billed charges	428	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Aetna Medicare	HMO		26	26% of all negotiated rates	510	percent of total billed charges	510	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Alignment Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	276	percent of total billed charges	276	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	345	percent of total billed charges	345	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Cigna	PPO		68	68% of all negotiated rates	221	percent of total billed charges	221	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Coalition	PPO		49	49% of all negotiated rates	352	percent of total billed charges	352	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Humana-Commerical	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	One Health	PPO		55	55% of all negotiated rates	310	percent of total billed charges	310	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Optum Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	P3	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Select Health	HMO		41	41% of all negotiated rates	407	percent of total billed charges	407	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	459	percent of total billed charges	459	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Sierra/HPN	HMO		60	60% of all negotiated rates	276	percent of total billed charges	276	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Silversummit Medicare	HMO		39	39% of all negotiated rates	421	percent of total billed charges	421	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	448	percent of total billed charges	448	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Teachers Trust	PPO		65	65% of all negotiated rates	241	percent of total billed charges	241	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	TriWest	PPO		30	30% of all negotiated rates	483	percent of total billed charges	483	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	United Healthcare	PPO		60	60% of all negotiated rates	276	percent of total billed charges	276	690	
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	657	Coinsurance and deductible may apply
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	657	Coinsurance and deductible may apply
"Vitamin D 25(OH), Total"	82306	CPT	4003062	LOCAL	301	RC		outpatient			690	586	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	657	Coinsurance and deductible may apply
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Aetna	PPO		38	38% of all negotiated rates	117	percent of total billed charges	117	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Aetna Medicare	HMO		26	26% of all negotiated rates	139	percent of total billed charges	139	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Alignment Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	94	percent of total billed charges	94	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Cigna	PPO		68	68% of all negotiated rates	60	percent of total billed charges	60	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Coalition	PPO		49	49% of all negotiated rates	96	percent of total billed charges	96	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Coventry	PPO		75	75% of all negotiated rates	47	percent of total billed charges	47	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Humana-Commerical	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Multiplan	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	One Health	PPO		55	55% of all negotiated rates	85	percent of total billed charges	85	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Optum Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	P3	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Select Health	HMO		41	41% of all negotiated rates	111	percent of total billed charges	111	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	125	percent of total billed charges	125	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Sierra/HPN	HMO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Silversummit Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	122	percent of total billed charges	122	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Teachers Trust	PPO		65	65% of all negotiated rates	66	percent of total billed charges	66	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	TriWest	PPO		30	30% of all negotiated rates	132	percent of total billed charges	132	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	United Healthcare	PPO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	179	Coinsurance and deductible may apply
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	179	Coinsurance and deductible may apply
Antibody Screen	86850	CPT	4000163	LOCAL	302	RC		outpatient			188	160	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	179	Coinsurance and deductible may apply
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Aetna	PPO		38	38% of all negotiated rates	202	percent of total billed charges	202	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Aetna Medicare	HMO		26	26% of all negotiated rates	242	percent of total billed charges	242	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Alignment Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	163	percent of total billed charges	163	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Cigna	PPO		68	68% of all negotiated rates	104	percent of total billed charges	104	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Coalition	PPO		49	49% of all negotiated rates	167	percent of total billed charges	167	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Coventry	PPO		75	75% of all negotiated rates	82	percent of total billed charges	82	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	65	percent of total billed charges	65	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Humana-Commerical	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Multiplan	PPO		80	80% of all negotiated rates	65	percent of total billed charges	65	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	One Health	PPO		55	55% of all negotiated rates	147	percent of total billed charges	147	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Optum Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	P3	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Select Health	HMO		41	41% of all negotiated rates	193	percent of total billed charges	193	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	217	percent of total billed charges	217	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Sierra/HPN	HMO		60	60% of all negotiated rates	131	percent of total billed charges	131	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Silversummit Medicare	HMO		39	39% of all negotiated rates	199	percent of total billed charges	199	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	212	percent of total billed charges	212	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Teachers Trust	PPO		65	65% of all negotiated rates	114	percent of total billed charges	114	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	TriWest	PPO		30	30% of all negotiated rates	229	percent of total billed charges	229	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	United Healthcare	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	327	
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	311	Coinsurance and deductible may apply
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	311	Coinsurance and deductible may apply
Antibody Screen Tube 2	86886	CPT	4020080	LOCAL	302	RC		outpatient			327	278	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	311	Coinsurance and deductible may apply
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Aetna	PPO		38	38% of all negotiated rates	103	percent of total billed charges	103	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Aetna Medicare	HMO		26	26% of all negotiated rates	123	percent of total billed charges	123	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Alignment Medicare	HMO		39	39% of all negotiated rates	101	percent of total billed charges	101	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	66	percent of total billed charges	66	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	83	percent of total billed charges	83	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	101	percent of total billed charges	101	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Cigna	PPO		68	68% of all negotiated rates	53	percent of total billed charges	53	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Coalition	PPO		49	49% of all negotiated rates	85	percent of total billed charges	85	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Coventry	PPO		75	75% of all negotiated rates	41	percent of total billed charges	41	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	33	percent of total billed charges	33	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Humana-Commerical	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	101	percent of total billed charges	101	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Multiplan	PPO		80	80% of all negotiated rates	33	percent of total billed charges	33	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	One Health	PPO		55	55% of all negotiated rates	75	percent of total billed charges	75	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Optum Medicare	HMO		39	39% of all negotiated rates	101	percent of total billed charges	101	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	P3	HMO		39	39% of all negotiated rates	101	percent of total billed charges	101	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Select Health	HMO		41	41% of all negotiated rates	98	percent of total billed charges	98	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	110	percent of total billed charges	110	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Sierra/HPN	HMO		60	60% of all negotiated rates	66	percent of total billed charges	66	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Silversummit Medicare	HMO		39	39% of all negotiated rates	101	percent of total billed charges	101	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	108	percent of total billed charges	108	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Teachers Trust	PPO		65	65% of all negotiated rates	58	percent of total billed charges	58	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	TriWest	PPO		30	30% of all negotiated rates	116	percent of total billed charges	116	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	United Healthcare	PPO		60	60% of all negotiated rates	66	percent of total billed charges	66	166	
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	158	Coinsurance and deductible may apply
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	158	Coinsurance and deductible may apply
Autoimmune Neurology Antibody Comprehensive Panel with Refle	86341	CPT	4010225SO	LOCAL	302	RC		outpatient			166	141	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	158	Coinsurance and deductible may apply
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Aetna	PPO		38	38% of all negotiated rates	251	percent of total billed charges	251	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Aetna Medicare	HMO		26	26% of all negotiated rates	300	percent of total billed charges	300	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Alignment Medicare	HMO		39	39% of all negotiated rates	247	percent of total billed charges	247	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	162	percent of total billed charges	162	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	247	percent of total billed charges	247	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Coalition	PPO		49	49% of all negotiated rates	207	percent of total billed charges	207	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Coventry	PPO		75	75% of all negotiated rates	101	percent of total billed charges	101	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	247	percent of total billed charges	247	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	One Health	PPO		55	55% of all negotiated rates	182	percent of total billed charges	182	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Optum Medicare	HMO		39	39% of all negotiated rates	247	percent of total billed charges	247	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	P3	HMO		39	39% of all negotiated rates	247	percent of total billed charges	247	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Select Health	HMO		41	41% of all negotiated rates	239	percent of total billed charges	239	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Sierra/HPN	HMO		60	60% of all negotiated rates	162	percent of total billed charges	162	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	247	percent of total billed charges	247	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	263	percent of total billed charges	263	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Teachers Trust	PPO		65	65% of all negotiated rates	142	percent of total billed charges	142	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	United Healthcare	PPO		60	60% of all negotiated rates	162	percent of total billed charges	162	405	
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	386	Coinsurance and deductible may apply
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	386	Coinsurance and deductible may apply
Bill Red Cell Separation	86905	CPT	24265533SO	LOCAL	302	RC		outpatient			405	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	386	Coinsurance and deductible may apply
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Aetna	PPO		38	38% of all negotiated rates	264	percent of total billed charges	264	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Aetna Medicare	HMO		26	26% of all negotiated rates	315	percent of total billed charges	315	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Alignment Medicare	HMO		39	39% of all negotiated rates	260	percent of total billed charges	260	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	213	percent of total billed charges	213	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	260	percent of total billed charges	260	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Cigna	PPO		68	68% of all negotiated rates	136	percent of total billed charges	136	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Coalition	PPO		49	49% of all negotiated rates	217	percent of total billed charges	217	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Coventry	PPO		75	75% of all negotiated rates	107	percent of total billed charges	107	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Humana-Commerical	PPO		70	70% of all negotiated rates	128	percent of total billed charges	128	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	260	percent of total billed charges	260	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Multiplan	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	One Health	PPO		55	55% of all negotiated rates	192	percent of total billed charges	192	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Optum Medicare	HMO		39	39% of all negotiated rates	260	percent of total billed charges	260	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	P3	HMO		39	39% of all negotiated rates	260	percent of total billed charges	260	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	128	percent of total billed charges	128	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Select Health	HMO		41	41% of all negotiated rates	252	percent of total billed charges	252	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	283	percent of total billed charges	283	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Sierra/HPN	HMO		60	60% of all negotiated rates	171	percent of total billed charges	171	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Silversummit Medicare	HMO		39	39% of all negotiated rates	260	percent of total billed charges	260	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	277	percent of total billed charges	277	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Teachers Trust	PPO		65	65% of all negotiated rates	149	percent of total billed charges	149	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	TriWest	PPO		30	30% of all negotiated rates	298	percent of total billed charges	298	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	128	percent of total billed charges	128	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	United Healthcare	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	426	
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	406	Coinsurance and deductible may apply
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	406	Coinsurance and deductible may apply
Bill Rh Phenotype	86906	CPT	4021920SO	LOCAL	302	RC		outpatient			426	362	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	406	Coinsurance and deductible may apply
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Cashew Nut	86003	CPT	25632517SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Codfish	86003	CPT	18407827SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Cow's Milk	86003	CPT	18407826SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Aetna	PPO		38	38% of all negotiated rates	65	percent of total billed charges	65	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Alignment Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	One Health	PPO		55	55% of all negotiated rates	47	percent of total billed charges	47	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Optum Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	P3	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Select Health	HMO		41	41% of all negotiated rates	62	percent of total billed charges	62	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	70	percent of total billed charges	70	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Silversummit Medicare	HMO		39	39% of all negotiated rates	64	percent of total billed charges	64	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	105	
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Direct Antiglobulin Test	86880	CPT	4000255	LOCAL	302	RC		outpatient			105	89	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	100	Coinsurance and deductible may apply
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Egg White	86003	CPT	18407825SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Aetna	PPO		38	38% of all negotiated rates	177	percent of total billed charges	177	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Aetna Medicare	HMO		26	26% of all negotiated rates	211	percent of total billed charges	211	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Alignment Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	114	percent of total billed charges	114	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	143	percent of total billed charges	143	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Cigna	PPO		68	68% of all negotiated rates	91	percent of total billed charges	91	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Coalition	PPO		49	49% of all negotiated rates	146	percent of total billed charges	146	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Coventry	PPO		75	75% of all negotiated rates	71	percent of total billed charges	71	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	57	percent of total billed charges	57	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Humana-Commerical	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Multiplan	PPO		80	80% of all negotiated rates	57	percent of total billed charges	57	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	One Health	PPO		55	55% of all negotiated rates	129	percent of total billed charges	129	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Optum Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	P3	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Select Health	HMO		41	41% of all negotiated rates	169	percent of total billed charges	169	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	190	percent of total billed charges	190	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Sierra/HPN	HMO		60	60% of all negotiated rates	114	percent of total billed charges	114	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Silversummit Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	186	percent of total billed charges	186	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Teachers Trust	PPO		65	65% of all negotiated rates	100	percent of total billed charges	100	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	TriWest	PPO		30	30% of all negotiated rates	200	percent of total billed charges	200	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	United Healthcare	PPO		60	60% of all negotiated rates	114	percent of total billed charges	114	286	
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	272	Coinsurance and deductible may apply
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	272	Coinsurance and deductible may apply
Elution	86860	CPT	4000253SO	LOCAL	302	RC		outpatient			286	243	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	272	Coinsurance and deductible may apply
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Extended Phenotype	86905	CPT	4000252SO	LOCAL	302	RC		outpatient			76	64	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Hazelnut	86003	CPT	25632484SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Mono Screen	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Mono Screen 1	86308	CPT	4003001	LOCAL	302	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Aetna	PPO		38	38% of all negotiated rates	81	percent of total billed charges	81	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Aetna Medicare	HMO		26	26% of all negotiated rates	97	percent of total billed charges	97	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Alignment Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	53	percent of total billed charges	53	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	66	percent of total billed charges	66	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Cigna	PPO		68	68% of all negotiated rates	42	percent of total billed charges	42	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Coalition	PPO		49	49% of all negotiated rates	67	percent of total billed charges	67	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Coventry	PPO		75	75% of all negotiated rates	33	percent of total billed charges	33	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Humana-Commerical	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	One Health	PPO		55	55% of all negotiated rates	59	percent of total billed charges	59	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Optum Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	P3	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Select Health	HMO		41	41% of all negotiated rates	77	percent of total billed charges	77	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	87	percent of total billed charges	87	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Sierra/HPN	HMO		60	60% of all negotiated rates	53	percent of total billed charges	53	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Silversummit Medicare	HMO		39	39% of all negotiated rates	80	percent of total billed charges	80	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	85	percent of total billed charges	85	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Teachers Trust	PPO		65	65% of all negotiated rates	46	percent of total billed charges	46	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	TriWest	PPO		30	30% of all negotiated rates	92	percent of total billed charges	92	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	United Healthcare	PPO		60	60% of all negotiated rates	53	percent of total billed charges	53	131	
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	125	Coinsurance and deductible may apply
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	125	Coinsurance and deductible may apply
MuSK Antibody	83519	CPT	4010077SO	LOCAL	302	RC		outpatient			131	112	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	125	Coinsurance and deductible may apply
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Aetna	PPO		38	38% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Aetna Medicare	HMO		26	26% of all negotiated rates	31	percent of total billed charges	31	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Alignment Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	21	percent of total billed charges	21	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Cigna	PPO		68	68% of all negotiated rates	13	percent of total billed charges	13	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Coalition	PPO		49	49% of all negotiated rates	21	percent of total billed charges	21	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	One Health	PPO		55	55% of all negotiated rates	19	percent of total billed charges	19	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Optum Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	P3	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Select Health	HMO		41	41% of all negotiated rates	25	percent of total billed charges	25	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	28	percent of total billed charges	28	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Sierra/HPN	HMO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Silversummit Medicare	HMO		39	39% of all negotiated rates	26	percent of total billed charges	26	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	27	percent of total billed charges	27	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	TriWest	PPO		30	30% of all negotiated rates	29	percent of total billed charges	29	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	United Healthcare	PPO		60	60% of all negotiated rates	17	percent of total billed charges	17	42	
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	40	Coinsurance and deductible may apply
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	40	Coinsurance and deductible may apply
Olive Tree (t9) IgE	86003	CPT	4010022SO	LOCAL	302	RC		outpatient			42	36	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	40	Coinsurance and deductible may apply
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		46	46% of all negotiated rates	24	percent of total billed charges	24	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Peanut	86003	CPT	18407831	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Aetna	PPO		38	38% of all negotiated rates	118	percent of total billed charges	118	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Aetna Medicare	HMO		26	26% of all negotiated rates	141	percent of total billed charges	141	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Alignment Medicare	HMO		39	39% of all negotiated rates	117	percent of total billed charges	117	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	76	percent of total billed charges	76	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	96	percent of total billed charges	96	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	117	percent of total billed charges	117	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Cigna	PPO		68	68% of all negotiated rates	61	percent of total billed charges	61	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Coalition	PPO		49	49% of all negotiated rates	97	percent of total billed charges	97	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Coventry	PPO		75	75% of all negotiated rates	48	percent of total billed charges	48	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Humana-Commerical	PPO		70	70% of all negotiated rates	57	percent of total billed charges	57	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	117	percent of total billed charges	117	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Multiplan	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	One Health	PPO		55	55% of all negotiated rates	86	percent of total billed charges	86	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Optum Medicare	HMO		39	39% of all negotiated rates	117	percent of total billed charges	117	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	P3	HMO		39	39% of all negotiated rates	117	percent of total billed charges	117	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	57	percent of total billed charges	57	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Select Health	HMO		41	41% of all negotiated rates	113	percent of total billed charges	113	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	127	percent of total billed charges	127	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Sierra/HPN	HMO		60	60% of all negotiated rates	76	percent of total billed charges	76	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Silversummit Medicare	HMO		39	39% of all negotiated rates	117	percent of total billed charges	117	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	124	percent of total billed charges	124	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Teachers Trust	PPO		65	65% of all negotiated rates	67	percent of total billed charges	67	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	TriWest	PPO		30	30% of all negotiated rates	134	percent of total billed charges	134	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	57	percent of total billed charges	57	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	United Healthcare	PPO		60	60% of all negotiated rates	76	percent of total billed charges	76	191	
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	182	Coinsurance and deductible may apply
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	182	Coinsurance and deductible may apply
Rapid Strep A Screen 1	86063	CPT	4000816	LOCAL	302	RC		outpatient			191	162	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	182	Coinsurance and deductible may apply
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Aetna	PPO		38	38% of all negotiated rates	94	percent of total billed charges	94	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Aetna Medicare	HMO		26	26% of all negotiated rates	112	percent of total billed charges	112	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Alignment Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	76	percent of total billed charges	76	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Coalition	PPO		49	49% of all negotiated rates	77	percent of total billed charges	77	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Coventry	PPO		75	75% of all negotiated rates	38	percent of total billed charges	38	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	One Health	PPO		55	55% of all negotiated rates	68	percent of total billed charges	68	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Optum Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	P3	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Select Health	HMO		41	41% of all negotiated rates	89	percent of total billed charges	89	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	101	percent of total billed charges	101	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Silversummit Medicare	HMO		39	39% of all negotiated rates	92	percent of total billed charges	92	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	98	percent of total billed charges	98	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Teachers Trust	PPO		65	65% of all negotiated rates	53	percent of total billed charges	53	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	TriWest	PPO		30	30% of all negotiated rates	106	percent of total billed charges	106	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	151	
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rh Grouping	86901	CPT	4009011	LOCAL	302	RC		outpatient			151	129	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	144	Coinsurance and deductible may apply
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Aetna Medicare	HMO		26	26% of all negotiated rates	88	percent of total billed charges	88	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Alignment Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	59	percent of total billed charges	59	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	One Health	PPO		55	55% of all negotiated rates	53	percent of total billed charges	53	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Optum Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	P3	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Select Health	HMO		41	41% of all negotiated rates	70	percent of total billed charges	70	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	79	percent of total billed charges	79	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Silversummit Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	77	percent of total billed charges	77	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	TriWest	PPO		30	30% of all negotiated rates	83	percent of total billed charges	83	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	113	Coinsurance and deductible may apply
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	113	Coinsurance and deductible may apply
Rheumatoid Factor 2	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	113	Coinsurance and deductible may apply
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Aetna Medicare	HMO		26	26% of all negotiated rates	88	percent of total billed charges	88	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Alignment Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	59	percent of total billed charges	59	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	One Health	PPO		55	55% of all negotiated rates	53	percent of total billed charges	53	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Optum Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	P3	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Select Health	HMO		41	41% of all negotiated rates	70	percent of total billed charges	70	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	79	percent of total billed charges	79	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Sierra/HPN	HMO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Silversummit Medicare	HMO		39	39% of all negotiated rates	72	percent of total billed charges	72	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	77	percent of total billed charges	77	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	TriWest	PPO		30	30% of all negotiated rates	83	percent of total billed charges	83	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	United Healthcare	PPO		60	60% of all negotiated rates	47	percent of total billed charges	47	119	
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	113	Coinsurance and deductible may apply
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	113	Coinsurance and deductible may apply
Rheumatoid Factor 3	86431	CPT	4004306SO	LOCAL	302	RC		outpatient			119	101	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	113	Coinsurance and deductible may apply
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Salmon	86003	CPT	25632518SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Scallop	86003	CPT	18407836SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Sesame Seed	86003	CPT	18407830SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Shrimp	86003	CPT	18407833SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Soybean	86003	CPT	18407832SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Tuna	86003	CPT	25632502SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Walnut	86003	CPT	18407835SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Aetna	PPO		38	38% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Alignment Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	22	percent of total billed charges	22	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Coalition	PPO		49	49% of all negotiated rates	22	percent of total billed charges	22	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Humana-Commerical	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Optum Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	P3	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Select Health	HMO		41	41% of all negotiated rates	26	percent of total billed charges	26	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	29	percent of total billed charges	29	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Silversummit Medicare	HMO		39	39% of all negotiated rates	27	percent of total billed charges	27	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Teachers Trust	PPO		65	65% of all negotiated rates	15	percent of total billed charges	15	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	TriWest	PPO		30	30% of all negotiated rates	31	percent of total billed charges	31	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	13	percent of total billed charges	13	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	44	
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Wheat	86003	CPT	18407828SO	LOCAL	302	RC		outpatient			44	37	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	42	Coinsurance and deductible may apply
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Aetna	PPO		38	38% of all negotiated rates	283	percent of total billed charges	283	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Aetna Medicare	HMO		26	26% of all negotiated rates	338	percent of total billed charges	338	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Alignment Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	228	percent of total billed charges	228	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Cigna	PPO		68	68% of all negotiated rates	146	percent of total billed charges	146	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Coalition	PPO		49	49% of all negotiated rates	233	percent of total billed charges	233	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Coventry	PPO		75	75% of all negotiated rates	114	percent of total billed charges	114	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Humana-Commerical	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Multiplan	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	One Health	PPO		55	55% of all negotiated rates	206	percent of total billed charges	206	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Optum Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	P3	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Select Health	HMO		41	41% of all negotiated rates	269	percent of total billed charges	269	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	304	percent of total billed charges	304	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Sierra/HPN	HMO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Silversummit Medicare	HMO		39	39% of all negotiated rates	279	percent of total billed charges	279	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	297	percent of total billed charges	297	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Teachers Trust	PPO		65	65% of all negotiated rates	160	percent of total billed charges	160	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	TriWest	PPO		30	30% of all negotiated rates	320	percent of total billed charges	320	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	137	percent of total billed charges	137	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	United Healthcare	PPO		60	60% of all negotiated rates	183	percent of total billed charges	183	457	
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	435	Coinsurance and deductible may apply
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	435	Coinsurance and deductible may apply
Bill Physician BB Service XM	86077	CPT	4020282SO	LOCAL	305	RC		outpatient			457	388	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	435	Coinsurance and deductible may apply
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Aetna	PPO		38	38% of all negotiated rates	172	percent of total billed charges	172	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Aetna Medicare	HMO		26	26% of all negotiated rates	205	percent of total billed charges	205	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Alignment Medicare	HMO		39	39% of all negotiated rates	169	percent of total billed charges	169	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	111	percent of total billed charges	111	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	139	percent of total billed charges	139	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	169	percent of total billed charges	169	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Cigna	PPO		68	68% of all negotiated rates	89	percent of total billed charges	89	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Coalition	PPO		49	49% of all negotiated rates	141	percent of total billed charges	141	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Coventry	PPO		75	75% of all negotiated rates	69	percent of total billed charges	69	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Humana-Commerical	PPO		70	70% of all negotiated rates	83	percent of total billed charges	83	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	169	percent of total billed charges	169	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Multiplan	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	One Health	PPO		55	55% of all negotiated rates	125	percent of total billed charges	125	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Optum Medicare	HMO		39	39% of all negotiated rates	169	percent of total billed charges	169	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	P3	HMO		39	39% of all negotiated rates	169	percent of total billed charges	169	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	83	percent of total billed charges	83	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Select Health	HMO		41	41% of all negotiated rates	164	percent of total billed charges	164	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	184	percent of total billed charges	184	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Sierra/HPN	HMO		60	60% of all negotiated rates	111	percent of total billed charges	111	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Silversummit Medicare	HMO		39	39% of all negotiated rates	169	percent of total billed charges	169	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	180	percent of total billed charges	180	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Teachers Trust	PPO		65	65% of all negotiated rates	97	percent of total billed charges	97	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	TriWest	PPO		30	30% of all negotiated rates	194	percent of total billed charges	194	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	83	percent of total billed charges	83	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	United Healthcare	PPO		60	60% of all negotiated rates	111	percent of total billed charges	111	277	
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	264	Coinsurance and deductible may apply
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	264	Coinsurance and deductible may apply
CBC w/ Auto Diff 10	85025	CPT	4000222	LOCAL	305	RC		outpatient			277	236	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	264	Coinsurance and deductible may apply
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
CBC w/ Auto Diff 6	85027	CPT	4000222SO	LOCAL	305	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	225	Coinsurance and deductible may apply
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	225	Coinsurance and deductible may apply
D-Dimer	85378	CPT	4003183	LOCAL	305	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	225	Coinsurance and deductible may apply
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	47	Coinsurance and deductible may apply
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	47	Coinsurance and deductible may apply
Hematocrit	85014	CPT	4000149	LOCAL	305	RC		outpatient			49	42	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	47	Coinsurance and deductible may apply
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Aetna	PPO		38	38% of all negotiated rates	31	percent of total billed charges	31	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Aetna Medicare	HMO		26	26% of all negotiated rates	37	percent of total billed charges	37	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Alignment Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	25	percent of total billed charges	25	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Coalition	PPO		49	49% of all negotiated rates	25	percent of total billed charges	25	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	One Health	PPO		55	55% of all negotiated rates	22	percent of total billed charges	22	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Optum Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	P3	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Select Health	HMO		41	41% of all negotiated rates	29	percent of total billed charges	29	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	33	percent of total billed charges	33	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Sierra/HPN	HMO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Silversummit Medicare	HMO		39	39% of all negotiated rates	30	percent of total billed charges	30	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	32	percent of total billed charges	32	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Teachers Trust	PPO		65	65% of all negotiated rates	17	percent of total billed charges	17	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	TriWest	PPO		30	30% of all negotiated rates	35	percent of total billed charges	35	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	United Healthcare	PPO		60	60% of all negotiated rates	20	percent of total billed charges	20	49	
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	47	Coinsurance and deductible may apply
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	47	Coinsurance and deductible may apply
Hemoglobin	85018	CPT	4000180	LOCAL	305	RC		outpatient			49	42	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	47	Coinsurance and deductible may apply
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Hemogram 5	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Aetna	PPO		38	38% of all negotiated rates	66	percent of total billed charges	66	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Aetna Medicare	HMO		26	26% of all negotiated rates	78	percent of total billed charges	78	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Alignment Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	53	percent of total billed charges	53	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Cigna	PPO		68	68% of all negotiated rates	34	percent of total billed charges	34	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Coalition	PPO		49	49% of all negotiated rates	54	percent of total billed charges	54	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Coventry	PPO		75	75% of all negotiated rates	27	percent of total billed charges	27	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Humana-Commerical	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	One Health	PPO		55	55% of all negotiated rates	48	percent of total billed charges	48	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Optum Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	P3	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Select Health	HMO		41	41% of all negotiated rates	63	percent of total billed charges	63	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	71	percent of total billed charges	71	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Silversummit Medicare	HMO		39	39% of all negotiated rates	65	percent of total billed charges	65	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	69	percent of total billed charges	69	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Teachers Trust	PPO		65	65% of all negotiated rates	37	percent of total billed charges	37	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	TriWest	PPO		30	30% of all negotiated rates	74	percent of total billed charges	74	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	32	percent of total billed charges	32	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	106	
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Hemogram1	85027	CPT	4008186SO	LOCAL	305	RC		outpatient			106	90	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	101	Coinsurance and deductible may apply
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Aetna	PPO		38	38% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Aetna Medicare	HMO		26	26% of all negotiated rates	51	percent of total billed charges	51	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Alignment Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	34	percent of total billed charges	34	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Cigna	PPO		68	68% of all negotiated rates	22	percent of total billed charges	22	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Coalition	PPO		49	49% of all negotiated rates	35	percent of total billed charges	35	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Multiplan	PPO		80	80% of all negotiated rates	14	percent of total billed charges	14	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	One Health	PPO		55	55% of all negotiated rates	31	percent of total billed charges	31	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Optum Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	P3	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Select Health	HMO		41	41% of all negotiated rates	40	percent of total billed charges	40	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	45	percent of total billed charges	45	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Sierra/HPN	HMO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Silversummit Medicare	HMO		39	39% of all negotiated rates	42	percent of total billed charges	42	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	44	percent of total billed charges	44	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Teachers Trust	PPO		65	65% of all negotiated rates	24	percent of total billed charges	24	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	TriWest	PPO		30	30% of all negotiated rates	48	percent of total billed charges	48	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	United Healthcare	PPO		60	60% of all negotiated rates	27	percent of total billed charges	27	68	
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Manual Diff	85007	CPT	4000073	LOCAL	305	RC		outpatient			68	58	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	65	Coinsurance and deductible may apply
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Aetna	PPO		38	38% of all negotiated rates	59	percent of total billed charges	59	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Aetna Medicare	HMO		26	26% of all negotiated rates	70	percent of total billed charges	70	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Alignment Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	47	percent of total billed charges	47	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Cigna	PPO		68	68% of all negotiated rates	30	percent of total billed charges	30	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Coalition	PPO		49	49% of all negotiated rates	48	percent of total billed charges	48	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Humana-Commerical	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	One Health	PPO		55	55% of all negotiated rates	43	percent of total billed charges	43	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Optum Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	P3	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Select Health	HMO		41	41% of all negotiated rates	56	percent of total billed charges	56	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	63	percent of total billed charges	63	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Sierra/HPN	HMO		60	60% of all negotiated rates	38	percent of total billed charges	38	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Silversummit Medicare	HMO		39	39% of all negotiated rates	58	percent of total billed charges	58	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	61	percent of total billed charges	61	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Teachers Trust	PPO		65	65% of all negotiated rates	33	percent of total billed charges	33	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	TriWest	PPO		30	30% of all negotiated rates	66	percent of total billed charges	66	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	United Healthcare	PPO		60	60% of all negotiated rates	38	percent of total billed charges	38	95	
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	90	Coinsurance and deductible may apply
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	90	Coinsurance and deductible may apply
Platelet Count	85049	CPT	4005809	LOCAL	305	RC		outpatient			95	80	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	90	Coinsurance and deductible may apply
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
Prothrombin with INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Aetna	PPO		38	38% of all negotiated rates	51	percent of total billed charges	51	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Aetna Medicare	HMO		26	26% of all negotiated rates	61	percent of total billed charges	61	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Alignment Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	41	percent of total billed charges	41	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Cigna	PPO		68	68% of all negotiated rates	26	percent of total billed charges	26	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Coalition	PPO		49	49% of all negotiated rates	42	percent of total billed charges	42	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Coventry	PPO		75	75% of all negotiated rates	20	percent of total billed charges	20	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Humana-Commerical	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Multiplan	PPO		80	80% of all negotiated rates	16	percent of total billed charges	16	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	One Health	PPO		55	55% of all negotiated rates	37	percent of total billed charges	37	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Optum Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	P3	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Select Health	HMO		41	41% of all negotiated rates	48	percent of total billed charges	48	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	54	percent of total billed charges	54	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Sierra/HPN	HMO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Silversummit Medicare	HMO		39	39% of all negotiated rates	50	percent of total billed charges	50	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	53	percent of total billed charges	53	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Teachers Trust	PPO		65	65% of all negotiated rates	29	percent of total billed charges	29	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	TriWest	PPO		30	30% of all negotiated rates	57	percent of total billed charges	57	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	25	percent of total billed charges	25	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	United Healthcare	PPO		60	60% of all negotiated rates	33	percent of total billed charges	33	82	
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
PT/INR	85610	CPT	4006104	LOCAL	305	RC		outpatient			82	70	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	78	Coinsurance and deductible may apply
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Aetna	PPO		38	38% of all negotiated rates	78	percent of total billed charges	78	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Aetna Medicare	HMO		26	26% of all negotiated rates	93	percent of total billed charges	93	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Alignment Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	63	percent of total billed charges	63	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Cigna	PPO		68	68% of all negotiated rates	40	percent of total billed charges	40	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Coalition	PPO		49	49% of all negotiated rates	64	percent of total billed charges	64	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	One Health	PPO		55	55% of all negotiated rates	57	percent of total billed charges	57	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Optum Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	P3	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Select Health	HMO		41	41% of all negotiated rates	74	percent of total billed charges	74	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	84	percent of total billed charges	84	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Sierra/HPN	HMO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Silversummit Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	82	percent of total billed charges	82	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Teachers Trust	PPO		65	65% of all negotiated rates	44	percent of total billed charges	44	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	TriWest	PPO		30	30% of all negotiated rates	88	percent of total billed charges	88	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	United Healthcare	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	120	Coinsurance and deductible may apply
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	120	Coinsurance and deductible may apply
PTT	85730	CPT	4007300	LOCAL	305	RC		outpatient			126	107	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	120	Coinsurance and deductible may apply
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Aetna	PPO		38	38% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Aetna Medicare	HMO		26	26% of all negotiated rates	48	percent of total billed charges	48	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Coalition	PPO		49	49% of all negotiated rates	33	percent of total billed charges	33	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Coventry	PPO		75	75% of all negotiated rates	16	percent of total billed charges	16	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	One Health	PPO		55	55% of all negotiated rates	29	percent of total billed charges	29	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Select Health	HMO		41	41% of all negotiated rates	38	percent of total billed charges	38	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	43	percent of total billed charges	43	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	42	percent of total billed charges	42	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	65	
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	62	Coinsurance and deductible may apply
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	62	Coinsurance and deductible may apply
RBC Count	85041	CPT	4000412	LOCAL	305	RC		outpatient			65	55	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	62	Coinsurance and deductible may apply
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Aetna	PPO		38	38% of all negotiated rates	92	percent of total billed charges	92	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Aetna Medicare	HMO		26	26% of all negotiated rates	110	percent of total billed charges	110	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Alignment Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	75	percent of total billed charges	75	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Coalition	PPO		49	49% of all negotiated rates	76	percent of total billed charges	76	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Coventry	PPO		75	75% of all negotiated rates	37	percent of total billed charges	37	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	One Health	PPO		55	55% of all negotiated rates	67	percent of total billed charges	67	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Optum Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	P3	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Select Health	HMO		41	41% of all negotiated rates	88	percent of total billed charges	88	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	99	percent of total billed charges	99	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Silversummit Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	97	percent of total billed charges	97	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Teachers Trust	PPO		65	65% of all negotiated rates	52	percent of total billed charges	52	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	TriWest	PPO		30	30% of all negotiated rates	104	percent of total billed charges	104	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	149	
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	142	Coinsurance and deductible may apply
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	142	Coinsurance and deductible may apply
Reticulocyte	85045	CPT	4010269	LOCAL	305	RC		outpatient			149	127	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	142	Coinsurance and deductible may apply
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Aetna	PPO		38	38% of all negotiated rates	36	percent of total billed charges	36	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Aetna Medicare	HMO		26	26% of all negotiated rates	43	percent of total billed charges	43	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Alignment Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	23	percent of total billed charges	23	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	29	percent of total billed charges	29	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Cigna	PPO		68	68% of all negotiated rates	18	percent of total billed charges	18	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Coalition	PPO		49	49% of all negotiated rates	29	percent of total billed charges	29	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Coventry	PPO		75	75% of all negotiated rates	14	percent of total billed charges	14	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Humana-Commerical	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Multiplan	PPO		80	80% of all negotiated rates	12	percent of total billed charges	12	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	One Health	PPO		55	55% of all negotiated rates	26	percent of total billed charges	26	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Optum Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	P3	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Select Health	HMO		41	41% of all negotiated rates	34	percent of total billed charges	34	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	38	percent of total billed charges	38	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Sierra/HPN	HMO		60	60% of all negotiated rates	23	percent of total billed charges	23	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Silversummit Medicare	HMO		39	39% of all negotiated rates	35	percent of total billed charges	35	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	38	percent of total billed charges	38	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Teachers Trust	PPO		65	65% of all negotiated rates	20	percent of total billed charges	20	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	TriWest	PPO		30	30% of all negotiated rates	40	percent of total billed charges	40	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	17	percent of total billed charges	17	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	United Healthcare	PPO		60	60% of all negotiated rates	23	percent of total billed charges	23	58	
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	55	Coinsurance and deductible may apply
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	55	Coinsurance and deductible may apply
Sedimentation Rate	85652	CPT	4006500	LOCAL	305	RC		outpatient			58	49	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	55	Coinsurance and deductible may apply
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	72	Coinsurance and deductible may apply
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	72	Coinsurance and deductible may apply
Bill Culture Type Immunofluoresc	87140	CPT	4010074SO	LOCAL	306	RC		outpatient			76	64	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	72	Coinsurance and deductible may apply
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Aetna	PPO		38	38% of all negotiated rates	126	percent of total billed charges	126	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Aetna Medicare	HMO		26	26% of all negotiated rates	150	percent of total billed charges	150	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Alignment Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	81	percent of total billed charges	81	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	101	percent of total billed charges	101	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Cigna	PPO		68	68% of all negotiated rates	65	percent of total billed charges	65	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Coalition	PPO		49	49% of all negotiated rates	103	percent of total billed charges	103	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	One Health	PPO		55	55% of all negotiated rates	91	percent of total billed charges	91	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Optum Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	P3	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Select Health	HMO		41	41% of all negotiated rates	120	percent of total billed charges	120	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	135	percent of total billed charges	135	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Sierra/HPN	HMO		60	60% of all negotiated rates	81	percent of total billed charges	81	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Silversummit Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	132	percent of total billed charges	132	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Teachers Trust	PPO		65	65% of all negotiated rates	71	percent of total billed charges	71	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	TriWest	PPO		30	30% of all negotiated rates	142	percent of total billed charges	142	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	United Healthcare	PPO		60	60% of all negotiated rates	81	percent of total billed charges	81	203	
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	193	Coinsurance and deductible may apply
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	193	Coinsurance and deductible may apply
Bill DNA/RNA Direct Probe	87149	CPT	4000331SO	LOCAL	306	RC		outpatient			203	172	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	193	Coinsurance and deductible may apply
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Aetna	PPO		38	38% of all negotiated rates	120	percent of total billed charges	120	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Aetna Medicare	HMO		26	26% of all negotiated rates	144	percent of total billed charges	144	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Alignment Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	78	percent of total billed charges	78	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	97	percent of total billed charges	97	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Cigna	PPO		68	68% of all negotiated rates	62	percent of total billed charges	62	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Coalition	PPO		49	49% of all negotiated rates	99	percent of total billed charges	99	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Coventry	PPO		75	75% of all negotiated rates	49	percent of total billed charges	49	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	39	percent of total billed charges	39	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Humana-Commerical	PPO		70	70% of all negotiated rates	58	percent of total billed charges	58	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Multiplan	PPO		80	80% of all negotiated rates	39	percent of total billed charges	39	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	One Health	PPO		55	55% of all negotiated rates	87	percent of total billed charges	87	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Optum Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	P3	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	58	percent of total billed charges	58	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Select Health	HMO		41	41% of all negotiated rates	115	percent of total billed charges	115	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	129	percent of total billed charges	129	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Sierra/HPN	HMO		60	60% of all negotiated rates	78	percent of total billed charges	78	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Silversummit Medicare	HMO		39	39% of all negotiated rates	118	percent of total billed charges	118	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	126	percent of total billed charges	126	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Teachers Trust	PPO		65	65% of all negotiated rates	68	percent of total billed charges	68	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	TriWest	PPO		30	30% of all negotiated rates	136	percent of total billed charges	136	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	58	percent of total billed charges	58	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	United Healthcare	PPO		60	60% of all negotiated rates	78	percent of total billed charges	78	194	
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	185	Coinsurance and deductible may apply
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	185	Coinsurance and deductible may apply
Bill Giemsa Stain	87207	CPT	4001607SO	LOCAL	306	RC		outpatient			194	165	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	185	Coinsurance and deductible may apply
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Aetna	PPO		38	38% of all negotiated rates	89	percent of total billed charges	89	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Aetna Medicare	HMO		26	26% of all negotiated rates	106	percent of total billed charges	106	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Alignment Medicare	HMO		39	39% of all negotiated rates	88	percent of total billed charges	88	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	58	percent of total billed charges	58	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	72	percent of total billed charges	72	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	88	percent of total billed charges	88	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Cigna	PPO		68	68% of all negotiated rates	46	percent of total billed charges	46	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Coalition	PPO		49	49% of all negotiated rates	73	percent of total billed charges	73	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Coventry	PPO		75	75% of all negotiated rates	36	percent of total billed charges	36	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Humana-Commerical	PPO		70	70% of all negotiated rates	43	percent of total billed charges	43	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	88	percent of total billed charges	88	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Multiplan	PPO		80	80% of all negotiated rates	29	percent of total billed charges	29	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	One Health	PPO		55	55% of all negotiated rates	65	percent of total billed charges	65	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Optum Medicare	HMO		39	39% of all negotiated rates	88	percent of total billed charges	88	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	P3	HMO		39	39% of all negotiated rates	88	percent of total billed charges	88	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	43	percent of total billed charges	43	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Select Health	HMO		41	41% of all negotiated rates	85	percent of total billed charges	85	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	96	percent of total billed charges	96	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Sierra/HPN	HMO		60	60% of all negotiated rates	58	percent of total billed charges	58	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Silversummit Medicare	HMO		39	39% of all negotiated rates	88	percent of total billed charges	88	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	94	percent of total billed charges	94	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Teachers Trust	PPO		65	65% of all negotiated rates	50	percent of total billed charges	50	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	TriWest	PPO		30	30% of all negotiated rates	101	percent of total billed charges	101	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	43	percent of total billed charges	43	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	United Healthcare	PPO		60	60% of all negotiated rates	58	percent of total billed charges	58	144	
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	137	Coinsurance and deductible may apply
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	137	Coinsurance and deductible may apply
Bill Sensitivity MIC	87186	CPT	4001863SO	LOCAL	306	RC		outpatient			144	122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	137	Coinsurance and deductible may apply
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Aetna	PPO		38	38% of all negotiated rates	77	percent of total billed charges	77	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Aetna Medicare	HMO		26	26% of all negotiated rates	92	percent of total billed charges	92	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Alignment Medicare	HMO		39	39% of all negotiated rates	76	percent of total billed charges	76	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	62	percent of total billed charges	62	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	76	percent of total billed charges	76	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Cigna	PPO		68	68% of all negotiated rates	40	percent of total billed charges	40	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Coalition	PPO		49	49% of all negotiated rates	63	percent of total billed charges	63	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Coventry	PPO		75	75% of all negotiated rates	31	percent of total billed charges	31	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Humana-Commerical	PPO		70	70% of all negotiated rates	37	percent of total billed charges	37	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	76	percent of total billed charges	76	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	One Health	PPO		55	55% of all negotiated rates	56	percent of total billed charges	56	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Optum Medicare	HMO		39	39% of all negotiated rates	76	percent of total billed charges	76	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	P3	HMO		39	39% of all negotiated rates	76	percent of total billed charges	76	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	37	percent of total billed charges	37	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Select Health	HMO		41	41% of all negotiated rates	73	percent of total billed charges	73	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	82	percent of total billed charges	82	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Sierra/HPN	HMO		60	60% of all negotiated rates	50	percent of total billed charges	50	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Silversummit Medicare	HMO		39	39% of all negotiated rates	76	percent of total billed charges	76	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	81	percent of total billed charges	81	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Teachers Trust	PPO		65	65% of all negotiated rates	43	percent of total billed charges	43	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	TriWest	PPO		30	30% of all negotiated rates	87	percent of total billed charges	87	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	37	percent of total billed charges	37	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	United Healthcare	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	124	
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	118	Coinsurance and deductible may apply
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	118	Coinsurance and deductible may apply
C. Diff by Xpert	87493	CPT	4010301	LOCAL	306	RC		outpatient			124	105	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	118	Coinsurance and deductible may apply
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Aetna	PPO		38	38% of all negotiated rates	72	percent of total billed charges	72	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Aetna Medicare	HMO		26	26% of all negotiated rates	85	percent of total billed charges	85	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Alignment Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	58	percent of total billed charges	58	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Cigna	PPO		68	68% of all negotiated rates	37	percent of total billed charges	37	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Coalition	PPO		49	49% of all negotiated rates	59	percent of total billed charges	59	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Coventry	PPO		75	75% of all negotiated rates	29	percent of total billed charges	29	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Humana-Commerical	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	One Health	PPO		55	55% of all negotiated rates	52	percent of total billed charges	52	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Optum Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	P3	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Select Health	HMO		41	41% of all negotiated rates	68	percent of total billed charges	68	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	77	percent of total billed charges	77	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Sierra/HPN	HMO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Silversummit Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	75	percent of total billed charges	75	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	TriWest	PPO		30	30% of all negotiated rates	81	percent of total billed charges	81	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	United Healthcare	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Chlamydia PCR Swab	87491	CPT	4010305	LOCAL	306	RC		outpatient			116	98	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Aetna	PPO		38	38% of all negotiated rates	69	percent of total billed charges	69	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Aetna Medicare	HMO		26	26% of all negotiated rates	82	percent of total billed charges	82	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Alignment Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	56	percent of total billed charges	56	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Coalition	PPO		49	49% of all negotiated rates	57	percent of total billed charges	57	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Humana-Commerical	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	One Health	PPO		55	55% of all negotiated rates	50	percent of total billed charges	50	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Optum Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	P3	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Select Health	HMO		41	41% of all negotiated rates	66	percent of total billed charges	66	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	74	percent of total billed charges	74	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Silversummit Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	72	percent of total billed charges	72	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Teachers Trust	PPO		65	65% of all negotiated rates	39	percent of total billed charges	39	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	TriWest	PPO		30	30% of all negotiated rates	78	percent of total billed charges	78	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	106	Coinsurance and deductible may apply
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	106	Coinsurance and deductible may apply
CULTURE AEROBIC IDENTIFY	87077	CPT	4010075SO	LOCAL	306	RC		outpatient			111	95	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	106	Coinsurance and deductible may apply
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Aetna	PPO		38	38% of all negotiated rates	81	percent of total billed charges	81	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Aetna Medicare	HMO		26	26% of all negotiated rates	96	percent of total billed charges	96	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Alignment Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	65	percent of total billed charges	65	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Cigna	PPO		68	68% of all negotiated rates	42	percent of total billed charges	42	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Coalition	PPO		49	49% of all negotiated rates	66	percent of total billed charges	66	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Coventry	PPO		75	75% of all negotiated rates	33	percent of total billed charges	33	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Humana-Commerical	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Multiplan	PPO		80	80% of all negotiated rates	26	percent of total billed charges	26	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	One Health	PPO		55	55% of all negotiated rates	59	percent of total billed charges	59	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Optum Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	P3	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Select Health	HMO		41	41% of all negotiated rates	77	percent of total billed charges	77	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	87	percent of total billed charges	87	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Sierra/HPN	HMO		60	60% of all negotiated rates	52	percent of total billed charges	52	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Silversummit Medicare	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	85	percent of total billed charges	85	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Teachers Trust	PPO		65	65% of all negotiated rates	46	percent of total billed charges	46	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	TriWest	PPO		30	30% of all negotiated rates	91	percent of total billed charges	91	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	39	percent of total billed charges	39	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	United Healthcare	PPO		60	60% of all negotiated rates	52	percent of total billed charges	52	130	
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	124	Coinsurance and deductible may apply
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	124	Coinsurance and deductible may apply
Culture Anaerobe Ident Each	87076	CPT	4010080SO	LOCAL	306	RC		outpatient			130	111	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	124	Coinsurance and deductible may apply
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Aetna	PPO		38	38% of all negotiated rates	110	percent of total billed charges	110	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Aetna Medicare	HMO		26	26% of all negotiated rates	131	percent of total billed charges	131	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Alignment Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	89	percent of total billed charges	89	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Cigna	PPO		68	68% of all negotiated rates	57	percent of total billed charges	57	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Coalition	PPO		49	49% of all negotiated rates	90	percent of total billed charges	90	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Coventry	PPO		75	75% of all negotiated rates	44	percent of total billed charges	44	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Humana-Commerical	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Multiplan	PPO		80	80% of all negotiated rates	35	percent of total billed charges	35	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	One Health	PPO		55	55% of all negotiated rates	80	percent of total billed charges	80	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Optum Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	P3	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Select Health	HMO		41	41% of all negotiated rates	105	percent of total billed charges	105	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	118	percent of total billed charges	118	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Sierra/HPN	HMO		60	60% of all negotiated rates	71	percent of total billed charges	71	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Silversummit Medicare	HMO		39	39% of all negotiated rates	108	percent of total billed charges	108	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	115	percent of total billed charges	115	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Teachers Trust	PPO		65	65% of all negotiated rates	62	percent of total billed charges	62	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	TriWest	PPO		30	30% of all negotiated rates	124	percent of total billed charges	124	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	53	percent of total billed charges	53	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	United Healthcare	PPO		60	60% of all negotiated rates	71	percent of total billed charges	71	177	
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	169	Coinsurance and deductible may apply
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	169	Coinsurance and deductible may apply
Culture Any Other	87070	CPT	4000725	LOCAL	306	RC		outpatient			177	151	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	6	fee schedule	6	169	Coinsurance and deductible may apply
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
Culture Type Immunologic	87147	CPT	4000881SO	LOCAL	306	RC		outpatient			76	64	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	72	Coinsurance and deductible may apply
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Aetna	PPO		38	38% of all negotiated rates	69	percent of total billed charges	69	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Aetna Medicare	HMO		26	26% of all negotiated rates	82	percent of total billed charges	82	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Alignment Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	56	percent of total billed charges	56	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Cigna	PPO		68	68% of all negotiated rates	36	percent of total billed charges	36	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Coalition	PPO		49	49% of all negotiated rates	57	percent of total billed charges	57	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Humana-Commerical	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	One Health	PPO		55	55% of all negotiated rates	50	percent of total billed charges	50	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Optum Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	P3	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Select Health	HMO		41	41% of all negotiated rates	66	percent of total billed charges	66	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	74	percent of total billed charges	74	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Sierra/HPN	HMO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Silversummit Medicare	HMO		39	39% of all negotiated rates	68	percent of total billed charges	68	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	72	percent of total billed charges	72	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Teachers Trust	PPO		65	65% of all negotiated rates	39	percent of total billed charges	39	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	TriWest	PPO		30	30% of all negotiated rates	78	percent of total billed charges	78	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	United Healthcare	PPO		60	60% of all negotiated rates	45	percent of total billed charges	45	111	
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	106	Coinsurance and deductible may apply
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	106	Coinsurance and deductible may apply
CULTURE TYPING GLC/HPLC	87143	CPT	4010070SO	LOCAL	306	RC		outpatient			111	95	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	106	Coinsurance and deductible may apply
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Aetna	PPO		38	38% of all negotiated rates	292	percent of total billed charges	292	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Aetna Medicare	HMO		26	26% of all negotiated rates	349	percent of total billed charges	349	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Alignment Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	236	percent of total billed charges	236	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Coalition	PPO		49	49% of all negotiated rates	240	percent of total billed charges	240	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Optum Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	P3	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	314	percent of total billed charges	314	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Sierra/HPN	HMO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Silversummit Medicare	HMO		39	39% of all negotiated rates	288	percent of total billed charges	288	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	TriWest	PPO		30	30% of all negotiated rates	330	percent of total billed charges	330	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	471	
Flu/RSV PCR XPERT	87631	CPT	4010307	LOCAL	306	RC		outpatient			471	401	United Healthcare	PPO		60	60% of all negotiated rates	189	percent of total billed charges	189	471	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Aetna	PPO		38	38% of all negotiated rates	56	percent of total billed charges	56	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Aetna Medicare	HMO		26	26% of all negotiated rates	67	percent of total billed charges	67	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Alignment Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	36	percent of total billed charges	36	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	45	percent of total billed charges	45	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Cigna	PPO		68	68% of all negotiated rates	29	percent of total billed charges	29	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Coalition	PPO		49	49% of all negotiated rates	46	percent of total billed charges	46	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Coventry	PPO		75	75% of all negotiated rates	23	percent of total billed charges	23	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Humana-Commerical	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	One Health	PPO		55	55% of all negotiated rates	41	percent of total billed charges	41	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Optum Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	P3	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Select Health	HMO		41	41% of all negotiated rates	53	percent of total billed charges	53	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	60	percent of total billed charges	60	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Sierra/HPN	HMO		60	60% of all negotiated rates	36	percent of total billed charges	36	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Silversummit Medicare	HMO		39	39% of all negotiated rates	55	percent of total billed charges	55	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	59	percent of total billed charges	59	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Teachers Trust	PPO		65	65% of all negotiated rates	32	percent of total billed charges	32	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	TriWest	PPO		30	30% of all negotiated rates	63	percent of total billed charges	63	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	27	percent of total billed charges	27	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	United Healthcare	PPO		60	60% of all negotiated rates	36	percent of total billed charges	36	90	
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	86	Coinsurance and deductible may apply
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	86	Coinsurance and deductible may apply
Gram Stain 3	87205	CPT	4002051SO	LOCAL	306	RC		outpatient			90	77	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	86	Coinsurance and deductible may apply
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Aetna	PPO		38	38% of all negotiated rates	72	percent of total billed charges	72	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Aetna Medicare	HMO		26	26% of all negotiated rates	85	percent of total billed charges	85	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Alignment Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	58	percent of total billed charges	58	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Cigna	PPO		68	68% of all negotiated rates	37	percent of total billed charges	37	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Coalition	PPO		49	49% of all negotiated rates	59	percent of total billed charges	59	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Coventry	PPO		75	75% of all negotiated rates	29	percent of total billed charges	29	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Humana-Commerical	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	One Health	PPO		55	55% of all negotiated rates	52	percent of total billed charges	52	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Optum Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	P3	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Select Health	HMO		41	41% of all negotiated rates	68	percent of total billed charges	68	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	77	percent of total billed charges	77	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Sierra/HPN	HMO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Silversummit Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	75	percent of total billed charges	75	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	TriWest	PPO		30	30% of all negotiated rates	81	percent of total billed charges	81	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	United Healthcare	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Group B Strep by PCR	87653	CPT	4010309	LOCAL	306	RC		outpatient			116	98	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	84	Coinsurance and deductible may apply
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	84	Coinsurance and deductible may apply
Influenza A	87804	CPT	4000233	LOCAL	306	RC		outpatient			88	75	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	84	Coinsurance and deductible may apply
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Aetna	PPO		38	38% of all negotiated rates	243	percent of total billed charges	243	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Aetna Medicare	HMO		26	26% of all negotiated rates	290	percent of total billed charges	290	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Alignment Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	157	percent of total billed charges	157	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	196	percent of total billed charges	196	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Cigna	PPO		68	68% of all negotiated rates	125	percent of total billed charges	125	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Coalition	PPO		49	49% of all negotiated rates	200	percent of total billed charges	200	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Coventry	PPO		75	75% of all negotiated rates	98	percent of total billed charges	98	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	78	percent of total billed charges	78	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Humana-Commerical	PPO		70	70% of all negotiated rates	117	percent of total billed charges	117	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Multiplan	PPO		80	80% of all negotiated rates	78	percent of total billed charges	78	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	One Health	PPO		55	55% of all negotiated rates	176	percent of total billed charges	176	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Optum Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	P3	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	117	percent of total billed charges	117	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Select Health	HMO		41	41% of all negotiated rates	231	percent of total billed charges	231	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	260	percent of total billed charges	260	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Sierra/HPN	HMO		60	60% of all negotiated rates	157	percent of total billed charges	157	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Silversummit Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	255	percent of total billed charges	255	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Teachers Trust	PPO		65	65% of all negotiated rates	137	percent of total billed charges	137	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	TriWest	PPO		30	30% of all negotiated rates	274	percent of total billed charges	274	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	117	percent of total billed charges	117	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	United Healthcare	PPO		60	60% of all negotiated rates	157	percent of total billed charges	157	392	
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	58	fee schedule	58	373	Coinsurance and deductible may apply
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	58	fee schedule	58	373	Coinsurance and deductible may apply
Influenza A  B RNA RT-PCR w/rflx to Influenza A H1N1 Real T	87502	CPT	4009995	LOCAL	306	RC		outpatient			392	333	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	58	fee schedule	58	373	Coinsurance and deductible may apply
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Aetna	PPO		38	38% of all negotiated rates	55	percent of total billed charges	55	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Aetna Medicare	HMO		26	26% of all negotiated rates	65	percent of total billed charges	65	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Alignment Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Coalition	PPO		49	49% of all negotiated rates	45	percent of total billed charges	45	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	One Health	PPO		55	55% of all negotiated rates	40	percent of total billed charges	40	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Optum Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	P3	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Select Health	HMO		41	41% of all negotiated rates	52	percent of total billed charges	52	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	59	percent of total billed charges	59	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Silversummit Medicare	HMO		39	39% of all negotiated rates	54	percent of total billed charges	54	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	TriWest	PPO		30	30% of all negotiated rates	62	percent of total billed charges	62	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	United Healthcare	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	88	
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	84	Coinsurance and deductible may apply
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	84	Coinsurance and deductible may apply
Influenza B	87804	CPT	4000232	LOCAL	306	RC		outpatient			88	75	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	8	fee schedule	8	84	Coinsurance and deductible may apply
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Aetna	PPO		38	38% of all negotiated rates	92	percent of total billed charges	92	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Aetna Medicare	HMO		26	26% of all negotiated rates	110	percent of total billed charges	110	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Alignment Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	75	percent of total billed charges	75	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Cigna	PPO		68	68% of all negotiated rates	48	percent of total billed charges	48	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Coalition	PPO		49	49% of all negotiated rates	76	percent of total billed charges	76	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Coventry	PPO		75	75% of all negotiated rates	37	percent of total billed charges	37	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Humana-Commerical	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Multiplan	PPO		80	80% of all negotiated rates	30	percent of total billed charges	30	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	One Health	PPO		55	55% of all negotiated rates	67	percent of total billed charges	67	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Optum Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	P3	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Select Health	HMO		41	41% of all negotiated rates	88	percent of total billed charges	88	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	99	percent of total billed charges	99	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Sierra/HPN	HMO		60	60% of all negotiated rates	60	percent of total billed charges	60	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Silversummit Medicare	HMO		39	39% of all negotiated rates	91	percent of total billed charges	91	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	97	percent of total billed charges	97	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Teachers Trust	PPO		65	65% of all negotiated rates	52	percent of total billed charges	52	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	TriWest	PPO		30	30% of all negotiated rates	104	percent of total billed charges	104	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	45	percent of total billed charges	45	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	United Healthcare	PPO		60	60% of all negotiated rates	60	percent of total billed charges	60	149	
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	142	Coinsurance and deductible may apply
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	142	Coinsurance and deductible may apply
KOH Prep 3	87220	CPT	4002200	LOCAL	306	RC		outpatient			149	127	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	142	Coinsurance and deductible may apply
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Aetna	PPO		38	38% of all negotiated rates	47	percent of total billed charges	47	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Aetna Medicare	HMO		26	26% of all negotiated rates	56	percent of total billed charges	56	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Alignment Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	38	percent of total billed charges	38	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Cigna	PPO		68	68% of all negotiated rates	24	percent of total billed charges	24	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Coalition	PPO		49	49% of all negotiated rates	39	percent of total billed charges	39	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Coventry	PPO		75	75% of all negotiated rates	19	percent of total billed charges	19	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Humana-Commerical	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Multiplan	PPO		80	80% of all negotiated rates	15	percent of total billed charges	15	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	One Health	PPO		55	55% of all negotiated rates	34	percent of total billed charges	34	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Optum Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	P3	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Select Health	HMO		41	41% of all negotiated rates	45	percent of total billed charges	45	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	50	percent of total billed charges	50	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Sierra/HPN	HMO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Silversummit Medicare	HMO		39	39% of all negotiated rates	46	percent of total billed charges	46	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	49	percent of total billed charges	49	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Teachers Trust	PPO		65	65% of all negotiated rates	26	percent of total billed charges	26	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	TriWest	PPO		30	30% of all negotiated rates	53	percent of total billed charges	53	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	23	percent of total billed charges	23	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	United Healthcare	PPO		60	60% of all negotiated rates	30	percent of total billed charges	30	76	
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	72	Coinsurance and deductible may apply
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	72	Coinsurance and deductible may apply
Microbe Susceptible Diffuse	87181	CPT	4010071SO	LOCAL	306	RC		outpatient			76	64	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	72	Coinsurance and deductible may apply
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Aetna	PPO		38	38% of all negotiated rates	74	percent of total billed charges	74	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Aetna Medicare	HMO		26	26% of all negotiated rates	89	percent of total billed charges	89	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Alignment Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	48	percent of total billed charges	48	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	60	percent of total billed charges	60	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Cigna	PPO		68	68% of all negotiated rates	38	percent of total billed charges	38	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Coalition	PPO		49	49% of all negotiated rates	61	percent of total billed charges	61	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Coventry	PPO		75	75% of all negotiated rates	30	percent of total billed charges	30	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Humana-Commerical	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Multiplan	PPO		80	80% of all negotiated rates	24	percent of total billed charges	24	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	One Health	PPO		55	55% of all negotiated rates	54	percent of total billed charges	54	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Optum Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	P3	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Select Health	HMO		41	41% of all negotiated rates	71	percent of total billed charges	71	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	80	percent of total billed charges	80	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Sierra/HPN	HMO		60	60% of all negotiated rates	48	percent of total billed charges	48	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Silversummit Medicare	HMO		39	39% of all negotiated rates	73	percent of total billed charges	73	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	78	percent of total billed charges	78	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Teachers Trust	PPO		65	65% of all negotiated rates	42	percent of total billed charges	42	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	TriWest	PPO		30	30% of all negotiated rates	84	percent of total billed charges	84	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	36	percent of total billed charges	36	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	United Healthcare	PPO		60	60% of all negotiated rates	48	percent of total billed charges	48	120	
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	114	Coinsurance and deductible may apply
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	114	Coinsurance and deductible may apply
MICROBE SUSCEPTIBLE DISK	87184	CPT	4010072SO	LOCAL	306	RC		outpatient			120	102	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	114	Coinsurance and deductible may apply
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Aetna	PPO		38	38% of all negotiated rates	41	percent of total billed charges	41	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Aetna Medicare	HMO		26	26% of all negotiated rates	49	percent of total billed charges	49	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Alignment Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	33	percent of total billed charges	33	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Cigna	PPO		68	68% of all negotiated rates	21	percent of total billed charges	21	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Coalition	PPO		49	49% of all negotiated rates	34	percent of total billed charges	34	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Coventry	PPO		75	75% of all negotiated rates	17	percent of total billed charges	17	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Humana-Commerical	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Multiplan	PPO		80	80% of all negotiated rates	13	percent of total billed charges	13	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	One Health	PPO		55	55% of all negotiated rates	30	percent of total billed charges	30	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Optum Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	P3	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Select Health	HMO		41	41% of all negotiated rates	39	percent of total billed charges	39	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	44	percent of total billed charges	44	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Sierra/HPN	HMO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Silversummit Medicare	HMO		39	39% of all negotiated rates	40	percent of total billed charges	40	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	43	percent of total billed charges	43	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Teachers Trust	PPO		65	65% of all negotiated rates	23	percent of total billed charges	23	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	TriWest	PPO		30	30% of all negotiated rates	46	percent of total billed charges	46	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	20	percent of total billed charges	20	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	United Healthcare	PPO		60	60% of all negotiated rates	26	percent of total billed charges	26	66	
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	63	Coinsurance and deductible may apply
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	63	Coinsurance and deductible may apply
MICROBE SUSCEPTIBLE ENZYME	87185	CPT	4010073SO	LOCAL	306	RC		outpatient			66	56	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	63	Coinsurance and deductible may apply
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Aetna	PPO		38	38% of all negotiated rates	144	percent of total billed charges	144	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	116	percent of total billed charges	116	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Coalition	PPO		49	49% of all negotiated rates	118	percent of total billed charges	118	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	One Health	PPO		55	55% of all negotiated rates	104	percent of total billed charges	104	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Select Health	HMO		41	41% of all negotiated rates	137	percent of total billed charges	137	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	154	percent of total billed charges	154	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	151	percent of total billed charges	151	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	Teachers Trust	PPO		65	65% of all negotiated rates	81	percent of total billed charges	81	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	TriWest	PPO		30	30% of all negotiated rates	162	percent of total billed charges	162	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	232	
MRSA Cult	87150|87150	CPT	4010313SO	LOCAL	306	RC		outpatient			232	197	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	232	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Aetna	PPO		38	38% of all negotiated rates	145	percent of total billed charges	145	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Aetna Medicare	HMO		26	26% of all negotiated rates	172	percent of total billed charges	172	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Alignment Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	117	percent of total billed charges	117	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Cigna	PPO		68	68% of all negotiated rates	75	percent of total billed charges	75	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Coalition	PPO		49	49% of all negotiated rates	119	percent of total billed charges	119	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Coventry	PPO		75	75% of all negotiated rates	58	percent of total billed charges	58	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Humana-Commerical	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	One Health	PPO		55	55% of all negotiated rates	105	percent of total billed charges	105	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Optum Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	P3	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Select Health	HMO		41	41% of all negotiated rates	138	percent of total billed charges	138	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	155	percent of total billed charges	155	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Sierra/HPN	HMO		60	60% of all negotiated rates	93	percent of total billed charges	93	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Silversummit Medicare	HMO		39	39% of all negotiated rates	142	percent of total billed charges	142	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	152	percent of total billed charges	152	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Teachers Trust	PPO		65	65% of all negotiated rates	82	percent of total billed charges	82	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	TriWest	PPO		30	30% of all negotiated rates	163	percent of total billed charges	163	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	70	percent of total billed charges	70	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	United Healthcare	PPO		60	60% of all negotiated rates	93	percent of total billed charges	93	233	
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	222	Coinsurance and deductible may apply
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	222	Coinsurance and deductible may apply
RSV Rapid	87634	CPT	4010315	LOCAL	306	RC		outpatient			233	198	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	222	Coinsurance and deductible may apply
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Aetna	PPO		38	38% of all negotiated rates	105	percent of total billed charges	105	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Aetna Medicare	HMO		26	26% of all negotiated rates	126	percent of total billed charges	126	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Alignment Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	85	percent of total billed charges	85	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Cigna	PPO		68	68% of all negotiated rates	54	percent of total billed charges	54	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Coalition	PPO		49	49% of all negotiated rates	87	percent of total billed charges	87	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Coventry	PPO		75	75% of all negotiated rates	43	percent of total billed charges	43	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Humana-Commerical	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Multiplan	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	One Health	PPO		55	55% of all negotiated rates	77	percent of total billed charges	77	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Optum Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	P3	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Select Health	HMO		41	41% of all negotiated rates	100	percent of total billed charges	100	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	113	percent of total billed charges	113	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Sierra/HPN	HMO		60	60% of all negotiated rates	68	percent of total billed charges	68	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Silversummit Medicare	HMO		39	39% of all negotiated rates	104	percent of total billed charges	104	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	111	percent of total billed charges	111	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Teachers Trust	PPO		65	65% of all negotiated rates	60	percent of total billed charges	60	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	TriWest	PPO		30	30% of all negotiated rates	119	percent of total billed charges	119	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	51	percent of total billed charges	51	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	United Healthcare	PPO		60	60% of all negotiated rates	68	percent of total billed charges	68	170	
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	162	Coinsurance and deductible may apply
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	162	Coinsurance and deductible may apply
SARS-CoV-2 (COVID-19) PCR (GeneXpert)	87635	CPT	4010317	LOCAL	306	RC		outpatient			170	145	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	162	Coinsurance and deductible may apply
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Aetna	PPO		38	38% of all negotiated rates	72	percent of total billed charges	72	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Aetna Medicare	HMO		26	26% of all negotiated rates	85	percent of total billed charges	85	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Alignment Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	58	percent of total billed charges	58	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Cigna	PPO		68	68% of all negotiated rates	37	percent of total billed charges	37	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Coalition	PPO		49	49% of all negotiated rates	59	percent of total billed charges	59	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Coventry	PPO		75	75% of all negotiated rates	29	percent of total billed charges	29	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Humana-Commerical	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	One Health	PPO		55	55% of all negotiated rates	52	percent of total billed charges	52	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Optum Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	P3	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Select Health	HMO		41	41% of all negotiated rates	68	percent of total billed charges	68	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	77	percent of total billed charges	77	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Sierra/HPN	HMO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Silversummit Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	75	percent of total billed charges	75	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	TriWest	PPO		30	30% of all negotiated rates	81	percent of total billed charges	81	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	United Healthcare	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Strep A PCR (GeneXpert)	87651	CPT	4010323	LOCAL	306	RC		outpatient			116	98	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Aetna	PPO		38	38% of all negotiated rates	191	percent of total billed charges	191	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Aetna Medicare	HMO		26	26% of all negotiated rates	228	percent of total billed charges	228	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Alignment Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	154	percent of total billed charges	154	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Coalition	PPO		49	49% of all negotiated rates	157	percent of total billed charges	157	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Multiplan	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	One Health	PPO		55	55% of all negotiated rates	138	percent of total billed charges	138	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Optum Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	P3	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Select Health	HMO		41	41% of all negotiated rates	182	percent of total billed charges	182	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	205	percent of total billed charges	205	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Silversummit Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	200	percent of total billed charges	200	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Teachers Trust	PPO		65	65% of all negotiated rates	108	percent of total billed charges	108	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	293	Coinsurance and deductible may apply
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	293	Coinsurance and deductible may apply
"SureSwab®,Trichomonas vaginalisRNA, Qualitative, TMA"	87661	CPT	4010201SO	LOCAL	306	RC		outpatient			308	262	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	293	Coinsurance and deductible may apply
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Aetna	PPO		38	38% of all negotiated rates	72	percent of total billed charges	72	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Aetna Medicare	HMO		26	26% of all negotiated rates	85	percent of total billed charges	85	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Alignment Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	58	percent of total billed charges	58	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Cigna	PPO		68	68% of all negotiated rates	37	percent of total billed charges	37	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Coalition	PPO		49	49% of all negotiated rates	59	percent of total billed charges	59	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Coventry	PPO		75	75% of all negotiated rates	29	percent of total billed charges	29	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Humana-Commerical	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Multiplan	PPO		80	80% of all negotiated rates	23	percent of total billed charges	23	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	One Health	PPO		55	55% of all negotiated rates	52	percent of total billed charges	52	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Optum Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	P3	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Select Health	HMO		41	41% of all negotiated rates	68	percent of total billed charges	68	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	77	percent of total billed charges	77	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Sierra/HPN	HMO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Silversummit Medicare	HMO		39	39% of all negotiated rates	70	percent of total billed charges	70	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	75	percent of total billed charges	75	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Teachers Trust	PPO		65	65% of all negotiated rates	40	percent of total billed charges	40	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	TriWest	PPO		30	30% of all negotiated rates	81	percent of total billed charges	81	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	35	percent of total billed charges	35	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	United Healthcare	PPO		60	60% of all negotiated rates	46	percent of total billed charges	46	116	
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
Trichomonas Vaginalis by Xpert	87661	CPT	4010325	LOCAL	306	RC		outpatient			116	98	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	110	Coinsurance and deductible may apply
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Aetna	PPO		38	38% of all negotiated rates	191	percent of total billed charges	191	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Aetna Medicare	HMO		26	26% of all negotiated rates	228	percent of total billed charges	228	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Alignment Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	154	percent of total billed charges	154	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Coalition	PPO		49	49% of all negotiated rates	157	percent of total billed charges	157	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Multiplan	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	One Health	PPO		55	55% of all negotiated rates	138	percent of total billed charges	138	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Optum Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	P3	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Select Health	HMO		41	41% of all negotiated rates	182	percent of total billed charges	182	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	205	percent of total billed charges	205	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Silversummit Medicare	HMO		39	39% of all negotiated rates	188	percent of total billed charges	188	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	200	percent of total billed charges	200	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Teachers Trust	PPO		65	65% of all negotiated rates	108	percent of total billed charges	108	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	308	
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	293	Coinsurance and deductible may apply
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	293	Coinsurance and deductible may apply
"Trichomonas vaginalisRNA, Qualitative, TMA, Males"	87661	CPT	40101201	LOCAL	306	RC		outpatient			308	262	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	293	Coinsurance and deductible may apply
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Aetna	PPO		38	38% of all negotiated rates	124	percent of total billed charges	124	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Aetna Medicare	HMO		26	26% of all negotiated rates	148	percent of total billed charges	148	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Alignment Medicare	HMO		39	39% of all negotiated rates	122	percent of total billed charges	122	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	80	percent of total billed charges	80	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	100	percent of total billed charges	100	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	122	percent of total billed charges	122	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Cigna	PPO		68	68% of all negotiated rates	64	percent of total billed charges	64	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Coalition	PPO		49	49% of all negotiated rates	102	percent of total billed charges	102	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Coventry	PPO		75	75% of all negotiated rates	50	percent of total billed charges	50	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Humana-Commerical	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	122	percent of total billed charges	122	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Multiplan	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	One Health	PPO		55	55% of all negotiated rates	90	percent of total billed charges	90	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Optum Medicare	HMO		39	39% of all negotiated rates	122	percent of total billed charges	122	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	P3	HMO		39	39% of all negotiated rates	122	percent of total billed charges	122	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Select Health	HMO		41	41% of all negotiated rates	118	percent of total billed charges	118	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	133	percent of total billed charges	133	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Sierra/HPN	HMO		60	60% of all negotiated rates	80	percent of total billed charges	80	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Silversummit Medicare	HMO		39	39% of all negotiated rates	122	percent of total billed charges	122	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	130	percent of total billed charges	130	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Teachers Trust	PPO		65	65% of all negotiated rates	70	percent of total billed charges	70	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	TriWest	PPO		30	30% of all negotiated rates	140	percent of total billed charges	140	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	United Healthcare	PPO		60	60% of all negotiated rates	80	percent of total billed charges	80	200	
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	190	Coinsurance and deductible may apply
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	190	Coinsurance and deductible may apply
Wet Mount 5	87210	CPT	4002101	LOCAL	306	RC		outpatient			200	170	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	190	Coinsurance and deductible may apply
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Aetna	PPO		38	38% of all negotiated rates	154	percent of total billed charges	154	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Aetna Medicare	HMO		26	26% of all negotiated rates	184	percent of total billed charges	184	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Alignment Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	124	percent of total billed charges	124	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Cigna	PPO		68	68% of all negotiated rates	80	percent of total billed charges	80	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Coalition	PPO		49	49% of all negotiated rates	127	percent of total billed charges	127	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Coventry	PPO		75	75% of all negotiated rates	62	percent of total billed charges	62	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	50	percent of total billed charges	50	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Humana-Commerical	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Multiplan	PPO		80	80% of all negotiated rates	50	percent of total billed charges	50	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	One Health	PPO		55	55% of all negotiated rates	112	percent of total billed charges	112	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Optum Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	P3	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Select Health	HMO		41	41% of all negotiated rates	147	percent of total billed charges	147	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	165	percent of total billed charges	165	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Sierra/HPN	HMO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Silversummit Medicare	HMO		39	39% of all negotiated rates	152	percent of total billed charges	152	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	162	percent of total billed charges	162	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Teachers Trust	PPO		65	65% of all negotiated rates	87	percent of total billed charges	87	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	TriWest	PPO		30	30% of all negotiated rates	174	percent of total billed charges	174	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	75	percent of total billed charges	75	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	United Healthcare	PPO		60	60% of all negotiated rates	100	percent of total billed charges	100	249	
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	237	Coinsurance and deductible may apply
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	237	Coinsurance and deductible may apply
Pregnancy Test Urine 3	81025	CPT	4004118	LOCAL	307	RC		outpatient			249	212	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	4	fee schedule	4	237	Coinsurance and deductible may apply
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete 1	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete 2	81003	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna	PPO		38	38% of all negotiated rates	29	percent of total billed charges	29	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Aetna Medicare	HMO		26	26% of all negotiated rates	34	percent of total billed charges	34	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Cigna	PPO		68	68% of all negotiated rates	15	percent of total billed charges	15	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coalition	PPO		49	49% of all negotiated rates	24	percent of total billed charges	24	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Coventry	PPO		75	75% of all negotiated rates	12	percent of total billed charges	12	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	One Health	PPO		55	55% of all negotiated rates	21	percent of total billed charges	21	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	31	percent of total billed charges	31	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	30	percent of total billed charges	30	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	46	
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Complete w/ Culture if indicated	81001	CPT	4000002	LOCAL	307	RC		outpatient			46	39	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	44	Coinsurance and deductible may apply
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Aetna	PPO		38	38% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Aetna Medicare	HMO		26	26% of all negotiated rates	33	percent of total billed charges	33	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Alignment Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	23	percent of total billed charges	23	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Cigna	PPO		68	68% of all negotiated rates	14	percent of total billed charges	14	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Coalition	PPO		49	49% of all negotiated rates	23	percent of total billed charges	23	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Coventry	PPO		75	75% of all negotiated rates	11	percent of total billed charges	11	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Humana-Commerical	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Multiplan	PPO		80	80% of all negotiated rates	9	percent of total billed charges	9	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	One Health	PPO		55	55% of all negotiated rates	20	percent of total billed charges	20	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Optum Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	P3	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Select Health	HMO		41	41% of all negotiated rates	27	percent of total billed charges	27	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	30	percent of total billed charges	30	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Sierra/HPN	HMO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Silversummit Medicare	HMO		39	39% of all negotiated rates	28	percent of total billed charges	28	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	29	percent of total billed charges	29	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Teachers Trust	PPO		65	65% of all negotiated rates	16	percent of total billed charges	16	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	TriWest	PPO		30	30% of all negotiated rates	32	percent of total billed charges	32	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	14	percent of total billed charges	14	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	United Healthcare	PPO		60	60% of all negotiated rates	18	percent of total billed charges	18	45	
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	43	Coinsurance and deductible may apply
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	43	Coinsurance and deductible may apply
UA Dipstick	81005	CPT	4000051	LOCAL	307	RC		outpatient			45	38	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1	fee schedule	1	43	Coinsurance and deductible may apply
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Aetna	PPO		38	38% of all negotiated rates	32	percent of total billed charges	32	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Aetna Medicare	HMO		26	26% of all negotiated rates	38	percent of total billed charges	38	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Alignment Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	26	percent of total billed charges	26	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Cigna	PPO		68	68% of all negotiated rates	16	percent of total billed charges	16	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Coalition	PPO		49	49% of all negotiated rates	26	percent of total billed charges	26	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Humana-Commerical	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Multiplan	PPO		80	80% of all negotiated rates	10	percent of total billed charges	10	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	One Health	PPO		55	55% of all negotiated rates	23	percent of total billed charges	23	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Optum Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	P3	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Select Health	HMO		41	41% of all negotiated rates	30	percent of total billed charges	30	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	34	percent of total billed charges	34	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Silversummit Medicare	HMO		39	39% of all negotiated rates	31	percent of total billed charges	31	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	33	percent of total billed charges	33	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	TriWest	PPO		30	30% of all negotiated rates	36	percent of total billed charges	36	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	15	percent of total billed charges	15	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	51	
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	49	Coinsurance and deductible may apply
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	49	Coinsurance and deductible may apply
UA Microscopic	81015	CPT	4010081	LOCAL	307	RC		outpatient			51	44	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	2	fee schedule	2	49	Coinsurance and deductible may apply
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Aetna	PPO		38	38% of all negotiated rates	252	percent of total billed charges	252	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Coalition	PPO		49	49% of all negotiated rates	207	percent of total billed charges	207	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	One Health	PPO		55	55% of all negotiated rates	183	percent of total billed charges	183	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Teachers Trust	PPO		65	65% of all negotiated rates	142	percent of total billed charges	142	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill AE1/AE3 Stain	88342	CPT	4000259SO	LOCAL	310	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Aetna	PPO		38	38% of all negotiated rates	206	percent of total billed charges	206	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Aetna Medicare	HMO		26	26% of all negotiated rates	246	percent of total billed charges	246	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Alignment Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	166	percent of total billed charges	166	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Cigna	PPO		68	68% of all negotiated rates	107	percent of total billed charges	107	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Coalition	PPO		49	49% of all negotiated rates	170	percent of total billed charges	170	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	One Health	PPO		55	55% of all negotiated rates	150	percent of total billed charges	150	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Optum Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	P3	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Select Health	HMO		41	41% of all negotiated rates	196	percent of total billed charges	196	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	221	percent of total billed charges	221	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Sierra/HPN	HMO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Silversummit Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	216	percent of total billed charges	216	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Teachers Trust	PPO		65	65% of all negotiated rates	116	percent of total billed charges	116	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	TriWest	PPO		30	30% of all negotiated rates	233	percent of total billed charges	233	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	United Healthcare	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill B Cell Stain	88342	CPT	4008342SO	LOCAL	310	RC		outpatient			333	283	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Aetna	PPO		38	38% of all negotiated rates	206	percent of total billed charges	206	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Aetna Medicare	HMO		26	26% of all negotiated rates	246	percent of total billed charges	246	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Alignment Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	166	percent of total billed charges	166	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Cigna	PPO		68	68% of all negotiated rates	107	percent of total billed charges	107	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Coalition	PPO		49	49% of all negotiated rates	170	percent of total billed charges	170	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	One Health	PPO		55	55% of all negotiated rates	150	percent of total billed charges	150	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Optum Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	P3	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Select Health	HMO		41	41% of all negotiated rates	196	percent of total billed charges	196	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	221	percent of total billed charges	221	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Sierra/HPN	HMO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Silversummit Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	216	percent of total billed charges	216	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Teachers Trust	PPO		65	65% of all negotiated rates	116	percent of total billed charges	116	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	TriWest	PPO		30	30% of all negotiated rates	233	percent of total billed charges	233	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	United Healthcare	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill Ber-Ep4 Stain	88342	CPT	4000263SO	LOCAL	310	RC		outpatient			333	283	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Aetna	PPO		38	38% of all negotiated rates	206	percent of total billed charges	206	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Aetna Medicare	HMO		26	26% of all negotiated rates	246	percent of total billed charges	246	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Alignment Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	166	percent of total billed charges	166	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Cigna	PPO		68	68% of all negotiated rates	107	percent of total billed charges	107	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Coalition	PPO		49	49% of all negotiated rates	170	percent of total billed charges	170	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	One Health	PPO		55	55% of all negotiated rates	150	percent of total billed charges	150	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Optum Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	P3	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Select Health	HMO		41	41% of all negotiated rates	196	percent of total billed charges	196	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	221	percent of total billed charges	221	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Sierra/HPN	HMO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Silversummit Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	216	percent of total billed charges	216	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Teachers Trust	PPO		65	65% of all negotiated rates	116	percent of total billed charges	116	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	TriWest	PPO		30	30% of all negotiated rates	233	percent of total billed charges	233	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	United Healthcare	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill CD15 Stain	88342	CPT	4002036SO	LOCAL	310	RC		outpatient			333	283	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Cytokeratin 20 Stain	88342	CPT	4000264SO	LOCAL	310	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Epith Mem Ag Stain	88342	CPT	4000192SO	LOCAL	310	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Aetna	PPO		38	38% of all negotiated rates	160	percent of total billed charges	160	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Aetna Medicare	HMO		26	26% of all negotiated rates	191	percent of total billed charges	191	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	129	percent of total billed charges	129	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Coalition	PPO		49	49% of all negotiated rates	132	percent of total billed charges	132	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Humana-Commerical	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	One Health	PPO		55	55% of all negotiated rates	116	percent of total billed charges	116	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Select Health	HMO		41	41% of all negotiated rates	152	percent of total billed charges	152	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Sierra/HPN	HMO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	168	percent of total billed charges	168	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Teachers Trust	PPO		65	65% of all negotiated rates	90	percent of total billed charges	90	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	TriWest	PPO		30	30% of all negotiated rates	181	percent of total billed charges	181	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	77	percent of total billed charges	77	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	United Healthcare	PPO		60	60% of all negotiated rates	103	percent of total billed charges	103	258	
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	246	Coinsurance and deductible may apply
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	246	Coinsurance and deductible may apply
Bill GNSS-PN Stain	88312	CPT	4008312SO	LOCAL	310	RC		outpatient			258	220	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	246	Coinsurance and deductible may apply
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Aetna	PPO		38	38% of all negotiated rates	308	percent of total billed charges	308	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Aetna Medicare	HMO		26	26% of all negotiated rates	368	percent of total billed charges	368	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Alignment Medicare	HMO		39	39% of all negotiated rates	303	percent of total billed charges	303	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	199	percent of total billed charges	199	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	248	percent of total billed charges	248	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	303	percent of total billed charges	303	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Cigna	PPO		68	68% of all negotiated rates	159	percent of total billed charges	159	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Coalition	PPO		49	49% of all negotiated rates	253	percent of total billed charges	253	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Coventry	PPO		75	75% of all negotiated rates	124	percent of total billed charges	124	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Humana-Commerical	PPO		70	70% of all negotiated rates	149	percent of total billed charges	149	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	303	percent of total billed charges	303	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Multiplan	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	One Health	PPO		55	55% of all negotiated rates	223	percent of total billed charges	223	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Optum Medicare	HMO		39	39% of all negotiated rates	303	percent of total billed charges	303	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	P3	HMO		39	39% of all negotiated rates	303	percent of total billed charges	303	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	149	percent of total billed charges	149	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Select Health	HMO		41	41% of all negotiated rates	293	percent of total billed charges	293	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	330	percent of total billed charges	330	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Sierra/HPN	HMO		60	60% of all negotiated rates	199	percent of total billed charges	199	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Silversummit Medicare	HMO		39	39% of all negotiated rates	303	percent of total billed charges	303	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	323	percent of total billed charges	323	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Teachers Trust	PPO		65	65% of all negotiated rates	174	percent of total billed charges	174	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	TriWest	PPO		30	30% of all negotiated rates	348	percent of total billed charges	348	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	149	percent of total billed charges	149	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	United Healthcare	PPO		60	60% of all negotiated rates	199	percent of total billed charges	199	497	
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	473	Coinsurance and deductible may apply
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	473	Coinsurance and deductible may apply
"Bill IHC, 1 AB, TC"	88342	CPT	90188342SO	LOCAL	310	RC		outpatient			497	422	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	473	Coinsurance and deductible may apply
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Aetna	PPO		38	38% of all negotiated rates	482	percent of total billed charges	482	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Aetna Medicare	HMO		26	26% of all negotiated rates	575	percent of total billed charges	575	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Alignment Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	311	percent of total billed charges	311	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	389	percent of total billed charges	389	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Cigna	PPO		68	68% of all negotiated rates	249	percent of total billed charges	249	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Coalition	PPO		49	49% of all negotiated rates	396	percent of total billed charges	396	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Coventry	PPO		75	75% of all negotiated rates	194	percent of total billed charges	194	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	155	percent of total billed charges	155	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Humana-Commerical	PPO		70	70% of all negotiated rates	233	percent of total billed charges	233	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Multiplan	PPO		80	80% of all negotiated rates	155	percent of total billed charges	155	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	One Health	PPO		55	55% of all negotiated rates	350	percent of total billed charges	350	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Optum Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	P3	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	233	percent of total billed charges	233	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Select Health	HMO		41	41% of all negotiated rates	458	percent of total billed charges	458	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	517	percent of total billed charges	517	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Sierra/HPN	HMO		60	60% of all negotiated rates	311	percent of total billed charges	311	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Silversummit Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	505	percent of total billed charges	505	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Teachers Trust	PPO		65	65% of all negotiated rates	272	percent of total billed charges	272	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	TriWest	PPO		30	30% of all negotiated rates	544	percent of total billed charges	544	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	233	percent of total billed charges	233	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	United Healthcare	PPO		60	60% of all negotiated rates	311	percent of total billed charges	311	777	
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	740	Coinsurance and deductible may apply
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	740	Coinsurance and deductible may apply
"Bill Immunocyto 7 AB, TC"	88342	CPT	4010061SO	LOCAL	310	RC		outpatient			777	660	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	740	Coinsurance and deductible may apply
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Aetna	PPO		38	38% of all negotiated rates	243	percent of total billed charges	243	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Aetna Medicare	HMO		26	26% of all negotiated rates	290	percent of total billed charges	290	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Alignment Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	157	percent of total billed charges	157	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	196	percent of total billed charges	196	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Cigna	PPO		68	68% of all negotiated rates	125	percent of total billed charges	125	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Coalition	PPO		49	49% of all negotiated rates	200	percent of total billed charges	200	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Coventry	PPO		75	75% of all negotiated rates	98	percent of total billed charges	98	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	78	percent of total billed charges	78	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Humana-Commerical	PPO		70	70% of all negotiated rates	117	percent of total billed charges	117	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Multiplan	PPO		80	80% of all negotiated rates	78	percent of total billed charges	78	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	One Health	PPO		55	55% of all negotiated rates	176	percent of total billed charges	176	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Optum Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	P3	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	117	percent of total billed charges	117	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Select Health	HMO		41	41% of all negotiated rates	231	percent of total billed charges	231	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	260	percent of total billed charges	260	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Sierra/HPN	HMO		60	60% of all negotiated rates	157	percent of total billed charges	157	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Silversummit Medicare	HMO		39	39% of all negotiated rates	239	percent of total billed charges	239	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	255	percent of total billed charges	255	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Teachers Trust	PPO		65	65% of all negotiated rates	137	percent of total billed charges	137	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	TriWest	PPO		30	30% of all negotiated rates	274	percent of total billed charges	274	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	117	percent of total billed charges	117	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	United Healthcare	PPO		60	60% of all negotiated rates	157	percent of total billed charges	157	392	
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	373	Coinsurance and deductible may apply
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	373	Coinsurance and deductible may apply
"Bill IV-Path, GM, TC"	88305	CPT	90188305SO	LOCAL	310	RC		outpatient			392	333	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	373	Coinsurance and deductible may apply
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Aetna	PPO		38	38% of all negotiated rates	306	percent of total billed charges	306	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Aetna Medicare	HMO		26	26% of all negotiated rates	365	percent of total billed charges	365	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Alignment Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	247	percent of total billed charges	247	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Cigna	PPO		68	68% of all negotiated rates	158	percent of total billed charges	158	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Coalition	PPO		49	49% of all negotiated rates	252	percent of total billed charges	252	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Humana-Commerical	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Multiplan	PPO		80	80% of all negotiated rates	99	percent of total billed charges	99	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	One Health	PPO		55	55% of all negotiated rates	222	percent of total billed charges	222	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Optum Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	P3	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Select Health	HMO		41	41% of all negotiated rates	291	percent of total billed charges	291	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	328	percent of total billed charges	328	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Sierra/HPN	HMO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Silversummit Medicare	HMO		39	39% of all negotiated rates	301	percent of total billed charges	301	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	321	percent of total billed charges	321	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Teachers Trust	PPO		65	65% of all negotiated rates	173	percent of total billed charges	173	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	TriWest	PPO		30	30% of all negotiated rates	345	percent of total billed charges	345	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	148	percent of total billed charges	148	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	United Healthcare	PPO		60	60% of all negotiated rates	197	percent of total billed charges	197	494	
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	470	Coinsurance and deductible may apply
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	470	Coinsurance and deductible may apply
Bill KI-1 Stain	88342	CPT	4002035SO	LOCAL	310	RC		outpatient			494	419	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	470	Coinsurance and deductible may apply
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Aetna	PPO		38	38% of all negotiated rates	252	percent of total billed charges	252	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Coalition	PPO		49	49% of all negotiated rates	207	percent of total billed charges	207	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	One Health	PPO		55	55% of all negotiated rates	183	percent of total billed charges	183	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Teachers Trust	PPO		65	65% of all negotiated rates	142	percent of total billed charges	142	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill MOC 31 Stain	88342	CPT	4000266SO	LOCAL	310	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Panlympoid Stain	88342	CPT	4002568SO	LOCAL	310	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Aetna	PPO		38	38% of all negotiated rates	158	percent of total billed charges	158	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Aetna Medicare	HMO		26	26% of all negotiated rates	188	percent of total billed charges	188	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Alignment Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	102	percent of total billed charges	102	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	127	percent of total billed charges	127	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Cigna	PPO		68	68% of all negotiated rates	81	percent of total billed charges	81	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Coalition	PPO		49	49% of all negotiated rates	130	percent of total billed charges	130	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Coventry	PPO		75	75% of all negotiated rates	64	percent of total billed charges	64	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	51	percent of total billed charges	51	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Humana-Commerical	PPO		70	70% of all negotiated rates	76	percent of total billed charges	76	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Multiplan	PPO		80	80% of all negotiated rates	51	percent of total billed charges	51	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	One Health	PPO		55	55% of all negotiated rates	114	percent of total billed charges	114	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Optum Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	P3	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	76	percent of total billed charges	76	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Select Health	HMO		41	41% of all negotiated rates	150	percent of total billed charges	150	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	169	percent of total billed charges	169	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Sierra/HPN	HMO		60	60% of all negotiated rates	102	percent of total billed charges	102	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Silversummit Medicare	HMO		39	39% of all negotiated rates	155	percent of total billed charges	155	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	165	percent of total billed charges	165	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Teachers Trust	PPO		65	65% of all negotiated rates	89	percent of total billed charges	89	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	TriWest	PPO		30	30% of all negotiated rates	178	percent of total billed charges	178	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	76	percent of total billed charges	76	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	United Healthcare	PPO		60	60% of all negotiated rates	102	percent of total billed charges	102	254	
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	242	Coinsurance and deductible may apply
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	242	Coinsurance and deductible may apply
Bill Pas Stain	88312	CPT	4003215SO	LOCAL	310	RC		outpatient			254	216	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	242	Coinsurance and deductible may apply
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Aetna	PPO		38	38% of all negotiated rates	252	percent of total billed charges	252	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Coalition	PPO		49	49% of all negotiated rates	207	percent of total billed charges	207	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	One Health	PPO		55	55% of all negotiated rates	183	percent of total billed charges	183	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Teachers Trust	PPO		65	65% of all negotiated rates	142	percent of total billed charges	142	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill Snaptophysin Stain	88342	CPT	4000083SO	LOCAL	310	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	387	Coinsurance and deductible may apply
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Aetna	PPO		38	38% of all negotiated rates	236	percent of total billed charges	236	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Aetna Medicare	HMO		26	26% of all negotiated rates	281	percent of total billed charges	281	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Alignment Medicare	HMO		39	39% of all negotiated rates	232	percent of total billed charges	232	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	152	percent of total billed charges	152	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	190	percent of total billed charges	190	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	232	percent of total billed charges	232	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Cigna	PPO		68	68% of all negotiated rates	122	percent of total billed charges	122	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Coalition	PPO		49	49% of all negotiated rates	194	percent of total billed charges	194	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Coventry	PPO		75	75% of all negotiated rates	95	percent of total billed charges	95	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	76	percent of total billed charges	76	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Humana-Commerical	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	232	percent of total billed charges	232	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Multiplan	PPO		80	80% of all negotiated rates	76	percent of total billed charges	76	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	One Health	PPO		55	55% of all negotiated rates	171	percent of total billed charges	171	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Optum Medicare	HMO		39	39% of all negotiated rates	232	percent of total billed charges	232	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	P3	HMO		39	39% of all negotiated rates	232	percent of total billed charges	232	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Select Health	HMO		41	41% of all negotiated rates	224	percent of total billed charges	224	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	253	percent of total billed charges	253	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Sierra/HPN	HMO		60	60% of all negotiated rates	152	percent of total billed charges	152	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Silversummit Medicare	HMO		39	39% of all negotiated rates	232	percent of total billed charges	232	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	247	percent of total billed charges	247	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Teachers Trust	PPO		65	65% of all negotiated rates	133	percent of total billed charges	133	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	TriWest	PPO		30	30% of all negotiated rates	266	percent of total billed charges	266	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	United Healthcare	PPO		60	60% of all negotiated rates	152	percent of total billed charges	152	380	
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	362	Coinsurance and deductible may apply
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	362	Coinsurance and deductible may apply
Bill Special Stain S-100	88342	CPT	4002026SO	LOCAL	310	RC		outpatient			380	323	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	362	Coinsurance and deductible may apply
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS Brst-2	88342	CPT	4002319SO	LOCAL	310	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Aetna	PPO		38	38% of all negotiated rates	337	percent of total billed charges	337	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Coalition	PPO		49	49% of all negotiated rates	277	percent of total billed charges	277	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	518	Coinsurance and deductible may apply
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	518	Coinsurance and deductible may apply
Bill SS CD68	88342	CPT	4002048SO	LOCAL	310	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	518	Coinsurance and deductible may apply
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Aetna	PPO		38	38% of all negotiated rates	391	percent of total billed charges	391	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Aetna Medicare	HMO		26	26% of all negotiated rates	467	percent of total billed charges	467	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Alignment Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Coalition	PPO		49	49% of all negotiated rates	322	percent of total billed charges	322	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Optum Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	P3	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS CEA IM	88313	CPT	4003133SO	LOCAL	310	RC		outpatient			631	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Aetna	PPO		38	38% of all negotiated rates	337	percent of total billed charges	337	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Coalition	PPO		49	49% of all negotiated rates	277	percent of total billed charges	277	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	518	Coinsurance and deductible may apply
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	518	Coinsurance and deductible may apply
Bill SS Chromo	88313	CPT	4003139SO	LOCAL	310	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	518	Coinsurance and deductible may apply
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS E-Cad	88342	CPT	4002313SO	LOCAL	310	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Aetna	PPO		38	38% of all negotiated rates	391	percent of total billed charges	391	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Aetna Medicare	HMO		26	26% of all negotiated rates	467	percent of total billed charges	467	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Alignment Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Coalition	PPO		49	49% of all negotiated rates	322	percent of total billed charges	322	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Optum Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	P3	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS Iron	88313	CPT	4003199SO	LOCAL	310	RC		outpatient			631	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Aetna	PPO		38	38% of all negotiated rates	391	percent of total billed charges	391	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Aetna Medicare	HMO		26	26% of all negotiated rates	467	percent of total billed charges	467	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Alignment Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Coalition	PPO		49	49% of all negotiated rates	322	percent of total billed charges	322	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Optum Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	P3	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS Mucica	88313	CPT	4003136SO	LOCAL	310	RC		outpatient			631	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Aetna	PPO		38	38% of all negotiated rates	337	percent of total billed charges	337	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Coalition	PPO		49	49% of all negotiated rates	277	percent of total billed charges	277	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	518	Coinsurance and deductible may apply
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	518	Coinsurance and deductible may apply
Bill SS NSE IM	88313	CPT	4003135SO	LOCAL	310	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	518	Coinsurance and deductible may apply
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Coalition	PPO		49	49% of all negotiated rates	120	percent of total billed charges	120	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS Panmel	88342	CPT	4002318SO	LOCAL	310	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	225	Coinsurance and deductible may apply
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Aetna	PPO		38	38% of all negotiated rates	337	percent of total billed charges	337	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Coalition	PPO		49	49% of all negotiated rates	277	percent of total billed charges	277	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	518	Coinsurance and deductible may apply
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	518	Coinsurance and deductible may apply
Bill SS Viment	88342	CPT	4003421SO	LOCAL	310	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	518	Coinsurance and deductible may apply
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Aetna	PPO		38	38% of all negotiated rates	235	percent of total billed charges	235	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Aetna Medicare	HMO		26	26% of all negotiated rates	280	percent of total billed charges	280	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Alignment Medicare	HMO		39	39% of all negotiated rates	231	percent of total billed charges	231	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	152	percent of total billed charges	152	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	190	percent of total billed charges	190	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	231	percent of total billed charges	231	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Cigna	PPO		68	68% of all negotiated rates	121	percent of total billed charges	121	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Coalition	PPO		49	49% of all negotiated rates	193	percent of total billed charges	193	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Coventry	PPO		75	75% of all negotiated rates	95	percent of total billed charges	95	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	76	percent of total billed charges	76	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Humana-Commerical	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	231	percent of total billed charges	231	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Multiplan	PPO		80	80% of all negotiated rates	76	percent of total billed charges	76	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	One Health	PPO		55	55% of all negotiated rates	171	percent of total billed charges	171	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Optum Medicare	HMO		39	39% of all negotiated rates	231	percent of total billed charges	231	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	P3	HMO		39	39% of all negotiated rates	231	percent of total billed charges	231	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Select Health	HMO		41	41% of all negotiated rates	224	percent of total billed charges	224	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	252	percent of total billed charges	252	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Sierra/HPN	HMO		60	60% of all negotiated rates	152	percent of total billed charges	152	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Silversummit Medicare	HMO		39	39% of all negotiated rates	231	percent of total billed charges	231	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	246	percent of total billed charges	246	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Teachers Trust	PPO		65	65% of all negotiated rates	133	percent of total billed charges	133	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	TriWest	PPO		30	30% of all negotiated rates	265	percent of total billed charges	265	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	United Healthcare	PPO		60	60% of all negotiated rates	152	percent of total billed charges	152	379	
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	361	Coinsurance and deductible may apply
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	361	Coinsurance and deductible may apply
Bill Stain Diete	88342	CPT	4003173SO	LOCAL	310	RC		outpatient			379	322	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	361	Coinsurance and deductible may apply
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Aetna	PPO		38	38% of all negotiated rates	391	percent of total billed charges	391	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Aetna Medicare	HMO		26	26% of all negotiated rates	467	percent of total billed charges	467	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Alignment Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Coalition	PPO		49	49% of all negotiated rates	322	percent of total billed charges	322	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Optum Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	P3	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	385	percent of total billed charges	385	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	631	
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill Trichrome Stain	88313	CPT	4003132SO	LOCAL	310	RC		outpatient			631	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	601	Coinsurance and deductible may apply
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Aetna	PPO		38	38% of all negotiated rates	266	percent of total billed charges	266	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Aetna Medicare	HMO		26	26% of all negotiated rates	317	percent of total billed charges	317	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Alignment Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	214	percent of total billed charges	214	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Cigna	PPO		68	68% of all negotiated rates	137	percent of total billed charges	137	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Coalition	PPO		49	49% of all negotiated rates	218	percent of total billed charges	218	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Coventry	PPO		75	75% of all negotiated rates	107	percent of total billed charges	107	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Humana-Commerical	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Multiplan	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	One Health	PPO		55	55% of all negotiated rates	193	percent of total billed charges	193	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Optum Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	P3	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Select Health	HMO		41	41% of all negotiated rates	253	percent of total billed charges	253	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	285	percent of total billed charges	285	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Sierra/HPN	HMO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Silversummit Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	278	percent of total billed charges	278	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Teachers Trust	PPO		65	65% of all negotiated rates	150	percent of total billed charges	150	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	TriWest	PPO		30	30% of all negotiated rates	300	percent of total billed charges	300	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	United Healthcare	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	408	Coinsurance and deductible may apply
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	408	Coinsurance and deductible may apply
Bill TTF-1 Stain	88342	CPT	4000261SO	LOCAL	310	RC		outpatient			428	364	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	408	Coinsurance and deductible may apply
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Aetna	PPO		38	38% of all negotiated rates	206	percent of total billed charges	206	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Aetna Medicare	HMO		26	26% of all negotiated rates	246	percent of total billed charges	246	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Alignment Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	166	percent of total billed charges	166	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Cigna	PPO		68	68% of all negotiated rates	107	percent of total billed charges	107	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Coalition	PPO		49	49% of all negotiated rates	170	percent of total billed charges	170	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Coventry	PPO		75	75% of all negotiated rates	83	percent of total billed charges	83	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Humana-Commerical	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	One Health	PPO		55	55% of all negotiated rates	150	percent of total billed charges	150	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Optum Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	P3	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Select Health	HMO		41	41% of all negotiated rates	196	percent of total billed charges	196	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	221	percent of total billed charges	221	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Sierra/HPN	HMO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Silversummit Medicare	HMO		39	39% of all negotiated rates	203	percent of total billed charges	203	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	216	percent of total billed charges	216	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Teachers Trust	PPO		65	65% of all negotiated rates	116	percent of total billed charges	116	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	TriWest	PPO		30	30% of all negotiated rates	233	percent of total billed charges	233	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	100	percent of total billed charges	100	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	United Healthcare	PPO		60	60% of all negotiated rates	133	percent of total billed charges	133	333	
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
Bill Wilm's Tumor Stain	88342	CPT	4000262SO	LOCAL	310	RC		outpatient			333	283	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	317	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	Teachers Trust	PPO	831.09	65	65% of all negotiated rates	238	case rate	238	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	TriWest	PPO	 	30	30% of all negotiated rates	476	percent of total billed charges	476	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Aetna	PPO	425	 	case rate	425	case rate	425	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	Cigna	PPO	632.07	 	case rate	632	case rate	632	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Coalition	PPO	861	 	case rate	861	case rate	861	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		both			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	One Health	PPO	694	55	case rate	694	case rate	694	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO	521	 	case rate	521	case rate	521	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	648	Coinsurance and deductible may apply
CT TMJ Open +Closed Bil	70330	CPT	4053306	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	648	Coinsurance and deductible may apply
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Aetna Medicare	HMO		26	26% of all negotiated rates	431	percent of total billed charges	431	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Alignment Medicare	HMO		39	39% of all negotiated rates	355	percent of total billed charges	355	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	233	percent of total billed charges	233	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	291	percent of total billed charges	291	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	355	percent of total billed charges	355	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Cigna	PPO		68	68% of all negotiated rates	186	percent of total billed charges	186	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Coalition	PPO		57	57% of all negotiated rates	251	percent of total billed charges	251	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Coventry	PPO		75	75% of all negotiated rates	146	percent of total billed charges	146	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	117	percent of total billed charges	117	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Humana-Commerical	PPO		70	70% of all negotiated rates	175	percent of total billed charges	175	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	355	percent of total billed charges	355	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	One Health	PPO		55	55% of all negotiated rates	262	percent of total billed charges	262	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Optum Medicare	HMO		39	39% of all negotiated rates	355	percent of total billed charges	355	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	P3	HMO		39	39% of all negotiated rates	355	percent of total billed charges	355	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Select Health	HMO		41	41% of all negotiated rates	344	percent of total billed charges	344	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	388	percent of total billed charges	388	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Sierra/HPN	HMO		60	60% of all negotiated rates	233	percent of total billed charges	233	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Silversummit Medicare	HMO		39	39% of all negotiated rates	355	percent of total billed charges	355	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Teachers Trust	PPO		65	65% of all negotiated rates	204	percent of total billed charges	204	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	175	percent of total billed charges	175	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	United Healthcare	PPO		60	60% of all negotiated rates	233	percent of total billed charges	233	583	
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	113	fee schedule	113	555	Coinsurance and deductible may apply
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	113	fee schedule	113	555	Coinsurance and deductible may apply
ENEMA ADMIN	74283	CPT	3230042	LOCAL	320	RC		outpatient			583	495	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	113	fee schedule	113	555	Coinsurance and deductible may apply
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Aetna Medicare	HMO		26	26% of all negotiated rates	650	percent of total billed charges	650	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Alignment Medicare	HMO		39	39% of all negotiated rates	535	percent of total billed charges	535	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	351	percent of total billed charges	351	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	439	percent of total billed charges	439	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	535	percent of total billed charges	535	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Cigna	PPO		68	68% of all negotiated rates	281	percent of total billed charges	281	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Coalition	PPO		57	57% of all negotiated rates	377	percent of total billed charges	377	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Coventry	PPO		75	75% of all negotiated rates	219	percent of total billed charges	219	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	176	percent of total billed charges	176	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Humana-Commerical	PPO		70	70% of all negotiated rates	263	percent of total billed charges	263	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	535	percent of total billed charges	535	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Multiplan	PPO		80	80% of all negotiated rates	176	percent of total billed charges	176	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	One Health	PPO		55	55% of all negotiated rates	395	percent of total billed charges	395	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Optum Medicare	HMO		39	39% of all negotiated rates	535	percent of total billed charges	535	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	P3	HMO		39	39% of all negotiated rates	535	percent of total billed charges	535	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	263	percent of total billed charges	263	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Select Health	HMO		41	41% of all negotiated rates	518	percent of total billed charges	518	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	584	percent of total billed charges	584	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Sierra/HPN	HMO		60	60% of all negotiated rates	351	percent of total billed charges	351	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Silversummit Medicare	HMO		39	39% of all negotiated rates	535	percent of total billed charges	535	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	571	percent of total billed charges	571	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Teachers Trust	PPO		65	65% of all negotiated rates	307	percent of total billed charges	307	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	TriWest	PPO		30	30% of all negotiated rates	614	percent of total billed charges	614	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	263	percent of total billed charges	263	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	United Healthcare	PPO		60	60% of all negotiated rates	351	percent of total billed charges	351	878	
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Aetna	PPO		120	120% of Aetna market fee schedule	105	fee schedule	105	836	Coinsurance and deductible may apply
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	836	Coinsurance and deductible may apply
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	836	Coinsurance and deductible may apply
US Chest	76604	CPT	4086537	LOCAL	320	RC		outpatient			878	746	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	836	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Aetna Medicare	HMO		26	26% of all negotiated rates	636	percent of total billed charges	636	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Alignment Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	344	percent of total billed charges	344	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	429	percent of total billed charges	429	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Cigna	PPO		68	68% of all negotiated rates	275	percent of total billed charges	275	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Coalition	PPO		57	57% of all negotiated rates	369	percent of total billed charges	369	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Coventry	PPO		75	75% of all negotiated rates	215	percent of total billed charges	215	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	172	percent of total billed charges	172	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Humana-Commerical	PPO		70	70% of all negotiated rates	258	percent of total billed charges	258	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Multiplan	PPO		80	80% of all negotiated rates	172	percent of total billed charges	172	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	One Health	PPO		55	55% of all negotiated rates	387	percent of total billed charges	387	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Optum Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	P3	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	258	percent of total billed charges	258	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Select Health	HMO		41	41% of all negotiated rates	507	percent of total billed charges	507	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	571	percent of total billed charges	571	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Sierra/HPN	HMO		60	60% of all negotiated rates	344	percent of total billed charges	344	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Silversummit Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	558	percent of total billed charges	558	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Teachers Trust	PPO		65	65% of all negotiated rates	301	percent of total billed charges	301	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	TriWest	PPO		30	30% of all negotiated rates	601	percent of total billed charges	601	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	258	percent of total billed charges	258	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	United Healthcare	PPO		60	60% of all negotiated rates	344	percent of total billed charges	344	859	
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Aetna	PPO		120	120% of Aetna market fee schedule	146	fee schedule	146	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Lt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Aetna Medicare	HMO		26	26% of all negotiated rates	636	percent of total billed charges	636	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Alignment Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	344	percent of total billed charges	344	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	429	percent of total billed charges	429	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Cigna	PPO		68	68% of all negotiated rates	275	percent of total billed charges	275	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Coalition	PPO		57	57% of all negotiated rates	369	percent of total billed charges	369	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Coventry	PPO		75	75% of all negotiated rates	215	percent of total billed charges	215	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	172	percent of total billed charges	172	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Humana-Commerical	PPO		70	70% of all negotiated rates	258	percent of total billed charges	258	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Multiplan	PPO		80	80% of all negotiated rates	172	percent of total billed charges	172	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	One Health	PPO		55	55% of all negotiated rates	387	percent of total billed charges	387	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Optum Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	P3	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	258	percent of total billed charges	258	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Select Health	HMO		41	41% of all negotiated rates	507	percent of total billed charges	507	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	571	percent of total billed charges	571	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Sierra/HPN	HMO		60	60% of all negotiated rates	344	percent of total billed charges	344	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Silversummit Medicare	HMO		39	39% of all negotiated rates	524	percent of total billed charges	524	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	558	percent of total billed charges	558	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Teachers Trust	PPO		65	65% of all negotiated rates	301	percent of total billed charges	301	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	TriWest	PPO		30	30% of all negotiated rates	601	percent of total billed charges	601	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	258	percent of total billed charges	258	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	United Healthcare	PPO		60	60% of all negotiated rates	344	percent of total billed charges	344	859	
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Aetna	PPO		120	120% of Aetna market fee schedule	146	fee schedule	146	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	818	Coinsurance and deductible may apply
US Extremity Nonvascular Comp Rt	76881	CPT	4086538	LOCAL	320	RC		outpatient			859	730	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	818	Coinsurance and deductible may apply
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Alignment Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	218	percent of total billed charges	218	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Coalition	PPO		57	57% of all negotiated rates	187	percent of total billed charges	187	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Humana-Commerical	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Optum Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	P3	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Select Health	HMO		41	41% of all negotiated rates	257	percent of total billed charges	257	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	290	percent of total billed charges	290	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Silversummit Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Teachers Trust	PPO		65	65% of all negotiated rates	153	percent of total billed charges	153	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	TriWest	PPO		30	30% of all negotiated rates	305	percent of total billed charges	305	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Aetna	PPO		120	120% of Aetna market fee schedule	31	fee schedule	31	415	Coinsurance and deductible may apply
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	415	Coinsurance and deductible may apply
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	415	Coinsurance and deductible may apply
XR Abdomen 1 View	74018	CPT	4050001	LOCAL	320	RC		outpatient			436	370	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	415	Coinsurance and deductible may apply
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Alignment Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	218	percent of total billed charges	218	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Coalition	PPO		57	57% of all negotiated rates	187	percent of total billed charges	187	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Humana-Commerical	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Optum Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	P3	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Select Health	HMO		41	41% of all negotiated rates	257	percent of total billed charges	257	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	290	percent of total billed charges	290	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Silversummit Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Teachers Trust	PPO		65	65% of all negotiated rates	153	percent of total billed charges	153	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	TriWest	PPO		30	30% of all negotiated rates	305	percent of total billed charges	305	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	415	Coinsurance and deductible may apply
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	415	Coinsurance and deductible may apply
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	415	Coinsurance and deductible may apply
XR Abdomen 2 Views	74019	CPT	4054020	LOCAL	320	RC		outpatient			436	370	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	415	Coinsurance and deductible may apply
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Aetna Medicare	HMO		26	26% of all negotiated rates	774	percent of total billed charges	774	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Alignment Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	523	percent of total billed charges	523	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Cigna	PPO		68	68% of all negotiated rates	335	percent of total billed charges	335	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Coalition	PPO		57	57% of all negotiated rates	450	percent of total billed charges	450	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Humana-Commerical	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	One Health	PPO		55	55% of all negotiated rates	471	percent of total billed charges	471	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Optum Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	P3	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Select Health	HMO		41	41% of all negotiated rates	617	percent of total billed charges	617	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Silversummit Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	680	percent of total billed charges	680	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	TriWest	PPO		30	30% of all negotiated rates	732	percent of total billed charges	732	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Aetna	PPO		120	120% of Aetna market fee schedule	58	fee schedule	58	996	Coinsurance and deductible may apply
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	996	Coinsurance and deductible may apply
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	996	Coinsurance and deductible may apply
XR Abdomen Comp +Chest 1 View	74022	CPT	4050225	LOCAL	320	RC		outpatient			1046	889	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	996	Coinsurance and deductible may apply
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	49	fee schedule	49	643	Coinsurance and deductible may apply
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	643	Coinsurance and deductible may apply
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	643	Coinsurance and deductible may apply
XR AC Joints w/ or w/o Weights Bil	73050	CPT	4050507	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	643	Coinsurance and deductible may apply
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Bil	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Lt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle 2 Views Rt	73600	CPT	4056009	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	648	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Bil	73610	CPT	4053610	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Lt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Ankle Comp Min 3 Views Rt	73610	CPT	4056108	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Aetna Medicare	HMO		26	26% of all negotiated rates	1037	percent of total billed charges	1037	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Alignment Medicare	HMO		39	39% of all negotiated rates	855	percent of total billed charges	855	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	561	percent of total billed charges	561	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	701	percent of total billed charges	701	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	855	percent of total billed charges	855	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Cigna	PPO		68	68% of all negotiated rates	449	percent of total billed charges	449	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Coalition	PPO		57	57% of all negotiated rates	603	percent of total billed charges	603	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Coventry	PPO		75	75% of all negotiated rates	350	percent of total billed charges	350	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	280	percent of total billed charges	280	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Humana-Commerical	PPO		70	70% of all negotiated rates	421	percent of total billed charges	421	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	855	percent of total billed charges	855	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Multiplan	PPO		80	80% of all negotiated rates	280	percent of total billed charges	280	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	One Health	PPO		55	55% of all negotiated rates	631	percent of total billed charges	631	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Optum Medicare	HMO		39	39% of all negotiated rates	855	percent of total billed charges	855	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	P3	HMO		39	39% of all negotiated rates	855	percent of total billed charges	855	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	421	percent of total billed charges	421	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Select Health	HMO		41	41% of all negotiated rates	827	percent of total billed charges	827	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	932	percent of total billed charges	932	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Sierra/HPN	HMO		60	60% of all negotiated rates	561	percent of total billed charges	561	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Silversummit Medicare	HMO		39	39% of all negotiated rates	855	percent of total billed charges	855	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	911	percent of total billed charges	911	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Teachers Trust	PPO		65	65% of all negotiated rates	491	percent of total billed charges	491	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	TriWest	PPO		30	30% of all negotiated rates	981	percent of total billed charges	981	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	421	percent of total billed charges	421	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	United Healthcare	PPO		60	60% of all negotiated rates	561	percent of total billed charges	561	1402	
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Aetna	PPO		120	120% of Aetna market fee schedule	199	fee schedule	199	1335	Coinsurance and deductible may apply
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	185	fee schedule	185	1335	Coinsurance and deductible may apply
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	185	fee schedule	185	1335	Coinsurance and deductible may apply
XR Barium Enema w/ Air Cont	74280	CPT	4052809	LOCAL	320	RC		outpatient			1402	1191	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	185	fee schedule	185	1335	Coinsurance and deductible may apply
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Aetna Medicare	HMO		26	26% of all negotiated rates	1336	percent of total billed charges	1336	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Alignment Medicare	HMO		39	39% of all negotiated rates	1102	percent of total billed charges	1102	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	722	percent of total billed charges	722	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	903	percent of total billed charges	903	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1102	percent of total billed charges	1102	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Cigna	PPO		68	68% of all negotiated rates	578	percent of total billed charges	578	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Coalition	PPO		57	57% of all negotiated rates	777	percent of total billed charges	777	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Coventry	PPO		75	75% of all negotiated rates	452	percent of total billed charges	452	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	361	percent of total billed charges	361	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Humana-Commerical	PPO		70	70% of all negotiated rates	542	percent of total billed charges	542	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1102	percent of total billed charges	1102	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Multiplan	PPO		80	80% of all negotiated rates	361	percent of total billed charges	361	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	One Health	PPO		55	55% of all negotiated rates	813	percent of total billed charges	813	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Optum Medicare	HMO		39	39% of all negotiated rates	1102	percent of total billed charges	1102	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	P3	HMO		39	39% of all negotiated rates	1102	percent of total billed charges	1102	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	542	percent of total billed charges	542	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Select Health	HMO		41	41% of all negotiated rates	1066	percent of total billed charges	1066	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1201	percent of total billed charges	1201	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Sierra/HPN	HMO		60	60% of all negotiated rates	722	percent of total billed charges	722	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Silversummit Medicare	HMO		39	39% of all negotiated rates	1102	percent of total billed charges	1102	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1174	percent of total billed charges	1174	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Teachers Trust	PPO		65	65% of all negotiated rates	632	percent of total billed charges	632	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	TriWest	PPO		30	30% of all negotiated rates	1264	percent of total billed charges	1264	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	542	percent of total billed charges	542	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	United Healthcare	PPO		60	60% of all negotiated rates	722	percent of total billed charges	722	1806	
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Aetna	PPO		120	120% of Aetna market fee schedule	183	fee schedule	183	1720	Coinsurance and deductible may apply
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	169	fee schedule	169	1720	Coinsurance and deductible may apply
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	169	fee schedule	169	1720	Coinsurance and deductible may apply
XR Barium Enema w/ or w/o KUB	74270	CPT	4052700	LOCAL	320	RC		outpatient			1806	1535	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	169	fee schedule	169	1720	Coinsurance and deductible may apply
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Coalition	PPO		57	57% of all negotiated rates	296	percent of total billed charges	296	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Teachers Trust	PPO		65	65% of all negotiated rates	241	percent of total billed charges	241	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Aetna	PPO		120	120% of Aetna market fee schedule	84	fee schedule	84	655	Coinsurance and deductible may apply
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	655	Coinsurance and deductible may apply
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	655	Coinsurance and deductible may apply
XR Bone Survey Ltd Mets	77074	CPT	4050629	LOCAL	320	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	655	Coinsurance and deductible may apply
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	23	fee schedule	23	536	Coinsurance and deductible may apply
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	536	Coinsurance and deductible may apply
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	536	Coinsurance and deductible may apply
XR Chest 1 View	71045	CPT	4050103	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	536	Coinsurance and deductible may apply
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	648	Coinsurance and deductible may apply
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	648	Coinsurance and deductible may apply
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	648	Coinsurance and deductible may apply
XR Chest 2 Views	71046	CPT	4050202	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	648	Coinsurance and deductible may apply
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Aetna Medicare	HMO		26	26% of all negotiated rates	664	percent of total billed charges	664	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Alignment Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	448	percent of total billed charges	448	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Cigna	PPO		68	68% of all negotiated rates	287	percent of total billed charges	287	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Coalition	PPO		57	57% of all negotiated rates	386	percent of total billed charges	386	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Coventry	PPO		75	75% of all negotiated rates	224	percent of total billed charges	224	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Humana-Commerical	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Multiplan	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	One Health	PPO		55	55% of all negotiated rates	404	percent of total billed charges	404	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Optum Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	P3	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Select Health	HMO		41	41% of all negotiated rates	529	percent of total billed charges	529	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	596	percent of total billed charges	596	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Sierra/HPN	HMO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Silversummit Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	583	percent of total billed charges	583	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Teachers Trust	PPO		65	65% of all negotiated rates	314	percent of total billed charges	314	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	TriWest	PPO		30	30% of all negotiated rates	628	percent of total billed charges	628	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	United Healthcare	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	854	Coinsurance and deductible may apply
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	854	Coinsurance and deductible may apply
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	854	Coinsurance and deductible may apply
XR Chest 2 Views w/ Fluoro	71046	CPT	4050236	LOCAL	320	RC		outpatient			897	762	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	854	Coinsurance and deductible may apply
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Alignment Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	218	percent of total billed charges	218	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Coalition	PPO		57	57% of all negotiated rates	187	percent of total billed charges	187	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Humana-Commerical	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Optum Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	P3	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Select Health	HMO		41	41% of all negotiated rates	257	percent of total billed charges	257	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	290	percent of total billed charges	290	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Silversummit Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Teachers Trust	PPO		65	65% of all negotiated rates	153	percent of total billed charges	153	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	TriWest	PPO		30	30% of all negotiated rates	305	percent of total billed charges	305	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	415	Coinsurance and deductible may apply
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Bil	71046	CPT	4050352	LOCAL	320	RC		outpatient			436	370	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Alignment Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	218	percent of total billed charges	218	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Coalition	PPO		57	57% of all negotiated rates	187	percent of total billed charges	187	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Humana-Commerical	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Optum Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	P3	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Select Health	HMO		41	41% of all negotiated rates	257	percent of total billed charges	257	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	290	percent of total billed charges	290	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Silversummit Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Teachers Trust	PPO		65	65% of all negotiated rates	153	percent of total billed charges	153	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	TriWest	PPO		30	30% of all negotiated rates	305	percent of total billed charges	305	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	415	Coinsurance and deductible may apply
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Lt	71046	CPT	4050351	LOCAL	320	RC		outpatient			436	370	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Aetna Medicare	HMO		26	26% of all negotiated rates	322	percent of total billed charges	322	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Alignment Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	218	percent of total billed charges	218	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Cigna	PPO		68	68% of all negotiated rates	139	percent of total billed charges	139	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Coalition	PPO		57	57% of all negotiated rates	187	percent of total billed charges	187	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Coventry	PPO		75	75% of all negotiated rates	109	percent of total billed charges	109	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Humana-Commerical	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Multiplan	PPO		80	80% of all negotiated rates	87	percent of total billed charges	87	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	One Health	PPO		55	55% of all negotiated rates	196	percent of total billed charges	196	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Optum Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	P3	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Select Health	HMO		41	41% of all negotiated rates	257	percent of total billed charges	257	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	290	percent of total billed charges	290	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Sierra/HPN	HMO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Silversummit Medicare	HMO		39	39% of all negotiated rates	266	percent of total billed charges	266	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	283	percent of total billed charges	283	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Teachers Trust	PPO		65	65% of all negotiated rates	153	percent of total billed charges	153	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	TriWest	PPO		30	30% of all negotiated rates	305	percent of total billed charges	305	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	131	percent of total billed charges	131	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	United Healthcare	PPO		60	60% of all negotiated rates	174	percent of total billed charges	174	436	
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	415	Coinsurance and deductible may apply
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Chest Decubitus Rt	71046	CPT	4050350	LOCAL	320	RC		outpatient			436	370	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	415	Coinsurance and deductible may apply
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Bil	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Lt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Clavicle Comp Rt	73000	CPT	4050002	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Aetna Medicare	HMO		26	26% of all negotiated rates	214	percent of total billed charges	214	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Alignment Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	144	percent of total billed charges	144	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Cigna	PPO		68	68% of all negotiated rates	92	percent of total billed charges	92	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Coalition	PPO		57	57% of all negotiated rates	124	percent of total billed charges	124	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	One Health	PPO		55	55% of all negotiated rates	130	percent of total billed charges	130	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Optum Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	P3	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Select Health	HMO		41	41% of all negotiated rates	170	percent of total billed charges	170	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	192	percent of total billed charges	192	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Silversummit Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	188	percent of total billed charges	188	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Teachers Trust	PPO		65	65% of all negotiated rates	101	percent of total billed charges	101	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	TriWest	PPO		30	30% of all negotiated rates	202	percent of total billed charges	202	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	275	Coinsurance and deductible may apply
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	275	Coinsurance and deductible may apply
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	275	Coinsurance and deductible may apply
XR Elbow 2 Views Lt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	275	Coinsurance and deductible may apply
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Aetna Medicare	HMO		26	26% of all negotiated rates	214	percent of total billed charges	214	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Alignment Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	144	percent of total billed charges	144	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Cigna	PPO		68	68% of all negotiated rates	92	percent of total billed charges	92	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Coalition	PPO		57	57% of all negotiated rates	124	percent of total billed charges	124	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Humana-Commerical	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	One Health	PPO		55	55% of all negotiated rates	130	percent of total billed charges	130	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Optum Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	P3	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Select Health	HMO		41	41% of all negotiated rates	170	percent of total billed charges	170	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	192	percent of total billed charges	192	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Sierra/HPN	HMO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Silversummit Medicare	HMO		39	39% of all negotiated rates	176	percent of total billed charges	176	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	188	percent of total billed charges	188	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Teachers Trust	PPO		65	65% of all negotiated rates	101	percent of total billed charges	101	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	TriWest	PPO		30	30% of all negotiated rates	202	percent of total billed charges	202	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	87	percent of total billed charges	87	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	United Healthcare	PPO		60	60% of all negotiated rates	116	percent of total billed charges	116	289	
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	275	Coinsurance and deductible may apply
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	275	Coinsurance and deductible may apply
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	275	Coinsurance and deductible may apply
XR Elbow 2 Views Rt	73070	CPT	4050705	LOCAL	320	RC		outpatient			289	245	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	275	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	648	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Bil	73080	CPT	4053080	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Lt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Elbow Comp Min 3 Views Rt	73080	CPT	4050804	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	643	Coinsurance and deductible may apply
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Aetna Medicare	HMO		26	26% of all negotiated rates	524	percent of total billed charges	524	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Alignment Medicare	HMO		39	39% of all negotiated rates	432	percent of total billed charges	432	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	284	percent of total billed charges	284	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	354	percent of total billed charges	354	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	432	percent of total billed charges	432	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Cigna	PPO		68	68% of all negotiated rates	227	percent of total billed charges	227	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Coalition	PPO		57	57% of all negotiated rates	305	percent of total billed charges	305	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Coventry	PPO		75	75% of all negotiated rates	177	percent of total billed charges	177	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	142	percent of total billed charges	142	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Humana-Commerical	PPO		70	70% of all negotiated rates	213	percent of total billed charges	213	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	432	percent of total billed charges	432	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Multiplan	PPO		80	80% of all negotiated rates	142	percent of total billed charges	142	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	One Health	PPO		55	55% of all negotiated rates	319	percent of total billed charges	319	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Optum Medicare	HMO		39	39% of all negotiated rates	432	percent of total billed charges	432	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	P3	HMO		39	39% of all negotiated rates	432	percent of total billed charges	432	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	213	percent of total billed charges	213	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Select Health	HMO		41	41% of all negotiated rates	418	percent of total billed charges	418	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	471	percent of total billed charges	471	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Sierra/HPN	HMO		60	60% of all negotiated rates	284	percent of total billed charges	284	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Silversummit Medicare	HMO		39	39% of all negotiated rates	432	percent of total billed charges	432	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	461	percent of total billed charges	461	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Teachers Trust	PPO		65	65% of all negotiated rates	248	percent of total billed charges	248	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	TriWest	PPO		30	30% of all negotiated rates	496	percent of total billed charges	496	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	213	percent of total billed charges	213	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	United Healthcare	PPO		60	60% of all negotiated rates	284	percent of total billed charges	284	709	
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Aetna	PPO		120	120% of Aetna market fee schedule	110	fee schedule	110	675	Coinsurance and deductible may apply
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	74	fee schedule	74	675	Coinsurance and deductible may apply
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	74	fee schedule	74	675	Coinsurance and deductible may apply
XR Esophagus (Fluoro)	74220	CPT	4052205	LOCAL	320	RC		outpatient			709	602	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	74	fee schedule	74	675	Coinsurance and deductible may apply
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Aetna Medicare	HMO		26	26% of all negotiated rates	664	percent of total billed charges	664	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Alignment Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	448	percent of total billed charges	448	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Cigna	PPO		68	68% of all negotiated rates	287	percent of total billed charges	287	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Coalition	PPO		57	57% of all negotiated rates	386	percent of total billed charges	386	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Coventry	PPO		75	75% of all negotiated rates	224	percent of total billed charges	224	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Humana-Commerical	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Multiplan	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	One Health	PPO		55	55% of all negotiated rates	404	percent of total billed charges	404	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Optum Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	P3	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Select Health	HMO		41	41% of all negotiated rates	529	percent of total billed charges	529	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	596	percent of total billed charges	596	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Sierra/HPN	HMO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Silversummit Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	583	percent of total billed charges	583	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Teachers Trust	PPO		65	65% of all negotiated rates	314	percent of total billed charges	314	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	TriWest	PPO		30	30% of all negotiated rates	628	percent of total billed charges	628	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	United Healthcare	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Aetna	PPO		120	120% of Aetna market fee schedule	51	fee schedule	51	854	Coinsurance and deductible may apply
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	854	Coinsurance and deductible may apply
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	854	Coinsurance and deductible may apply
XR Facial Bones Comp Min 3 Views	70150	CPT	4051508	LOCAL	320	RC		outpatient			897	762	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	854	Coinsurance and deductible may apply
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Bil	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Lt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 1 View Rt	73551	CPT	4053551	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	810	Coinsurance and deductible may apply
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	810	Coinsurance and deductible may apply
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	810	Coinsurance and deductible may apply
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	810	Coinsurance and deductible may apply
XR Femur 2 Views Lt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	810	Coinsurance and deductible may apply
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	810	Coinsurance and deductible may apply
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	810	Coinsurance and deductible may apply
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	810	Coinsurance and deductible may apply
XR Femur 2 Views Rt	73552	CPT	4055506	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	810	Coinsurance and deductible may apply
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Aetna Medicare	HMO		26	26% of all negotiated rates	373	percent of total billed charges	373	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	252	percent of total billed charges	252	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Coalition	PPO		57	57% of all negotiated rates	217	percent of total billed charges	217	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	One Health	PPO		55	55% of all negotiated rates	227	percent of total billed charges	227	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	335	percent of total billed charges	335	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Sierra/HPN	HMO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	328	percent of total billed charges	328	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	TriWest	PPO		30	30% of all negotiated rates	353	percent of total billed charges	353	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	United Healthcare	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Bil	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Aetna Medicare	HMO		26	26% of all negotiated rates	373	percent of total billed charges	373	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	252	percent of total billed charges	252	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Coalition	PPO		57	57% of all negotiated rates	217	percent of total billed charges	217	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	One Health	PPO		55	55% of all negotiated rates	227	percent of total billed charges	227	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	335	percent of total billed charges	335	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Sierra/HPN	HMO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	328	percent of total billed charges	328	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	TriWest	PPO		30	30% of all negotiated rates	353	percent of total billed charges	353	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	United Healthcare	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Lt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Aetna Medicare	HMO		26	26% of all negotiated rates	373	percent of total billed charges	373	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	252	percent of total billed charges	252	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Coalition	PPO		57	57% of all negotiated rates	217	percent of total billed charges	217	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	One Health	PPO		55	55% of all negotiated rates	227	percent of total billed charges	227	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	335	percent of total billed charges	335	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Sierra/HPN	HMO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	328	percent of total billed charges	328	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	TriWest	PPO		30	30% of all negotiated rates	353	percent of total billed charges	353	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	United Healthcare	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fingers Min 2 Views Rt	73140	CPT	4051406	LOCAL	320	RC		outpatient			504	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	480	Coinsurance and deductible may apply
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Aetna Medicare	HMO		26	26% of all negotiated rates	779	percent of total billed charges	779	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Alignment Medicare	HMO		39	39% of all negotiated rates	642	percent of total billed charges	642	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	421	percent of total billed charges	421	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	526	percent of total billed charges	526	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	642	percent of total billed charges	642	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Cigna	PPO		68	68% of all negotiated rates	337	percent of total billed charges	337	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Coalition	PPO		57	57% of all negotiated rates	452	percent of total billed charges	452	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Coventry	PPO		75	75% of all negotiated rates	263	percent of total billed charges	263	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	210	percent of total billed charges	210	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Humana-Commerical	PPO		70	70% of all negotiated rates	316	percent of total billed charges	316	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	642	percent of total billed charges	642	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Multiplan	PPO		80	80% of all negotiated rates	210	percent of total billed charges	210	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	One Health	PPO		55	55% of all negotiated rates	473	percent of total billed charges	473	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Optum Medicare	HMO		39	39% of all negotiated rates	642	percent of total billed charges	642	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	P3	HMO		39	39% of all negotiated rates	642	percent of total billed charges	642	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	316	percent of total billed charges	316	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Select Health	HMO		41	41% of all negotiated rates	621	percent of total billed charges	621	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	700	percent of total billed charges	700	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Sierra/HPN	HMO		60	60% of all negotiated rates	421	percent of total billed charges	421	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Silversummit Medicare	HMO		39	39% of all negotiated rates	642	percent of total billed charges	642	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	684	percent of total billed charges	684	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Teachers Trust	PPO		65	65% of all negotiated rates	368	percent of total billed charges	368	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	TriWest	PPO		30	30% of all negotiated rates	736	percent of total billed charges	736	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	316	percent of total billed charges	316	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	United Healthcare	PPO		60	60% of all negotiated rates	421	percent of total billed charges	421	1052	
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Aetna	PPO		120	120% of Aetna market fee schedule	112	fee schedule	112	1002	Coinsurance and deductible may apply
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	1002	Coinsurance and deductible may apply
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	1002	Coinsurance and deductible may apply
XR Fluoro Guide Ndl Placement	77003	CPT	4050003	LOCAL	320	RC		outpatient			1052	894	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	1002	Coinsurance and deductible may apply
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Aetna Medicare	HMO		26	26% of all negotiated rates	902	percent of total billed charges	902	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Alignment Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	488	percent of total billed charges	488	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	610	percent of total billed charges	610	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Cigna	PPO		68	68% of all negotiated rates	390	percent of total billed charges	390	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Coalition	PPO		57	57% of all negotiated rates	524	percent of total billed charges	524	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Coventry	PPO		75	75% of all negotiated rates	305	percent of total billed charges	305	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Humana-Commerical	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Multiplan	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	One Health	PPO		55	55% of all negotiated rates	549	percent of total billed charges	549	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Optum Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	P3	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Select Health	HMO		41	41% of all negotiated rates	719	percent of total billed charges	719	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	811	percent of total billed charges	811	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Sierra/HPN	HMO		60	60% of all negotiated rates	488	percent of total billed charges	488	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Silversummit Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	792	percent of total billed charges	792	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Teachers Trust	PPO		65	65% of all negotiated rates	427	percent of total billed charges	427	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	TriWest	PPO		30	30% of all negotiated rates	853	percent of total billed charges	853	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	United Healthcare	PPO		60	60% of all negotiated rates	488	percent of total billed charges	488	1219	
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Aetna	PPO		120	120% of Aetna market fee schedule	109	fee schedule	109	1161	Coinsurance and deductible may apply
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1161	Coinsurance and deductible may apply
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1161	Coinsurance and deductible may apply
XR Fluoro Modified Esophagram	74230	CPT	4052301	LOCAL	320	RC		outpatient			1219	1036	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1161	Coinsurance and deductible may apply
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Aetna Medicare	HMO		26	26% of all negotiated rates	786	percent of total billed charges	786	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Alignment Medicare	HMO		39	39% of all negotiated rates	648	percent of total billed charges	648	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	425	percent of total billed charges	425	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	531	percent of total billed charges	531	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	648	percent of total billed charges	648	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Cigna	PPO		68	68% of all negotiated rates	340	percent of total billed charges	340	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Coalition	PPO		57	57% of all negotiated rates	456	percent of total billed charges	456	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Coventry	PPO		75	75% of all negotiated rates	265	percent of total billed charges	265	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	212	percent of total billed charges	212	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Humana-Commerical	PPO		70	70% of all negotiated rates	318	percent of total billed charges	318	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	648	percent of total billed charges	648	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	One Health	PPO		55	55% of all negotiated rates	478	percent of total billed charges	478	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Optum Medicare	HMO		39	39% of all negotiated rates	648	percent of total billed charges	648	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	P3	HMO		39	39% of all negotiated rates	648	percent of total billed charges	648	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Select Health	HMO		41	41% of all negotiated rates	626	percent of total billed charges	626	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	706	percent of total billed charges	706	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Sierra/HPN	HMO		60	60% of all negotiated rates	425	percent of total billed charges	425	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Silversummit Medicare	HMO		39	39% of all negotiated rates	648	percent of total billed charges	648	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	Teachers Trust	PPO		65	65% of all negotiated rates	372	percent of total billed charges	372	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	318	percent of total billed charges	318	1062	
XR Fluoro Over 1 Hour	76001	CPT	4050017	LOCAL	320	RC		outpatient			1062	902	United Healthcare	PPO		60	60% of all negotiated rates	425	percent of total billed charges	425	1062	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Aetna Medicare	HMO		26	26% of all negotiated rates	902	percent of total billed charges	902	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Alignment Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	488	percent of total billed charges	488	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	610	percent of total billed charges	610	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Cigna	PPO		68	68% of all negotiated rates	390	percent of total billed charges	390	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Coalition	PPO		57	57% of all negotiated rates	524	percent of total billed charges	524	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Coventry	PPO		75	75% of all negotiated rates	305	percent of total billed charges	305	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Humana-Commerical	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Multiplan	PPO		80	80% of all negotiated rates	244	percent of total billed charges	244	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	One Health	PPO		55	55% of all negotiated rates	549	percent of total billed charges	549	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Optum Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	P3	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Select Health	HMO		41	41% of all negotiated rates	719	percent of total billed charges	719	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	811	percent of total billed charges	811	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Sierra/HPN	HMO		60	60% of all negotiated rates	488	percent of total billed charges	488	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Silversummit Medicare	HMO		39	39% of all negotiated rates	744	percent of total billed charges	744	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	792	percent of total billed charges	792	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Teachers Trust	PPO		65	65% of all negotiated rates	427	percent of total billed charges	427	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	TriWest	PPO		30	30% of all negotiated rates	853	percent of total billed charges	853	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	366	percent of total billed charges	366	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	United Healthcare	PPO		60	60% of all negotiated rates	488	percent of total billed charges	488	1219	
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Aetna	PPO		120	120% of Aetna market fee schedule	124	fee schedule	124	1161	Coinsurance and deductible may apply
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	116	fee schedule	116	1161	Coinsurance and deductible may apply
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	116	fee schedule	116	1161	Coinsurance and deductible may apply
XR Fluoro SB Series	74250	CPT	4052502	LOCAL	320	RC		outpatient			1219	1036	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	116	fee schedule	116	1161	Coinsurance and deductible may apply
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Aetna Medicare	HMO		26	26% of all negotiated rates	748	percent of total billed charges	748	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Alignment Medicare	HMO		39	39% of all negotiated rates	617	percent of total billed charges	617	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	404	percent of total billed charges	404	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	506	percent of total billed charges	506	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	617	percent of total billed charges	617	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Cigna	PPO		68	68% of all negotiated rates	324	percent of total billed charges	324	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Coalition	PPO		57	57% of all negotiated rates	435	percent of total billed charges	435	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Coventry	PPO		75	75% of all negotiated rates	253	percent of total billed charges	253	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	202	percent of total billed charges	202	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Humana-Commerical	PPO		70	70% of all negotiated rates	303	percent of total billed charges	303	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	617	percent of total billed charges	617	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Multiplan	PPO		80	80% of all negotiated rates	202	percent of total billed charges	202	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	One Health	PPO		55	55% of all negotiated rates	455	percent of total billed charges	455	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Optum Medicare	HMO		39	39% of all negotiated rates	617	percent of total billed charges	617	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	P3	HMO		39	39% of all negotiated rates	617	percent of total billed charges	617	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	303	percent of total billed charges	303	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Select Health	HMO		41	41% of all negotiated rates	597	percent of total billed charges	597	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	672	percent of total billed charges	672	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Sierra/HPN	HMO		60	60% of all negotiated rates	404	percent of total billed charges	404	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Silversummit Medicare	HMO		39	39% of all negotiated rates	617	percent of total billed charges	617	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	657	percent of total billed charges	657	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Teachers Trust	PPO		65	65% of all negotiated rates	354	percent of total billed charges	354	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	TriWest	PPO		30	30% of all negotiated rates	708	percent of total billed charges	708	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	303	percent of total billed charges	303	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	United Healthcare	PPO		60	60% of all negotiated rates	404	percent of total billed charges	404	1011	
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Aetna	PPO		120	120% of Aetna market fee schedule	62	fee schedule	62	963	Coinsurance and deductible may apply
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	45	fee schedule	45	963	Coinsurance and deductible may apply
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	45	fee schedule	45	963	Coinsurance and deductible may apply
XR Fluoro Up to 1 Hour	76000	CPT	4057000	LOCAL	320	RC		outpatient			1011	859	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	45	fee schedule	45	963	Coinsurance and deductible may apply
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	536	Coinsurance and deductible may apply
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Bil	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	536	Coinsurance and deductible may apply
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Lt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	536	Coinsurance and deductible may apply
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot 2 Views Rt	73620	CPT	4056207	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	648	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	648	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	648	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Bil	73630	CPT	4053630	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	648	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Alignment Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Cigna	PPO		68	68% of all negotiated rates	179	percent of total billed charges	179	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Coalition	PPO		57	57% of all negotiated rates	240	percent of total billed charges	240	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Coventry	PPO		75	75% of all negotiated rates	140	percent of total billed charges	140	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Humana-Commerical	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Optum Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	P3	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Select Health	HMO		41	41% of all negotiated rates	330	percent of total billed charges	330	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Silversummit Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	363	percent of total billed charges	363	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Teachers Trust	PPO		65	65% of all negotiated rates	196	percent of total billed charges	196	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	TriWest	PPO		30	30% of all negotiated rates	391	percent of total billed charges	391	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Lt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Alignment Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Cigna	PPO		68	68% of all negotiated rates	179	percent of total billed charges	179	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Coalition	PPO		57	57% of all negotiated rates	240	percent of total billed charges	240	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Coventry	PPO		75	75% of all negotiated rates	140	percent of total billed charges	140	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Humana-Commerical	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Optum Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	P3	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Select Health	HMO		41	41% of all negotiated rates	330	percent of total billed charges	330	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Silversummit Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	363	percent of total billed charges	363	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Teachers Trust	PPO		65	65% of all negotiated rates	196	percent of total billed charges	196	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	TriWest	PPO		30	30% of all negotiated rates	391	percent of total billed charges	391	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	532	Coinsurance and deductible may apply
XR Foot Comp Min 3 Views Rt	73630	CPT	4056306	LOCAL	320	RC		outpatient			559	475	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	532	Coinsurance and deductible may apply
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Aetna Medicare	HMO		26	26% of all negotiated rates	340	percent of total billed charges	340	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Alignment Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	184	percent of total billed charges	184	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	230	percent of total billed charges	230	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Cigna	PPO		68	68% of all negotiated rates	147	percent of total billed charges	147	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Coalition	PPO		57	57% of all negotiated rates	198	percent of total billed charges	198	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Coventry	PPO		75	75% of all negotiated rates	115	percent of total billed charges	115	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	92	percent of total billed charges	92	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Humana-Commerical	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Multiplan	PPO		80	80% of all negotiated rates	92	percent of total billed charges	92	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	One Health	PPO		55	55% of all negotiated rates	207	percent of total billed charges	207	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Optum Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	P3	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Select Health	HMO		41	41% of all negotiated rates	271	percent of total billed charges	271	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	306	percent of total billed charges	306	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Sierra/HPN	HMO		60	60% of all negotiated rates	184	percent of total billed charges	184	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Silversummit Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	299	percent of total billed charges	299	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Teachers Trust	PPO		65	65% of all negotiated rates	161	percent of total billed charges	161	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	TriWest	PPO		30	30% of all negotiated rates	322	percent of total billed charges	322	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	United Healthcare	PPO		60	60% of all negotiated rates	184	percent of total billed charges	184	460	
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	438	Coinsurance and deductible may apply
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	438	Coinsurance and deductible may apply
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	438	Coinsurance and deductible may apply
XR Forearm 2 Views Bil	73090	CPT	4053090	LOCAL	320	RC		outpatient			460	391	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	438	Coinsurance and deductible may apply
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Coalition	PPO		57	57% of all negotiated rates	262	percent of total billed charges	262	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	580	Coinsurance and deductible may apply
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	580	Coinsurance and deductible may apply
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	580	Coinsurance and deductible may apply
XR Forearm 2 Views Lt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	580	Coinsurance and deductible may apply
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Aetna Medicare	HMO		26	26% of all negotiated rates	451	percent of total billed charges	451	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Alignment Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	305	percent of total billed charges	305	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Cigna	PPO		68	68% of all negotiated rates	195	percent of total billed charges	195	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Coalition	PPO		57	57% of all negotiated rates	262	percent of total billed charges	262	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Humana-Commerical	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Multiplan	PPO		80	80% of all negotiated rates	122	percent of total billed charges	122	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	One Health	PPO		55	55% of all negotiated rates	274	percent of total billed charges	274	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Optum Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	P3	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Select Health	HMO		41	41% of all negotiated rates	359	percent of total billed charges	359	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	405	percent of total billed charges	405	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Sierra/HPN	HMO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Silversummit Medicare	HMO		39	39% of all negotiated rates	371	percent of total billed charges	371	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	396	percent of total billed charges	396	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Teachers Trust	PPO		65	65% of all negotiated rates	213	percent of total billed charges	213	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	TriWest	PPO		30	30% of all negotiated rates	426	percent of total billed charges	426	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	183	percent of total billed charges	183	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	United Healthcare	PPO		60	60% of all negotiated rates	244	percent of total billed charges	244	609	
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	580	Coinsurance and deductible may apply
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	580	Coinsurance and deductible may apply
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	580	Coinsurance and deductible may apply
XR Forearm 2 Views Rt	73090	CPT	4050903	LOCAL	320	RC		outpatient			609	518	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	580	Coinsurance and deductible may apply
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	536	Coinsurance and deductible may apply
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Bil	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	536	Coinsurance and deductible may apply
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Lt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	536	Coinsurance and deductible may apply
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand 2 Views Rt	73120	CPT	4051208	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	40	fee schedule	40	648	Coinsurance and deductible may apply
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	648	Coinsurance and deductible may apply
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	648	Coinsurance and deductible may apply
XR Hand Min 3 Views Bil	73130	CPT	4053130	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	648	Coinsurance and deductible may apply
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	40	fee schedule	40	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Lt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	40	fee schedule	40	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	643	Coinsurance and deductible may apply
XR Hand Min 3 Views Rt	73130	CPT	4051307	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	643	Coinsurance and deductible may apply
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Bil	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Lt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Heel Min 2 Views Rt	73650	CPT	4056504	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	536	Coinsurance and deductible may apply
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Aetna Medicare	HMO		26	26% of all negotiated rates	616	percent of total billed charges	616	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Alignment Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	333	percent of total billed charges	333	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	416	percent of total billed charges	416	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Cigna	PPO		68	68% of all negotiated rates	266	percent of total billed charges	266	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Coalition	PPO		57	57% of all negotiated rates	358	percent of total billed charges	358	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Coventry	PPO		75	75% of all negotiated rates	208	percent of total billed charges	208	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	167	percent of total billed charges	167	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Humana-Commerical	PPO		70	70% of all negotiated rates	250	percent of total billed charges	250	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Multiplan	PPO		80	80% of all negotiated rates	167	percent of total billed charges	167	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	One Health	PPO		55	55% of all negotiated rates	375	percent of total billed charges	375	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Optum Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	P3	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	250	percent of total billed charges	250	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Select Health	HMO		41	41% of all negotiated rates	491	percent of total billed charges	491	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	554	percent of total billed charges	554	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Sierra/HPN	HMO		60	60% of all negotiated rates	333	percent of total billed charges	333	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Silversummit Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	541	percent of total billed charges	541	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Teachers Trust	PPO		65	65% of all negotiated rates	291	percent of total billed charges	291	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	TriWest	PPO		30	30% of all negotiated rates	583	percent of total billed charges	583	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	250	percent of total billed charges	250	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	United Healthcare	PPO		60	60% of all negotiated rates	333	percent of total billed charges	333	833	
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	793	Coinsurance and deductible may apply
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	793	Coinsurance and deductible may apply
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	793	Coinsurance and deductible may apply
XR Hip 1 View Lt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	793	Coinsurance and deductible may apply
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Aetna Medicare	HMO		26	26% of all negotiated rates	616	percent of total billed charges	616	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Alignment Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	333	percent of total billed charges	333	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	416	percent of total billed charges	416	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Cigna	PPO		68	68% of all negotiated rates	266	percent of total billed charges	266	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Coalition	PPO		57	57% of all negotiated rates	358	percent of total billed charges	358	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Coventry	PPO		75	75% of all negotiated rates	208	percent of total billed charges	208	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	167	percent of total billed charges	167	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Humana-Commerical	PPO		70	70% of all negotiated rates	250	percent of total billed charges	250	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Multiplan	PPO		80	80% of all negotiated rates	167	percent of total billed charges	167	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	One Health	PPO		55	55% of all negotiated rates	375	percent of total billed charges	375	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Optum Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	P3	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	250	percent of total billed charges	250	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Select Health	HMO		41	41% of all negotiated rates	491	percent of total billed charges	491	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	554	percent of total billed charges	554	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Sierra/HPN	HMO		60	60% of all negotiated rates	333	percent of total billed charges	333	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Silversummit Medicare	HMO		39	39% of all negotiated rates	508	percent of total billed charges	508	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	541	percent of total billed charges	541	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Teachers Trust	PPO		65	65% of all negotiated rates	291	percent of total billed charges	291	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	TriWest	PPO		30	30% of all negotiated rates	583	percent of total billed charges	583	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	250	percent of total billed charges	250	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	United Healthcare	PPO		60	60% of all negotiated rates	333	percent of total billed charges	333	833	
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	793	Coinsurance and deductible may apply
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	793	Coinsurance and deductible may apply
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	793	Coinsurance and deductible may apply
XR Hip 1 View Rt	73501	CPT	4053501	LOCAL	320	RC		outpatient			833	708	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	793	Coinsurance and deductible may apply
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	48	fee schedule	48	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Lt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Coalition	PPO		57	57% of all negotiated rates	366	percent of total billed charges	366	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	553	percent of total billed charges	553	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Teachers Trust	PPO		65	65% of all negotiated rates	298	percent of total billed charges	298	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	851	
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Aetna	PPO		120	120% of Aetna market fee schedule	48	fee schedule	48	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Hip 2-3 Views Rt w/ Pelvis	73502	CPT	4053502	LOCAL	320	RC		outpatient			851	723	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	810	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	48	fee schedule	48	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Lt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	48	fee schedule	48	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	648	Coinsurance and deductible may apply
XR Hip Comp Min 2 Views Rt	73502	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	648	Coinsurance and deductible may apply
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	46	fee schedule	46	648	Coinsurance and deductible may apply
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	648	Coinsurance and deductible may apply
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	648	Coinsurance and deductible may apply
XR Hip Min 2 Views Bil w/ Pelvis	73521	CPT	4055100	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	648	Coinsurance and deductible may apply
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Aetna Medicare	HMO		26	26% of all negotiated rates	1041	percent of total billed charges	1041	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Alignment Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	563	percent of total billed charges	563	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	704	percent of total billed charges	704	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Cigna	PPO		68	68% of all negotiated rates	450	percent of total billed charges	450	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Coalition	PPO		57	57% of all negotiated rates	605	percent of total billed charges	605	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Coventry	PPO		75	75% of all negotiated rates	352	percent of total billed charges	352	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	281	percent of total billed charges	281	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Humana-Commerical	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Multiplan	PPO		80	80% of all negotiated rates	281	percent of total billed charges	281	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	One Health	PPO		55	55% of all negotiated rates	633	percent of total billed charges	633	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Optum Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	P3	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Select Health	HMO		41	41% of all negotiated rates	830	percent of total billed charges	830	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	936	percent of total billed charges	936	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Sierra/HPN	HMO		60	60% of all negotiated rates	563	percent of total billed charges	563	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Silversummit Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	915	percent of total billed charges	915	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Teachers Trust	PPO		65	65% of all negotiated rates	492	percent of total billed charges	492	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	TriWest	PPO		30	30% of all negotiated rates	985	percent of total billed charges	985	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	United Healthcare	PPO		60	60% of all negotiated rates	563	percent of total billed charges	563	1407	
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Aetna	PPO		120	120% of Aetna market fee schedule	60	fee schedule	60	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Lt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Aetna Medicare	HMO		26	26% of all negotiated rates	1041	percent of total billed charges	1041	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Alignment Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	563	percent of total billed charges	563	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	704	percent of total billed charges	704	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Cigna	PPO		68	68% of all negotiated rates	450	percent of total billed charges	450	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Coalition	PPO		57	57% of all negotiated rates	605	percent of total billed charges	605	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Coventry	PPO		75	75% of all negotiated rates	352	percent of total billed charges	352	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	281	percent of total billed charges	281	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Humana-Commerical	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Multiplan	PPO		80	80% of all negotiated rates	281	percent of total billed charges	281	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	One Health	PPO		55	55% of all negotiated rates	633	percent of total billed charges	633	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Optum Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	P3	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Select Health	HMO		41	41% of all negotiated rates	830	percent of total billed charges	830	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	936	percent of total billed charges	936	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Sierra/HPN	HMO		60	60% of all negotiated rates	563	percent of total billed charges	563	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Silversummit Medicare	HMO		39	39% of all negotiated rates	858	percent of total billed charges	858	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	915	percent of total billed charges	915	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Teachers Trust	PPO		65	65% of all negotiated rates	492	percent of total billed charges	492	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	TriWest	PPO		30	30% of all negotiated rates	985	percent of total billed charges	985	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	United Healthcare	PPO		60	60% of all negotiated rates	563	percent of total billed charges	563	1407	
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Aetna	PPO		120	120% of Aetna market fee schedule	60	fee schedule	60	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	1340	Coinsurance and deductible may apply
XR Hip Min 4 Views Rt w/ Pelvis	73503	CPT	4053503	LOCAL	320	RC		outpatient			1407	1196	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	1340	Coinsurance and deductible may apply
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Aetna Medicare	HMO		26	26% of all negotiated rates	466	percent of total billed charges	466	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Alignment Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	315	percent of total billed charges	315	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Coalition	PPO		57	57% of all negotiated rates	271	percent of total billed charges	271	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Optum Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	P3	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	419	percent of total billed charges	419	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	TriWest	PPO		30	30% of all negotiated rates	441	percent of total billed charges	441	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Bil	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Aetna Medicare	HMO		26	26% of all negotiated rates	466	percent of total billed charges	466	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Alignment Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	315	percent of total billed charges	315	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Coalition	PPO		57	57% of all negotiated rates	271	percent of total billed charges	271	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Optum Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	P3	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	419	percent of total billed charges	419	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	TriWest	PPO		30	30% of all negotiated rates	441	percent of total billed charges	441	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Lt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Aetna Medicare	HMO		26	26% of all negotiated rates	466	percent of total billed charges	466	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Alignment Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	315	percent of total billed charges	315	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Coalition	PPO		57	57% of all negotiated rates	271	percent of total billed charges	271	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Optum Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	P3	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	419	percent of total billed charges	419	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	TriWest	PPO		30	30% of all negotiated rates	441	percent of total billed charges	441	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR Humerus Min 2 Views Rt	73060	CPT	4050606	LOCAL	320	RC		outpatient			630	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	600	Coinsurance and deductible may apply
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Aetna Medicare	HMO		26	26% of all negotiated rates	831	percent of total billed charges	831	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Alignment Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	449	percent of total billed charges	449	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	561	percent of total billed charges	561	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Cigna	PPO		68	68% of all negotiated rates	359	percent of total billed charges	359	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Coalition	PPO		57	57% of all negotiated rates	483	percent of total billed charges	483	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Coventry	PPO		75	75% of all negotiated rates	281	percent of total billed charges	281	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	224	percent of total billed charges	224	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Humana-Commerical	PPO		70	70% of all negotiated rates	337	percent of total billed charges	337	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Multiplan	PPO		80	80% of all negotiated rates	224	percent of total billed charges	224	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	One Health	PPO		55	55% of all negotiated rates	505	percent of total billed charges	505	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Optum Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	P3	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	337	percent of total billed charges	337	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Select Health	HMO		41	41% of all negotiated rates	662	percent of total billed charges	662	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	746	percent of total billed charges	746	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Sierra/HPN	HMO		60	60% of all negotiated rates	449	percent of total billed charges	449	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Silversummit Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	730	percent of total billed charges	730	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Teachers Trust	PPO		65	65% of all negotiated rates	393	percent of total billed charges	393	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	TriWest	PPO		30	30% of all negotiated rates	786	percent of total billed charges	786	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	337	percent of total billed charges	337	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	United Healthcare	PPO		60	60% of all negotiated rates	449	percent of total billed charges	449	1122	
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Aetna	PPO		120	120% of Aetna market fee schedule	135	fee schedule	135	1069	Coinsurance and deductible may apply
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	1069	Coinsurance and deductible may apply
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	1069	Coinsurance and deductible may apply
XR IVP	74410	CPT	4054102	LOCAL	320	RC		outpatient			1122	954	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	1069	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Aetna Medicare	HMO		26	26% of all negotiated rates	346	percent of total billed charges	346	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Alignment Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	234	percent of total billed charges	234	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Cigna	PPO		68	68% of all negotiated rates	150	percent of total billed charges	150	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Coalition	PPO		57	57% of all negotiated rates	201	percent of total billed charges	201	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Coventry	PPO		75	75% of all negotiated rates	117	percent of total billed charges	117	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Humana-Commerical	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Multiplan	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	One Health	PPO		55	55% of all negotiated rates	210	percent of total billed charges	210	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Optum Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	P3	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Select Health	HMO		41	41% of all negotiated rates	276	percent of total billed charges	276	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	311	percent of total billed charges	311	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Sierra/HPN	HMO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Silversummit Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	304	percent of total billed charges	304	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Teachers Trust	PPO		65	65% of all negotiated rates	164	percent of total billed charges	164	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	TriWest	PPO		30	30% of all negotiated rates	327	percent of total billed charges	327	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	United Healthcare	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Bil	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Aetna Medicare	HMO		26	26% of all negotiated rates	346	percent of total billed charges	346	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Alignment Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	234	percent of total billed charges	234	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Cigna	PPO		68	68% of all negotiated rates	150	percent of total billed charges	150	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Coalition	PPO		57	57% of all negotiated rates	201	percent of total billed charges	201	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Coventry	PPO		75	75% of all negotiated rates	117	percent of total billed charges	117	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Humana-Commerical	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Multiplan	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	One Health	PPO		55	55% of all negotiated rates	210	percent of total billed charges	210	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Optum Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	P3	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Select Health	HMO		41	41% of all negotiated rates	276	percent of total billed charges	276	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	311	percent of total billed charges	311	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Sierra/HPN	HMO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Silversummit Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	304	percent of total billed charges	304	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Teachers Trust	PPO		65	65% of all negotiated rates	164	percent of total billed charges	164	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	TriWest	PPO		30	30% of all negotiated rates	327	percent of total billed charges	327	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	United Healthcare	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Lt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Aetna Medicare	HMO		26	26% of all negotiated rates	346	percent of total billed charges	346	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Alignment Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	234	percent of total billed charges	234	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Cigna	PPO		68	68% of all negotiated rates	150	percent of total billed charges	150	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Coalition	PPO		57	57% of all negotiated rates	201	percent of total billed charges	201	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Coventry	PPO		75	75% of all negotiated rates	117	percent of total billed charges	117	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Humana-Commerical	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Multiplan	PPO		80	80% of all negotiated rates	93	percent of total billed charges	93	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	One Health	PPO		55	55% of all negotiated rates	210	percent of total billed charges	210	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Optum Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	P3	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Select Health	HMO		41	41% of all negotiated rates	276	percent of total billed charges	276	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	311	percent of total billed charges	311	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Sierra/HPN	HMO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Silversummit Medicare	HMO		39	39% of all negotiated rates	285	percent of total billed charges	285	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	304	percent of total billed charges	304	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Teachers Trust	PPO		65	65% of all negotiated rates	164	percent of total billed charges	164	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	TriWest	PPO		30	30% of all negotiated rates	327	percent of total billed charges	327	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	140	percent of total billed charges	140	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	United Healthcare	PPO		60	60% of all negotiated rates	187	percent of total billed charges	187	467	
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee 1 or 2 Views Rt	73560	CPT	4055605	LOCAL	320	RC		outpatient			467	397	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	445	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	54	fee schedule	54	648	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	648	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	648	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Bil	73564	CPT	4053564	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	648	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Alignment Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Cigna	PPO		68	68% of all negotiated rates	179	percent of total billed charges	179	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Coalition	PPO		57	57% of all negotiated rates	240	percent of total billed charges	240	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Coventry	PPO		75	75% of all negotiated rates	140	percent of total billed charges	140	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Humana-Commerical	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Optum Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	P3	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Select Health	HMO		41	41% of all negotiated rates	330	percent of total billed charges	330	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Silversummit Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	363	percent of total billed charges	363	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Teachers Trust	PPO		65	65% of all negotiated rates	196	percent of total billed charges	196	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	TriWest	PPO		30	30% of all negotiated rates	391	percent of total billed charges	391	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Aetna	PPO		120	120% of Aetna market fee schedule	54	fee schedule	54	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Lt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Alignment Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Cigna	PPO		68	68% of all negotiated rates	179	percent of total billed charges	179	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Coalition	PPO		57	57% of all negotiated rates	240	percent of total billed charges	240	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Coventry	PPO		75	75% of all negotiated rates	140	percent of total billed charges	140	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Humana-Commerical	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Optum Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	P3	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Select Health	HMO		41	41% of all negotiated rates	330	percent of total billed charges	330	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Silversummit Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	363	percent of total billed charges	363	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Teachers Trust	PPO		65	65% of all negotiated rates	196	percent of total billed charges	196	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	TriWest	PPO		30	30% of all negotiated rates	391	percent of total billed charges	391	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Aetna	PPO		120	120% of Aetna market fee schedule	54	fee schedule	54	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	532	Coinsurance and deductible may apply
XR Knee Comp Min 4 Views Rt	73564	CPT	4055647	LOCAL	320	RC		outpatient			559	475	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	532	Coinsurance and deductible may apply
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	44	fee schedule	44	643	Coinsurance and deductible may apply
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	643	Coinsurance and deductible may apply
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	643	Coinsurance and deductible may apply
XR Knee Standing AP Bil	73565	CPT	4055651	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	643	Coinsurance and deductible may apply
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Aetna Medicare	HMO		26	26% of all negotiated rates	624	percent of total billed charges	624	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Alignment Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	422	percent of total billed charges	422	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Cigna	PPO		68	68% of all negotiated rates	270	percent of total billed charges	270	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Coalition	PPO		57	57% of all negotiated rates	363	percent of total billed charges	363	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Coventry	PPO		75	75% of all negotiated rates	211	percent of total billed charges	211	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	169	percent of total billed charges	169	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Humana-Commerical	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Multiplan	PPO		80	80% of all negotiated rates	169	percent of total billed charges	169	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	One Health	PPO		55	55% of all negotiated rates	379	percent of total billed charges	379	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Optum Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	P3	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Select Health	HMO		41	41% of all negotiated rates	497	percent of total billed charges	497	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	561	percent of total billed charges	561	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Sierra/HPN	HMO		60	60% of all negotiated rates	337	percent of total billed charges	337	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Silversummit Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	548	percent of total billed charges	548	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Teachers Trust	PPO		65	65% of all negotiated rates	295	percent of total billed charges	295	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	TriWest	PPO		30	30% of all negotiated rates	590	percent of total billed charges	590	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	United Healthcare	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	843	
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	803	Coinsurance and deductible may apply
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	803	Coinsurance and deductible may apply
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	803	Coinsurance and deductible may apply
XR LE Infant Min 2 Views Bil	73592	CPT	4050357	LOCAL	320	RC		outpatient			843	717	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	803	Coinsurance and deductible may apply
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Aetna Medicare	HMO		26	26% of all negotiated rates	664	percent of total billed charges	664	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Alignment Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	448	percent of total billed charges	448	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Cigna	PPO		68	68% of all negotiated rates	287	percent of total billed charges	287	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Coalition	PPO		57	57% of all negotiated rates	386	percent of total billed charges	386	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Coventry	PPO		75	75% of all negotiated rates	224	percent of total billed charges	224	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Humana-Commerical	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Multiplan	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	One Health	PPO		55	55% of all negotiated rates	404	percent of total billed charges	404	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Optum Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	P3	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Select Health	HMO		41	41% of all negotiated rates	529	percent of total billed charges	529	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	596	percent of total billed charges	596	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Sierra/HPN	HMO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Silversummit Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	583	percent of total billed charges	583	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Teachers Trust	PPO		65	65% of all negotiated rates	314	percent of total billed charges	314	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	TriWest	PPO		30	30% of all negotiated rates	628	percent of total billed charges	628	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	United Healthcare	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Aetna	PPO		120	120% of Aetna market fee schedule	48	fee schedule	48	854	Coinsurance and deductible may apply
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	854	Coinsurance and deductible may apply
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	854	Coinsurance and deductible may apply
XR Mandible Comp Min 4 Views	70110	CPT	4051102	LOCAL	320	RC		outpatient			897	762	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	854	Coinsurance and deductible may apply
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	41	fee schedule	41	648	Coinsurance and deductible may apply
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Nasal Bones Comp Min 3 Views	70160	CPT	4051607	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Aetna Medicare	HMO		26	26% of all negotiated rates	433	percent of total billed charges	433	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Alignment Medicare	HMO		39	39% of all negotiated rates	357	percent of total billed charges	357	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	234	percent of total billed charges	234	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	292	percent of total billed charges	292	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	357	percent of total billed charges	357	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Cigna	PPO		68	68% of all negotiated rates	187	percent of total billed charges	187	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Coalition	PPO		57	57% of all negotiated rates	251	percent of total billed charges	251	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Coventry	PPO		75	75% of all negotiated rates	146	percent of total billed charges	146	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	117	percent of total billed charges	117	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Humana-Commerical	PPO		70	70% of all negotiated rates	175	percent of total billed charges	175	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	357	percent of total billed charges	357	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Multiplan	PPO		80	80% of all negotiated rates	117	percent of total billed charges	117	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	One Health	PPO		55	55% of all negotiated rates	263	percent of total billed charges	263	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Optum Medicare	HMO		39	39% of all negotiated rates	357	percent of total billed charges	357	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	P3	HMO		39	39% of all negotiated rates	357	percent of total billed charges	357	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	175	percent of total billed charges	175	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Select Health	HMO		41	41% of all negotiated rates	345	percent of total billed charges	345	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	389	percent of total billed charges	389	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Sierra/HPN	HMO		60	60% of all negotiated rates	234	percent of total billed charges	234	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Silversummit Medicare	HMO		39	39% of all negotiated rates	357	percent of total billed charges	357	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	380	percent of total billed charges	380	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Teachers Trust	PPO		65	65% of all negotiated rates	205	percent of total billed charges	205	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	TriWest	PPO		30	30% of all negotiated rates	409	percent of total billed charges	409	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	175	percent of total billed charges	175	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	United Healthcare	PPO		60	60% of all negotiated rates	234	percent of total billed charges	234	585	
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	557	Coinsurance and deductible may apply
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	557	Coinsurance and deductible may apply
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	557	Coinsurance and deductible may apply
XR Neck Soft Tissue	70360	CPT	4053603	LOCAL	320	RC		outpatient			585	497	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	557	Coinsurance and deductible may apply
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Aetna Medicare	HMO		26	26% of all negotiated rates	623	percent of total billed charges	623	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Alignment Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	421	percent of total billed charges	421	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Cigna	PPO		68	68% of all negotiated rates	269	percent of total billed charges	269	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Coalition	PPO		57	57% of all negotiated rates	362	percent of total billed charges	362	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Coventry	PPO		75	75% of all negotiated rates	211	percent of total billed charges	211	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Humana-Commerical	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Multiplan	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	One Health	PPO		55	55% of all negotiated rates	379	percent of total billed charges	379	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Optum Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	P3	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Select Health	HMO		41	41% of all negotiated rates	497	percent of total billed charges	497	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	560	percent of total billed charges	560	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Sierra/HPN	HMO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Silversummit Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	547	percent of total billed charges	547	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Teachers Trust	PPO		65	65% of all negotiated rates	295	percent of total billed charges	295	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	TriWest	PPO		30	30% of all negotiated rates	589	percent of total billed charges	589	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	United Healthcare	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Aetna	PPO		120	120% of Aetna market fee schedule	53	fee schedule	53	802	Coinsurance and deductible may apply
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	802	Coinsurance and deductible may apply
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	802	Coinsurance and deductible may apply
XR Orbits Comp Min 4 Views Bil	70200	CPT	4052001	LOCAL	320	RC		outpatient			842	716	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	802	Coinsurance and deductible may apply
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	536	Coinsurance and deductible may apply
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Pelvis 1 View	72170	CPT	4051704	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	536	Coinsurance and deductible may apply
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Lt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Ribs Min 3 Views Rt w/ PA Chest	71100	CPT	4051002	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Aetna Medicare	HMO		26	26% of all negotiated rates	466	percent of total billed charges	466	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Alignment Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	315	percent of total billed charges	315	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Coalition	PPO		57	57% of all negotiated rates	271	percent of total billed charges	271	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Humana-Commerical	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Optum Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	P3	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Select Health	HMO		41	41% of all negotiated rates	372	percent of total billed charges	372	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	419	percent of total billed charges	419	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Sierra/HPN	HMO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Silversummit Medicare	HMO		39	39% of all negotiated rates	384	percent of total billed charges	384	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	410	percent of total billed charges	410	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	TriWest	PPO		30	30% of all negotiated rates	441	percent of total billed charges	441	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	189	percent of total billed charges	189	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	United Healthcare	PPO		60	60% of all negotiated rates	252	percent of total billed charges	252	630	
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Aetna	PPO		120	120% of Aetna market fee schedule	49	fee schedule	49	600	Coinsurance and deductible may apply
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	600	Coinsurance and deductible may apply
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	600	Coinsurance and deductible may apply
XR Ribs Min 4 Views Bil w/ PA Chest	71110	CPT	4051101	LOCAL	320	RC		outpatient			630	536	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	600	Coinsurance and deductible may apply
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	643	Coinsurance and deductible may apply
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	643	Coinsurance and deductible may apply
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	643	Coinsurance and deductible may apply
XR Sacrum +Coccyx Min 2 Views	72220	CPT	4052207	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	643	Coinsurance and deductible may apply
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	643	Coinsurance and deductible may apply
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Bil	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	643	Coinsurance and deductible may apply
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Lt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	643	Coinsurance and deductible may apply
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Scapula Comp Rt	73010	CPT	4050101	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	643	Coinsurance and deductible may apply
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Aetna Medicare	HMO		26	26% of all negotiated rates	391	percent of total billed charges	391	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Alignment Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	264	percent of total billed charges	264	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Cigna	PPO		68	68% of all negotiated rates	169	percent of total billed charges	169	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Coalition	PPO		57	57% of all negotiated rates	227	percent of total billed charges	227	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Coventry	PPO		75	75% of all negotiated rates	132	percent of total billed charges	132	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Humana-Commerical	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Multiplan	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	One Health	PPO		55	55% of all negotiated rates	238	percent of total billed charges	238	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Optum Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	P3	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Select Health	HMO		41	41% of all negotiated rates	312	percent of total billed charges	312	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	351	percent of total billed charges	351	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Sierra/HPN	HMO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Silversummit Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	343	percent of total billed charges	343	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Teachers Trust	PPO		65	65% of all negotiated rates	185	percent of total billed charges	185	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	TriWest	PPO		30	30% of all negotiated rates	370	percent of total billed charges	370	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	United Healthcare	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Aetna	PPO		120	120% of Aetna market fee schedule	29	fee schedule	29	503	Coinsurance and deductible may apply
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Bil	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Aetna Medicare	HMO		26	26% of all negotiated rates	391	percent of total billed charges	391	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Alignment Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	264	percent of total billed charges	264	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Cigna	PPO		68	68% of all negotiated rates	169	percent of total billed charges	169	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Coalition	PPO		57	57% of all negotiated rates	227	percent of total billed charges	227	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Coventry	PPO		75	75% of all negotiated rates	132	percent of total billed charges	132	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Humana-Commerical	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Multiplan	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	One Health	PPO		55	55% of all negotiated rates	238	percent of total billed charges	238	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Optum Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	P3	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Select Health	HMO		41	41% of all negotiated rates	312	percent of total billed charges	312	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	351	percent of total billed charges	351	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Sierra/HPN	HMO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Silversummit Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	343	percent of total billed charges	343	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Teachers Trust	PPO		65	65% of all negotiated rates	185	percent of total billed charges	185	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	TriWest	PPO		30	30% of all negotiated rates	370	percent of total billed charges	370	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	United Healthcare	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Aetna	PPO		120	120% of Aetna market fee schedule	29	fee schedule	29	503	Coinsurance and deductible may apply
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Lt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Aetna Medicare	HMO		26	26% of all negotiated rates	391	percent of total billed charges	391	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Alignment Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	264	percent of total billed charges	264	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Cigna	PPO		68	68% of all negotiated rates	169	percent of total billed charges	169	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Coalition	PPO		57	57% of all negotiated rates	227	percent of total billed charges	227	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Coventry	PPO		75	75% of all negotiated rates	132	percent of total billed charges	132	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Humana-Commerical	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Multiplan	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	One Health	PPO		55	55% of all negotiated rates	238	percent of total billed charges	238	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Optum Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	P3	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Select Health	HMO		41	41% of all negotiated rates	312	percent of total billed charges	312	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	351	percent of total billed charges	351	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Sierra/HPN	HMO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Silversummit Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	343	percent of total billed charges	343	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Teachers Trust	PPO		65	65% of all negotiated rates	185	percent of total billed charges	185	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	TriWest	PPO		30	30% of all negotiated rates	370	percent of total billed charges	370	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	United Healthcare	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	528	
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Aetna	PPO		120	120% of Aetna market fee schedule	29	fee schedule	29	503	Coinsurance and deductible may apply
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder 1 View Rt	73020	CPT	4050200	LOCAL	320	RC		outpatient			528	449	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	503	Coinsurance and deductible may apply
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Aetna Medicare	HMO		26	26% of all negotiated rates	1299	percent of total billed charges	1299	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Alignment Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	878	percent of total billed charges	878	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Cigna	PPO		68	68% of all negotiated rates	562	percent of total billed charges	562	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Coalition	PPO		57	57% of all negotiated rates	755	percent of total billed charges	755	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Coventry	PPO		75	75% of all negotiated rates	439	percent of total billed charges	439	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	351	percent of total billed charges	351	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Humana-Commerical	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Multiplan	PPO		80	80% of all negotiated rates	351	percent of total billed charges	351	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	One Health	PPO		55	55% of all negotiated rates	790	percent of total billed charges	790	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Optum Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	P3	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Select Health	HMO		41	41% of all negotiated rates	1036	percent of total billed charges	1036	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1167	percent of total billed charges	1167	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Sierra/HPN	HMO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Silversummit Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1141	percent of total billed charges	1141	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Teachers Trust	PPO		65	65% of all negotiated rates	614	percent of total billed charges	614	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	TriWest	PPO		30	30% of all negotiated rates	1229	percent of total billed charges	1229	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	United Healthcare	PPO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Aetna	PPO		120	120% of Aetna market fee schedule	128	fee schedule	128	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Bil	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Aetna Medicare	HMO		26	26% of all negotiated rates	1299	percent of total billed charges	1299	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Alignment Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	878	percent of total billed charges	878	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Cigna	PPO		68	68% of all negotiated rates	562	percent of total billed charges	562	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Coalition	PPO		57	57% of all negotiated rates	755	percent of total billed charges	755	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Coventry	PPO		75	75% of all negotiated rates	439	percent of total billed charges	439	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	351	percent of total billed charges	351	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Humana-Commerical	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Multiplan	PPO		80	80% of all negotiated rates	351	percent of total billed charges	351	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	One Health	PPO		55	55% of all negotiated rates	790	percent of total billed charges	790	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Optum Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	P3	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Select Health	HMO		41	41% of all negotiated rates	1036	percent of total billed charges	1036	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1167	percent of total billed charges	1167	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Sierra/HPN	HMO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Silversummit Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1141	percent of total billed charges	1141	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Teachers Trust	PPO		65	65% of all negotiated rates	614	percent of total billed charges	614	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	TriWest	PPO		30	30% of all negotiated rates	1229	percent of total billed charges	1229	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	United Healthcare	PPO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Aetna	PPO		120	120% of Aetna market fee schedule	128	fee schedule	128	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Lt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Aetna Medicare	HMO		26	26% of all negotiated rates	1299	percent of total billed charges	1299	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Alignment Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	878	percent of total billed charges	878	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Cigna	PPO		68	68% of all negotiated rates	562	percent of total billed charges	562	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Coalition	PPO		57	57% of all negotiated rates	755	percent of total billed charges	755	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Coventry	PPO		75	75% of all negotiated rates	439	percent of total billed charges	439	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	351	percent of total billed charges	351	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Humana-Commerical	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Multiplan	PPO		80	80% of all negotiated rates	351	percent of total billed charges	351	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	One Health	PPO		55	55% of all negotiated rates	790	percent of total billed charges	790	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Optum Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	P3	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Select Health	HMO		41	41% of all negotiated rates	1036	percent of total billed charges	1036	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1167	percent of total billed charges	1167	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Sierra/HPN	HMO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Silversummit Medicare	HMO		39	39% of all negotiated rates	1071	percent of total billed charges	1071	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1141	percent of total billed charges	1141	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Teachers Trust	PPO		65	65% of all negotiated rates	614	percent of total billed charges	614	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	TriWest	PPO		30	30% of all negotiated rates	1229	percent of total billed charges	1229	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	527	percent of total billed charges	527	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	United Healthcare	PPO		60	60% of all negotiated rates	702	percent of total billed charges	702	1756	
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Aetna	PPO		120	120% of Aetna market fee schedule	128	fee schedule	128	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Arthrography Rt	73040	CPT	4050416	LOCAL	320	RC		outpatient			1756	1492	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	84	fee schedule	84	1672	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	648	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Bil	73030	CPT	4053030	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Lt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Coalition	PPO		57	57% of all negotiated rates	290	percent of total billed charges	290	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Teachers Trust	PPO		65	65% of all negotiated rates	236	percent of total billed charges	236	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	643	Coinsurance and deductible may apply
XR Shoulder Comp Min 2 Views Rt	73030	CPT	4050309	LOCAL	320	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	643	Coinsurance and deductible may apply
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Aetna Medicare	HMO		26	26% of all negotiated rates	257	percent of total billed charges	257	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Alignment Medicare	HMO		39	39% of all negotiated rates	212	percent of total billed charges	212	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	174	percent of total billed charges	174	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	212	percent of total billed charges	212	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Cigna	PPO		68	68% of all negotiated rates	111	percent of total billed charges	111	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Coalition	PPO		57	57% of all negotiated rates	149	percent of total billed charges	149	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Humana-Commerical	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	212	percent of total billed charges	212	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Multiplan	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	One Health	PPO		55	55% of all negotiated rates	156	percent of total billed charges	156	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Optum Medicare	HMO		39	39% of all negotiated rates	212	percent of total billed charges	212	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	P3	HMO		39	39% of all negotiated rates	212	percent of total billed charges	212	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Select Health	HMO		41	41% of all negotiated rates	205	percent of total billed charges	205	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	231	percent of total billed charges	231	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Sierra/HPN	HMO		60	60% of all negotiated rates	139	percent of total billed charges	139	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Silversummit Medicare	HMO		39	39% of all negotiated rates	212	percent of total billed charges	212	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	226	percent of total billed charges	226	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Teachers Trust	PPO		65	65% of all negotiated rates	122	percent of total billed charges	122	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	TriWest	PPO		30	30% of all negotiated rates	243	percent of total billed charges	243	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	104	percent of total billed charges	104	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	United Healthcare	PPO		60	60% of all negotiated rates	139	percent of total billed charges	139	348	
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Aetna	PPO		120	120% of Aetna market fee schedule	42	fee schedule	42	331	Coinsurance and deductible may apply
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	331	Coinsurance and deductible may apply
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	331	Coinsurance and deductible may apply
XR SI Joints 1 or 2 Views	72202	CPT	4052025	LOCAL	320	RC		outpatient			348	295	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	37	fee schedule	37	331	Coinsurance and deductible may apply
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Aetna Medicare	HMO		26	26% of all negotiated rates	664	percent of total billed charges	664	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Alignment Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	448	percent of total billed charges	448	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Cigna	PPO		68	68% of all negotiated rates	287	percent of total billed charges	287	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Coalition	PPO		57	57% of all negotiated rates	386	percent of total billed charges	386	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Coventry	PPO		75	75% of all negotiated rates	224	percent of total billed charges	224	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Humana-Commerical	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Multiplan	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	One Health	PPO		55	55% of all negotiated rates	404	percent of total billed charges	404	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Optum Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	P3	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Select Health	HMO		41	41% of all negotiated rates	529	percent of total billed charges	529	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	596	percent of total billed charges	596	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Sierra/HPN	HMO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Silversummit Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	583	percent of total billed charges	583	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Teachers Trust	PPO		65	65% of all negotiated rates	314	percent of total billed charges	314	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	TriWest	PPO		30	30% of all negotiated rates	628	percent of total billed charges	628	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	United Healthcare	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Aetna	PPO		120	120% of Aetna market fee schedule	47	fee schedule	47	854	Coinsurance and deductible may apply
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	854	Coinsurance and deductible may apply
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	854	Coinsurance and deductible may apply
XR Sinuses Paranasal Comp Min 3 Views	70220	CPT	4052209	LOCAL	320	RC		outpatient			897	762	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	854	Coinsurance and deductible may apply
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	45	fee schedule	45	648	Coinsurance and deductible may apply
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Skull < 4 Views	70250	CPT	4052610	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	648	Coinsurance and deductible may apply
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Aetna Medicare	HMO		26	26% of all negotiated rates	389	percent of total billed charges	389	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Alignment Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	210	percent of total billed charges	210	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	263	percent of total billed charges	263	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Cigna	PPO		68	68% of all negotiated rates	168	percent of total billed charges	168	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Coalition	PPO		57	57% of all negotiated rates	226	percent of total billed charges	226	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Coventry	PPO		75	75% of all negotiated rates	131	percent of total billed charges	131	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	105	percent of total billed charges	105	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Humana-Commerical	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Multiplan	PPO		80	80% of all negotiated rates	105	percent of total billed charges	105	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	One Health	PPO		55	55% of all negotiated rates	236	percent of total billed charges	236	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Optum Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	P3	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Select Health	HMO		41	41% of all negotiated rates	310	percent of total billed charges	310	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	349	percent of total billed charges	349	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Sierra/HPN	HMO		60	60% of all negotiated rates	210	percent of total billed charges	210	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Silversummit Medicare	HMO		39	39% of all negotiated rates	320	percent of total billed charges	320	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	341	percent of total billed charges	341	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Teachers Trust	PPO		65	65% of all negotiated rates	184	percent of total billed charges	184	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	TriWest	PPO		30	30% of all negotiated rates	368	percent of total billed charges	368	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	United Healthcare	PPO		60	60% of all negotiated rates	210	percent of total billed charges	210	525	
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Aetna	PPO		120	120% of Aetna market fee schedule	56	fee schedule	56	500	Coinsurance and deductible may apply
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	500	Coinsurance and deductible may apply
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	500	Coinsurance and deductible may apply
XR Skull Comp Min 4 Views	70260	CPT	4052605	LOCAL	320	RC		outpatient			525	446	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	500	Coinsurance and deductible may apply
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Aetna Medicare	HMO		26	26% of all negotiated rates	232	percent of total billed charges	232	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Alignment Medicare	HMO		39	39% of all negotiated rates	192	percent of total billed charges	192	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	126	percent of total billed charges	126	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	157	percent of total billed charges	157	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	192	percent of total billed charges	192	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Cigna	PPO		68	68% of all negotiated rates	100	percent of total billed charges	100	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Coalition	PPO		57	57% of all negotiated rates	135	percent of total billed charges	135	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Coventry	PPO		75	75% of all negotiated rates	78	percent of total billed charges	78	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	63	percent of total billed charges	63	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Humana-Commerical	PPO		70	70% of all negotiated rates	94	percent of total billed charges	94	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	192	percent of total billed charges	192	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Multiplan	PPO		80	80% of all negotiated rates	63	percent of total billed charges	63	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	One Health	PPO		55	55% of all negotiated rates	141	percent of total billed charges	141	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Optum Medicare	HMO		39	39% of all negotiated rates	192	percent of total billed charges	192	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	P3	HMO		39	39% of all negotiated rates	192	percent of total billed charges	192	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	94	percent of total billed charges	94	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Select Health	HMO		41	41% of all negotiated rates	185	percent of total billed charges	185	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	209	percent of total billed charges	209	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Sierra/HPN	HMO		60	60% of all negotiated rates	126	percent of total billed charges	126	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Silversummit Medicare	HMO		39	39% of all negotiated rates	192	percent of total billed charges	192	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	204	percent of total billed charges	204	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Teachers Trust	PPO		65	65% of all negotiated rates	110	percent of total billed charges	110	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	TriWest	PPO		30	30% of all negotiated rates	220	percent of total billed charges	220	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	94	percent of total billed charges	94	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	United Healthcare	PPO		60	60% of all negotiated rates	126	percent of total billed charges	126	314	
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Aetna	PPO		120	120% of Aetna market fee schedule	43	fee schedule	43	299	Coinsurance and deductible may apply
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	299	Coinsurance and deductible may apply
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	299	Coinsurance and deductible may apply
XR Spine Cerv 2 or 3 Views	72040	CPT	4050409	LOCAL	320	RC		outpatient			314	267	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	299	Coinsurance and deductible may apply
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Aetna Medicare	HMO		26	26% of all negotiated rates	774	percent of total billed charges	774	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Alignment Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	523	percent of total billed charges	523	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Cigna	PPO		68	68% of all negotiated rates	335	percent of total billed charges	335	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Coalition	PPO		57	57% of all negotiated rates	450	percent of total billed charges	450	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Humana-Commerical	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	One Health	PPO		55	55% of all negotiated rates	471	percent of total billed charges	471	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Optum Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	P3	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Select Health	HMO		41	41% of all negotiated rates	617	percent of total billed charges	617	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Silversummit Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	680	percent of total billed charges	680	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	TriWest	PPO		30	30% of all negotiated rates	732	percent of total billed charges	732	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Aetna	PPO		120	120% of Aetna market fee schedule	58	fee schedule	58	996	Coinsurance and deductible may apply
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	996	Coinsurance and deductible may apply
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	996	Coinsurance and deductible may apply
XR Spine Cerv Comp w/ Flex +Ext	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	996	Coinsurance and deductible may apply
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Aetna Medicare	HMO		26	26% of all negotiated rates	774	percent of total billed charges	774	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Alignment Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	523	percent of total billed charges	523	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Cigna	PPO		68	68% of all negotiated rates	335	percent of total billed charges	335	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Coalition	PPO		57	57% of all negotiated rates	450	percent of total billed charges	450	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Humana-Commerical	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	One Health	PPO		55	55% of all negotiated rates	471	percent of total billed charges	471	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Optum Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	P3	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Select Health	HMO		41	41% of all negotiated rates	617	percent of total billed charges	617	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Silversummit Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	680	percent of total billed charges	680	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	TriWest	PPO		30	30% of all negotiated rates	732	percent of total billed charges	732	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Aetna	PPO		120	120% of Aetna market fee schedule	58	fee schedule	58	996	Coinsurance and deductible may apply
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	996	Coinsurance and deductible may apply
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	996	Coinsurance and deductible may apply
XR Spine Cerv Min 4 Views	72050	CPT	4050508	LOCAL	320	RC		outpatient			1046	889	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	996	Coinsurance and deductible may apply
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Aetna Medicare	HMO		26	26% of all negotiated rates	2353	percent of total billed charges	2353	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Alignment Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1272	percent of total billed charges	1272	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1590	percent of total billed charges	1590	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Cigna	PPO		68	68% of all negotiated rates	1017	percent of total billed charges	1017	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Coalition	PPO		57	57% of all negotiated rates	1367	percent of total billed charges	1367	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Coventry	PPO		75	75% of all negotiated rates	795	percent of total billed charges	795	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	636	percent of total billed charges	636	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Humana-Commerical	PPO		70	70% of all negotiated rates	954	percent of total billed charges	954	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Multiplan	PPO		80	80% of all negotiated rates	636	percent of total billed charges	636	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	One Health	PPO		55	55% of all negotiated rates	1431	percent of total billed charges	1431	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Optum Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	P3	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	954	percent of total billed charges	954	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Select Health	HMO		41	41% of all negotiated rates	1876	percent of total billed charges	1876	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2114	percent of total billed charges	2114	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Sierra/HPN	HMO		60	60% of all negotiated rates	1272	percent of total billed charges	1272	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Silversummit Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2067	percent of total billed charges	2067	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Teachers Trust	PPO		65	65% of all negotiated rates	1113	percent of total billed charges	1113	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	TriWest	PPO		30	30% of all negotiated rates	2226	percent of total billed charges	2226	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	954	percent of total billed charges	954	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	United Healthcare	PPO		60	60% of all negotiated rates	1272	percent of total billed charges	1272	3179	
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Aetna	PPO		120	120% of Aetna market fee schedule	153	fee schedule	153	3028	Coinsurance and deductible may apply
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	90	fee schedule	90	3028	Coinsurance and deductible may apply
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	90	fee schedule	90	3028	Coinsurance and deductible may apply
XR Spine Cerv Myelography	72240	CPT	4052413	LOCAL	320	RC		outpatient			3179	2702	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	90	fee schedule	90	3028	Coinsurance and deductible may apply
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Aetna Medicare	HMO		26	26% of all negotiated rates	360	percent of total billed charges	360	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Alignment Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	243	percent of total billed charges	243	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Cigna	PPO		68	68% of all negotiated rates	156	percent of total billed charges	156	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Coalition	PPO		57	57% of all negotiated rates	209	percent of total billed charges	209	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Coventry	PPO		75	75% of all negotiated rates	122	percent of total billed charges	122	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	97	percent of total billed charges	97	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Humana-Commerical	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Multiplan	PPO		80	80% of all negotiated rates	97	percent of total billed charges	97	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	One Health	PPO		55	55% of all negotiated rates	219	percent of total billed charges	219	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Optum Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	P3	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Select Health	HMO		41	41% of all negotiated rates	287	percent of total billed charges	287	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	323	percent of total billed charges	323	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Sierra/HPN	HMO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Silversummit Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	316	percent of total billed charges	316	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Teachers Trust	PPO		65	65% of all negotiated rates	170	percent of total billed charges	170	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	TriWest	PPO		30	30% of all negotiated rates	340	percent of total billed charges	340	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	United Healthcare	PPO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Aetna	PPO		120	120% of Aetna market fee schedule	73	fee schedule	73	463	Coinsurance and deductible may apply
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	463	Coinsurance and deductible may apply
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	463	Coinsurance and deductible may apply
XR Spine Entire AP +Lateral	72082	CPT	4050102	LOCAL	320	RC		outpatient			486	413	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	463	Coinsurance and deductible may apply
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Aetna Medicare	HMO		26	26% of all negotiated rates	528	percent of total billed charges	528	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Alignment Medicare	HMO		39	39% of all negotiated rates	436	percent of total billed charges	436	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	286	percent of total billed charges	286	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	357	percent of total billed charges	357	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	436	percent of total billed charges	436	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Cigna	PPO		68	68% of all negotiated rates	228	percent of total billed charges	228	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Coalition	PPO		57	57% of all negotiated rates	307	percent of total billed charges	307	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Coventry	PPO		75	75% of all negotiated rates	179	percent of total billed charges	179	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	143	percent of total billed charges	143	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Humana-Commerical	PPO		70	70% of all negotiated rates	214	percent of total billed charges	214	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	436	percent of total billed charges	436	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Multiplan	PPO		80	80% of all negotiated rates	143	percent of total billed charges	143	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	One Health	PPO		55	55% of all negotiated rates	321	percent of total billed charges	321	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Optum Medicare	HMO		39	39% of all negotiated rates	436	percent of total billed charges	436	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	P3	HMO		39	39% of all negotiated rates	436	percent of total billed charges	436	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	214	percent of total billed charges	214	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Select Health	HMO		41	41% of all negotiated rates	421	percent of total billed charges	421	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	475	percent of total billed charges	475	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Sierra/HPN	HMO		60	60% of all negotiated rates	286	percent of total billed charges	286	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Silversummit Medicare	HMO		39	39% of all negotiated rates	436	percent of total billed charges	436	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	464	percent of total billed charges	464	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Teachers Trust	PPO		65	65% of all negotiated rates	250	percent of total billed charges	250	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	TriWest	PPO		30	30% of all negotiated rates	500	percent of total billed charges	500	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	214	percent of total billed charges	214	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	United Healthcare	PPO		60	60% of all negotiated rates	286	percent of total billed charges	286	714	
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Aetna	PPO		120	120% of Aetna market fee schedule	52	fee schedule	52	680	Coinsurance and deductible may apply
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	680	Coinsurance and deductible may apply
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	680	Coinsurance and deductible may apply
XR Spine Lumbosacral >3 Views w/Flex+Ext	72120	CPT	4051005	LOCAL	320	RC		outpatient			714	607	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	680	Coinsurance and deductible may apply
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Aetna Medicare	HMO		26	26% of all negotiated rates	282	percent of total billed charges	282	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Alignment Medicare	HMO		39	39% of all negotiated rates	233	percent of total billed charges	233	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	152	percent of total billed charges	152	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	191	percent of total billed charges	191	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	233	percent of total billed charges	233	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Cigna	PPO		68	68% of all negotiated rates	122	percent of total billed charges	122	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Coalition	PPO		57	57% of all negotiated rates	164	percent of total billed charges	164	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Coventry	PPO		75	75% of all negotiated rates	95	percent of total billed charges	95	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	76	percent of total billed charges	76	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Humana-Commerical	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	233	percent of total billed charges	233	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Multiplan	PPO		80	80% of all negotiated rates	76	percent of total billed charges	76	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	One Health	PPO		55	55% of all negotiated rates	172	percent of total billed charges	172	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Optum Medicare	HMO		39	39% of all negotiated rates	233	percent of total billed charges	233	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	P3	HMO		39	39% of all negotiated rates	233	percent of total billed charges	233	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Select Health	HMO		41	41% of all negotiated rates	225	percent of total billed charges	225	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	253	percent of total billed charges	253	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Sierra/HPN	HMO		60	60% of all negotiated rates	152	percent of total billed charges	152	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Silversummit Medicare	HMO		39	39% of all negotiated rates	233	percent of total billed charges	233	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	248	percent of total billed charges	248	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Teachers Trust	PPO		65	65% of all negotiated rates	133	percent of total billed charges	133	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	TriWest	PPO		30	30% of all negotiated rates	267	percent of total billed charges	267	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	114	percent of total billed charges	114	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	United Healthcare	PPO		60	60% of all negotiated rates	152	percent of total billed charges	152	381	
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Aetna	PPO		120	120% of Aetna market fee schedule	44	fee schedule	44	363	Coinsurance and deductible may apply
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	363	Coinsurance and deductible may apply
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	363	Coinsurance and deductible may apply
XR Spine Lumbosacral 2 or 3 Views	72100	CPT	4051001	LOCAL	320	RC		outpatient			381	324	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	363	Coinsurance and deductible may apply
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Aetna Medicare	HMO		26	26% of all negotiated rates	774	percent of total billed charges	774	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Alignment Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	523	percent of total billed charges	523	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Cigna	PPO		68	68% of all negotiated rates	335	percent of total billed charges	335	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Coalition	PPO		57	57% of all negotiated rates	450	percent of total billed charges	450	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Humana-Commerical	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	One Health	PPO		55	55% of all negotiated rates	471	percent of total billed charges	471	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Optum Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	P3	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Select Health	HMO		41	41% of all negotiated rates	617	percent of total billed charges	617	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Silversummit Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	680	percent of total billed charges	680	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	TriWest	PPO		30	30% of all negotiated rates	732	percent of total billed charges	732	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Aetna	PPO		120	120% of Aetna market fee schedule	78	fee schedule	78	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Comp w/ Bending	72114	CPT	4051142	LOCAL	320	RC		outpatient			1046	889	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	51	fee schedule	51	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Aetna Medicare	HMO		26	26% of all negotiated rates	774	percent of total billed charges	774	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Alignment Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	523	percent of total billed charges	523	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Cigna	PPO		68	68% of all negotiated rates	335	percent of total billed charges	335	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Coalition	PPO		57	57% of all negotiated rates	450	percent of total billed charges	450	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Coventry	PPO		75	75% of all negotiated rates	261	percent of total billed charges	261	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Humana-Commerical	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Multiplan	PPO		80	80% of all negotiated rates	209	percent of total billed charges	209	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	One Health	PPO		55	55% of all negotiated rates	471	percent of total billed charges	471	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Optum Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	P3	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Select Health	HMO		41	41% of all negotiated rates	617	percent of total billed charges	617	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	695	percent of total billed charges	695	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Sierra/HPN	HMO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Silversummit Medicare	HMO		39	39% of all negotiated rates	638	percent of total billed charges	638	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	680	percent of total billed charges	680	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Teachers Trust	PPO		65	65% of all negotiated rates	366	percent of total billed charges	366	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	TriWest	PPO		30	30% of all negotiated rates	732	percent of total billed charges	732	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	314	percent of total billed charges	314	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	United Healthcare	PPO		60	60% of all negotiated rates	418	percent of total billed charges	418	1046	
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Aetna	PPO		120	120% of Aetna market fee schedule	59	fee schedule	59	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Min 4 Views w/ Obl	72110	CPT	4051100	LOCAL	320	RC		outpatient			1046	889	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	996	Coinsurance and deductible may apply
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Aetna Medicare	HMO		26	26% of all negotiated rates	2061	percent of total billed charges	2061	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Alignment Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1114	percent of total billed charges	1114	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1392	percent of total billed charges	1392	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Cigna	PPO		68	68% of all negotiated rates	891	percent of total billed charges	891	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Coalition	PPO		57	57% of all negotiated rates	1197	percent of total billed charges	1197	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Coventry	PPO		75	75% of all negotiated rates	696	percent of total billed charges	696	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	557	percent of total billed charges	557	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Humana-Commerical	PPO		70	70% of all negotiated rates	835	percent of total billed charges	835	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Multiplan	PPO		80	80% of all negotiated rates	557	percent of total billed charges	557	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	One Health	PPO		55	55% of all negotiated rates	1253	percent of total billed charges	1253	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Optum Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	P3	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	835	percent of total billed charges	835	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Select Health	HMO		41	41% of all negotiated rates	1643	percent of total billed charges	1643	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1852	percent of total billed charges	1852	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Sierra/HPN	HMO		60	60% of all negotiated rates	1114	percent of total billed charges	1114	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Silversummit Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1810	percent of total billed charges	1810	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Teachers Trust	PPO		65	65% of all negotiated rates	975	percent of total billed charges	975	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	TriWest	PPO		30	30% of all negotiated rates	1949	percent of total billed charges	1949	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	835	percent of total billed charges	835	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	United Healthcare	PPO		60	60% of all negotiated rates	1114	percent of total billed charges	1114	2785	
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Aetna	PPO		120	120% of Aetna market fee schedule	151	fee schedule	151	2652	Coinsurance and deductible may apply
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	2652	Coinsurance and deductible may apply
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	2652	Coinsurance and deductible may apply
XR Spine Lumbosacral Myelography	72265	CPT	4050355	LOCAL	320	RC		outpatient			2785	2367	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	2652	Coinsurance and deductible may apply
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Aetna Medicare	HMO		26	26% of all negotiated rates	623	percent of total billed charges	623	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Alignment Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	421	percent of total billed charges	421	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Cigna	PPO		68	68% of all negotiated rates	269	percent of total billed charges	269	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Coalition	PPO		57	57% of all negotiated rates	362	percent of total billed charges	362	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Coventry	PPO		75	75% of all negotiated rates	211	percent of total billed charges	211	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Humana-Commerical	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Multiplan	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	One Health	PPO		55	55% of all negotiated rates	379	percent of total billed charges	379	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Optum Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	P3	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Select Health	HMO		41	41% of all negotiated rates	497	percent of total billed charges	497	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	560	percent of total billed charges	560	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Sierra/HPN	HMO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Silversummit Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	547	percent of total billed charges	547	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Teachers Trust	PPO		65	65% of all negotiated rates	295	percent of total billed charges	295	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	TriWest	PPO		30	30% of all negotiated rates	589	percent of total billed charges	589	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	United Healthcare	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Aetna	PPO		120	120% of Aetna market fee schedule	45	fee schedule	45	802	Coinsurance and deductible may apply
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	802	Coinsurance and deductible may apply
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	802	Coinsurance and deductible may apply
XR Spine Thoracic 3 Views	72072	CPT	4050722	LOCAL	320	RC		outpatient			842	716	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	802	Coinsurance and deductible may apply
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Aetna Medicare	HMO		26	26% of all negotiated rates	2353	percent of total billed charges	2353	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Alignment Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1272	percent of total billed charges	1272	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1590	percent of total billed charges	1590	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Cigna	PPO		68	68% of all negotiated rates	1017	percent of total billed charges	1017	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Coalition	PPO		57	57% of all negotiated rates	1367	percent of total billed charges	1367	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Coventry	PPO		75	75% of all negotiated rates	795	percent of total billed charges	795	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	636	percent of total billed charges	636	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Humana-Commerical	PPO		70	70% of all negotiated rates	954	percent of total billed charges	954	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Multiplan	PPO		80	80% of all negotiated rates	636	percent of total billed charges	636	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	One Health	PPO		55	55% of all negotiated rates	1431	percent of total billed charges	1431	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Optum Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	P3	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	954	percent of total billed charges	954	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Select Health	HMO		41	41% of all negotiated rates	1876	percent of total billed charges	1876	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2114	percent of total billed charges	2114	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Sierra/HPN	HMO		60	60% of all negotiated rates	1272	percent of total billed charges	1272	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Silversummit Medicare	HMO		39	39% of all negotiated rates	1939	percent of total billed charges	1939	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2067	percent of total billed charges	2067	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Teachers Trust	PPO		65	65% of all negotiated rates	1113	percent of total billed charges	1113	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	TriWest	PPO		30	30% of all negotiated rates	2226	percent of total billed charges	2226	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	954	percent of total billed charges	954	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	United Healthcare	PPO		60	60% of all negotiated rates	1272	percent of total billed charges	1272	3179	
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Aetna	PPO		120	120% of Aetna market fee schedule	146	fee schedule	146	3028	Coinsurance and deductible may apply
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	3028	Coinsurance and deductible may apply
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	3028	Coinsurance and deductible may apply
XR Spine Thoracic Myelography	72255	CPT	4052561	LOCAL	320	RC		outpatient			3179	2702	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	3028	Coinsurance and deductible may apply
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	44	fee schedule	44	648	Coinsurance and deductible may apply
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	648	Coinsurance and deductible may apply
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	648	Coinsurance and deductible may apply
XR Spine Thoracolumbar 2 Views	72080	CPT	4050805	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	648	Coinsurance and deductible may apply
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Aetna Medicare	HMO		26	26% of all negotiated rates	276	percent of total billed charges	276	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Alignment Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	149	percent of total billed charges	149	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	186	percent of total billed charges	186	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Cigna	PPO		68	68% of all negotiated rates	119	percent of total billed charges	119	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Coalition	PPO		57	57% of all negotiated rates	160	percent of total billed charges	160	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Coventry	PPO		75	75% of all negotiated rates	93	percent of total billed charges	93	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Humana-Commerical	PPO		70	70% of all negotiated rates	112	percent of total billed charges	112	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Multiplan	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	One Health	PPO		55	55% of all negotiated rates	168	percent of total billed charges	168	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Optum Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	P3	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	112	percent of total billed charges	112	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Select Health	HMO		41	41% of all negotiated rates	220	percent of total billed charges	220	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	248	percent of total billed charges	248	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Sierra/HPN	HMO		60	60% of all negotiated rates	149	percent of total billed charges	149	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Silversummit Medicare	HMO		39	39% of all negotiated rates	227	percent of total billed charges	227	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	242	percent of total billed charges	242	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Teachers Trust	PPO		65	65% of all negotiated rates	130	percent of total billed charges	130	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	TriWest	PPO		30	30% of all negotiated rates	261	percent of total billed charges	261	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	112	percent of total billed charges	112	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	United Healthcare	PPO		60	60% of all negotiated rates	149	percent of total billed charges	149	373	
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Aetna	PPO		120	120% of Aetna market fee schedule	45	fee schedule	45	355	Coinsurance and deductible may apply
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	355	Coinsurance and deductible may apply
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	355	Coinsurance and deductible may apply
XR Sternoclavicular Joint(s) Min 3 Views	71130	CPT	32071130	LOCAL	320	RC		outpatient			373	317	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	355	Coinsurance and deductible may apply
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	38	fee schedule	38	648	Coinsurance and deductible may apply
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Sternum Min 2 Views	71120	CPT	4051200	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	648	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Aetna Medicare	HMO		26	26% of all negotiated rates	475	percent of total billed charges	475	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Alignment Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	321	percent of total billed charges	321	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Cigna	PPO		68	68% of all negotiated rates	205	percent of total billed charges	205	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Coalition	PPO		57	57% of all negotiated rates	276	percent of total billed charges	276	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Coventry	PPO		75	75% of all negotiated rates	160	percent of total billed charges	160	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Humana-Commerical	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Multiplan	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	One Health	PPO		55	55% of all negotiated rates	289	percent of total billed charges	289	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Optum Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	P3	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Select Health	HMO		41	41% of all negotiated rates	379	percent of total billed charges	379	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	427	percent of total billed charges	427	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Sierra/HPN	HMO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Silversummit Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	417	percent of total billed charges	417	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Teachers Trust	PPO		65	65% of all negotiated rates	225	percent of total billed charges	225	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	TriWest	PPO		30	30% of all negotiated rates	449	percent of total billed charges	449	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	United Healthcare	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Bil	73590	CPT	4053590	LOCAL	320	RC		outpatient			642	545	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Aetna Medicare	HMO		26	26% of all negotiated rates	475	percent of total billed charges	475	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Alignment Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	321	percent of total billed charges	321	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Cigna	PPO		68	68% of all negotiated rates	205	percent of total billed charges	205	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Coalition	PPO		57	57% of all negotiated rates	276	percent of total billed charges	276	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Coventry	PPO		75	75% of all negotiated rates	160	percent of total billed charges	160	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Humana-Commerical	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Multiplan	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	One Health	PPO		55	55% of all negotiated rates	289	percent of total billed charges	289	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Optum Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	P3	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Select Health	HMO		41	41% of all negotiated rates	379	percent of total billed charges	379	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	427	percent of total billed charges	427	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Sierra/HPN	HMO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Silversummit Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	417	percent of total billed charges	417	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Teachers Trust	PPO		65	65% of all negotiated rates	225	percent of total billed charges	225	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	TriWest	PPO		30	30% of all negotiated rates	449	percent of total billed charges	449	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	United Healthcare	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Lt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Aetna Medicare	HMO		26	26% of all negotiated rates	475	percent of total billed charges	475	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Alignment Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	321	percent of total billed charges	321	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Cigna	PPO		68	68% of all negotiated rates	205	percent of total billed charges	205	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Coalition	PPO		57	57% of all negotiated rates	276	percent of total billed charges	276	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Coventry	PPO		75	75% of all negotiated rates	160	percent of total billed charges	160	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Humana-Commerical	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Multiplan	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	One Health	PPO		55	55% of all negotiated rates	289	percent of total billed charges	289	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Optum Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	P3	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Select Health	HMO		41	41% of all negotiated rates	379	percent of total billed charges	379	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	427	percent of total billed charges	427	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Sierra/HPN	HMO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Silversummit Medicare	HMO		39	39% of all negotiated rates	391	percent of total billed charges	391	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	417	percent of total billed charges	417	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Teachers Trust	PPO		65	65% of all negotiated rates	225	percent of total billed charges	225	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	TriWest	PPO		30	30% of all negotiated rates	449	percent of total billed charges	449	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	United Healthcare	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	642	
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Tibia +Fibula 2 Views Rt	73590	CPT	4055902	LOCAL	320	RC		outpatient			642	545	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	611	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Aetna Medicare	HMO		26	26% of all negotiated rates	333	percent of total billed charges	333	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Alignment Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	180	percent of total billed charges	180	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	225	percent of total billed charges	225	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Cigna	PPO		68	68% of all negotiated rates	144	percent of total billed charges	144	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Coalition	PPO		57	57% of all negotiated rates	194	percent of total billed charges	194	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Coventry	PPO		75	75% of all negotiated rates	113	percent of total billed charges	113	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Humana-Commerical	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Multiplan	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	One Health	PPO		55	55% of all negotiated rates	203	percent of total billed charges	203	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Optum Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	P3	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Select Health	HMO		41	41% of all negotiated rates	266	percent of total billed charges	266	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	300	percent of total billed charges	300	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Sierra/HPN	HMO		60	60% of all negotiated rates	180	percent of total billed charges	180	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Silversummit Medicare	HMO		39	39% of all negotiated rates	275	percent of total billed charges	275	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	293	percent of total billed charges	293	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Teachers Trust	PPO		65	65% of all negotiated rates	158	percent of total billed charges	158	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	TriWest	PPO		30	30% of all negotiated rates	315	percent of total billed charges	315	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	United Healthcare	PPO		60	60% of all negotiated rates	180	percent of total billed charges	180	450	
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Aetna	PPO		120	120% of Aetna market fee schedule	37	fee schedule	37	429	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	429	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	429	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Bil	73660	CPT	4053660	LOCAL	320	RC		outpatient			450	383	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	429	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Aetna Medicare	HMO		26	26% of all negotiated rates	373	percent of total billed charges	373	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	252	percent of total billed charges	252	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Coalition	PPO		57	57% of all negotiated rates	217	percent of total billed charges	217	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	One Health	PPO		55	55% of all negotiated rates	227	percent of total billed charges	227	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	335	percent of total billed charges	335	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Sierra/HPN	HMO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	328	percent of total billed charges	328	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	TriWest	PPO		30	30% of all negotiated rates	353	percent of total billed charges	353	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	United Healthcare	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Aetna	PPO		120	120% of Aetna market fee schedule	37	fee schedule	37	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Lt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Aetna Medicare	HMO		26	26% of all negotiated rates	373	percent of total billed charges	373	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	252	percent of total billed charges	252	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Coalition	PPO		57	57% of all negotiated rates	217	percent of total billed charges	217	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	One Health	PPO		55	55% of all negotiated rates	227	percent of total billed charges	227	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	335	percent of total billed charges	335	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Sierra/HPN	HMO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	328	percent of total billed charges	328	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	TriWest	PPO		30	30% of all negotiated rates	353	percent of total billed charges	353	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	United Healthcare	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Aetna	PPO		120	120% of Aetna market fee schedule	37	fee schedule	37	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	480	Coinsurance and deductible may apply
XR Toe(s) Min 2 Views Rt	73660	CPT	4056603	LOCAL	320	RC		outpatient			504	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	480	Coinsurance and deductible may apply
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Aetna Medicare	HMO		26	26% of all negotiated rates	988	percent of total billed charges	988	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Alignment Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	534	percent of total billed charges	534	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	668	percent of total billed charges	668	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Cigna	PPO		68	68% of all negotiated rates	427	percent of total billed charges	427	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Coalition	PPO		57	57% of all negotiated rates	574	percent of total billed charges	574	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Coventry	PPO		75	75% of all negotiated rates	334	percent of total billed charges	334	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	267	percent of total billed charges	267	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Humana-Commerical	PPO		70	70% of all negotiated rates	401	percent of total billed charges	401	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Multiplan	PPO		80	80% of all negotiated rates	267	percent of total billed charges	267	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	One Health	PPO		55	55% of all negotiated rates	601	percent of total billed charges	601	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Optum Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	P3	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	401	percent of total billed charges	401	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Select Health	HMO		41	41% of all negotiated rates	788	percent of total billed charges	788	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	888	percent of total billed charges	888	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Sierra/HPN	HMO		60	60% of all negotiated rates	534	percent of total billed charges	534	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Silversummit Medicare	HMO		39	39% of all negotiated rates	815	percent of total billed charges	815	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	868	percent of total billed charges	868	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Teachers Trust	PPO		65	65% of all negotiated rates	467	percent of total billed charges	467	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	TriWest	PPO		30	30% of all negotiated rates	935	percent of total billed charges	935	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	401	percent of total billed charges	401	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	United Healthcare	PPO		60	60% of all negotiated rates	534	percent of total billed charges	534	1336	
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Aetna	PPO		120	120% of Aetna market fee schedule	40	fee schedule	40	1272	Coinsurance and deductible may apply
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	1272	Coinsurance and deductible may apply
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	1272	Coinsurance and deductible may apply
XR UE Infant Min 2 Views Bil	73092	CPT	4050359	LOCAL	320	RC		outpatient			1336	1135	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	1272	Coinsurance and deductible may apply
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Aetna Medicare	HMO		26	26% of all negotiated rates	1236	percent of total billed charges	1236	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Alignment Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	668	percent of total billed charges	668	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	835	percent of total billed charges	835	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Cigna	PPO		68	68% of all negotiated rates	535	percent of total billed charges	535	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Coalition	PPO		57	57% of all negotiated rates	718	percent of total billed charges	718	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Coventry	PPO		75	75% of all negotiated rates	418	percent of total billed charges	418	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	334	percent of total billed charges	334	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Humana-Commerical	PPO		70	70% of all negotiated rates	501	percent of total billed charges	501	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	One Health	PPO		55	55% of all negotiated rates	752	percent of total billed charges	752	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Optum Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	P3	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Select Health	HMO		41	41% of all negotiated rates	986	percent of total billed charges	986	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1111	percent of total billed charges	1111	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Sierra/HPN	HMO		60	60% of all negotiated rates	668	percent of total billed charges	668	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Silversummit Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	Teachers Trust	PPO		65	65% of all negotiated rates	585	percent of total billed charges	585	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	501	percent of total billed charges	501	1671	
XR UGI w/ Air Cont w/ SB	74249	CPT	4052452	LOCAL	320	RC		outpatient			1671	1420	United Healthcare	PPO		60	60% of all negotiated rates	668	percent of total billed charges	668	1671	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Aetna Medicare	HMO		26	26% of all negotiated rates	893	percent of total billed charges	893	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Alignment Medicare	HMO		39	39% of all negotiated rates	736	percent of total billed charges	736	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	483	percent of total billed charges	483	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	603	percent of total billed charges	603	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	736	percent of total billed charges	736	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Cigna	PPO		68	68% of all negotiated rates	386	percent of total billed charges	386	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Coalition	PPO		57	57% of all negotiated rates	519	percent of total billed charges	519	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Coventry	PPO		75	75% of all negotiated rates	302	percent of total billed charges	302	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	241	percent of total billed charges	241	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Humana-Commerical	PPO		70	70% of all negotiated rates	362	percent of total billed charges	362	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	736	percent of total billed charges	736	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Multiplan	PPO		80	80% of all negotiated rates	241	percent of total billed charges	241	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	One Health	PPO		55	55% of all negotiated rates	543	percent of total billed charges	543	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Optum Medicare	HMO		39	39% of all negotiated rates	736	percent of total billed charges	736	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	P3	HMO		39	39% of all negotiated rates	736	percent of total billed charges	736	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	362	percent of total billed charges	362	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Select Health	HMO		41	41% of all negotiated rates	712	percent of total billed charges	712	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	802	percent of total billed charges	802	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Sierra/HPN	HMO		60	60% of all negotiated rates	483	percent of total billed charges	483	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Silversummit Medicare	HMO		39	39% of all negotiated rates	736	percent of total billed charges	736	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	784	percent of total billed charges	784	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Teachers Trust	PPO		65	65% of all negotiated rates	422	percent of total billed charges	422	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	TriWest	PPO		30	30% of all negotiated rates	845	percent of total billed charges	845	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	362	percent of total billed charges	362	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	United Healthcare	PPO		60	60% of all negotiated rates	483	percent of total billed charges	483	1206	
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Aetna	PPO		120	120% of Aetna market fee schedule	155	fee schedule	155	1149	Coinsurance and deductible may apply
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	102	fee schedule	102	1149	Coinsurance and deductible may apply
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	102	fee schedule	102	1149	Coinsurance and deductible may apply
XR UGI w/ KUB	74246	CPT	4052411	LOCAL	320	RC		outpatient			1206	1025	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	102	fee schedule	102	1149	Coinsurance and deductible may apply
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Aetna Medicare	HMO		26	26% of all negotiated rates	831	percent of total billed charges	831	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Alignment Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	449	percent of total billed charges	449	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	561	percent of total billed charges	561	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Cigna	PPO		68	68% of all negotiated rates	359	percent of total billed charges	359	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Coalition	PPO		57	57% of all negotiated rates	483	percent of total billed charges	483	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Coventry	PPO		75	75% of all negotiated rates	281	percent of total billed charges	281	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	224	percent of total billed charges	224	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Humana-Commerical	PPO		70	70% of all negotiated rates	337	percent of total billed charges	337	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Multiplan	PPO		80	80% of all negotiated rates	224	percent of total billed charges	224	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	One Health	PPO		55	55% of all negotiated rates	505	percent of total billed charges	505	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Optum Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	P3	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	337	percent of total billed charges	337	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Select Health	HMO		41	41% of all negotiated rates	662	percent of total billed charges	662	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	746	percent of total billed charges	746	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Sierra/HPN	HMO		60	60% of all negotiated rates	449	percent of total billed charges	449	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Silversummit Medicare	HMO		39	39% of all negotiated rates	685	percent of total billed charges	685	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	730	percent of total billed charges	730	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Teachers Trust	PPO		65	65% of all negotiated rates	393	percent of total billed charges	393	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	TriWest	PPO		30	30% of all negotiated rates	786	percent of total billed charges	786	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	337	percent of total billed charges	337	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	United Healthcare	PPO		60	60% of all negotiated rates	449	percent of total billed charges	449	1122	
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Aetna	PPO		120	120% of Aetna market fee schedule	140	fee schedule	140	1069	Coinsurance and deductible may apply
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1069	Coinsurance and deductible may apply
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1069	Coinsurance and deductible may apply
XR Urethrocystography Retrograde	74420	CPT	4054516	LOCAL	320	RC		outpatient			1122	954	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1069	Coinsurance and deductible may apply
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	536	Coinsurance and deductible may apply
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Bil	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	536	Coinsurance and deductible may apply
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Lt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Aetna Medicare	HMO		26	26% of all negotiated rates	416	percent of total billed charges	416	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Alignment Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	281	percent of total billed charges	281	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Cigna	PPO		68	68% of all negotiated rates	180	percent of total billed charges	180	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Coalition	PPO		57	57% of all negotiated rates	242	percent of total billed charges	242	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Coventry	PPO		75	75% of all negotiated rates	141	percent of total billed charges	141	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Humana-Commerical	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Multiplan	PPO		80	80% of all negotiated rates	113	percent of total billed charges	113	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	One Health	PPO		55	55% of all negotiated rates	253	percent of total billed charges	253	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Optum Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	P3	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Select Health	HMO		41	41% of all negotiated rates	332	percent of total billed charges	332	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	374	percent of total billed charges	374	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Sierra/HPN	HMO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Silversummit Medicare	HMO		39	39% of all negotiated rates	343	percent of total billed charges	343	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	366	percent of total billed charges	366	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Teachers Trust	PPO		65	65% of all negotiated rates	197	percent of total billed charges	197	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	TriWest	PPO		30	30% of all negotiated rates	394	percent of total billed charges	394	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	169	percent of total billed charges	169	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	United Healthcare	PPO		60	60% of all negotiated rates	225	percent of total billed charges	225	563	
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	536	Coinsurance and deductible may apply
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist 2 Views Rt	73100	CPT	4051000	LOCAL	320	RC		outpatient			563	478	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	536	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Aetna Medicare	HMO		26	26% of all negotiated rates	503	percent of total billed charges	503	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Alignment Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	340	percent of total billed charges	340	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Cigna	PPO		68	68% of all negotiated rates	218	percent of total billed charges	218	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Coalition	PPO		57	57% of all negotiated rates	293	percent of total billed charges	293	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Coventry	PPO		75	75% of all negotiated rates	170	percent of total billed charges	170	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Humana-Commerical	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Multiplan	PPO		80	80% of all negotiated rates	136	percent of total billed charges	136	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	One Health	PPO		55	55% of all negotiated rates	306	percent of total billed charges	306	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Optum Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	P3	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Select Health	HMO		41	41% of all negotiated rates	401	percent of total billed charges	401	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	452	percent of total billed charges	452	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Sierra/HPN	HMO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Silversummit Medicare	HMO		39	39% of all negotiated rates	415	percent of total billed charges	415	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	442	percent of total billed charges	442	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Teachers Trust	PPO		65	65% of all negotiated rates	238	percent of total billed charges	238	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	TriWest	PPO		30	30% of all negotiated rates	476	percent of total billed charges	476	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	204	percent of total billed charges	204	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	United Healthcare	PPO		60	60% of all negotiated rates	272	percent of total billed charges	272	680	
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Aetna	PPO		120	120% of Aetna market fee schedule	46	fee schedule	46	648	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	648	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	648	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Bil	73110	CPT	4053110	LOCAL	320	RC		outpatient			680	578	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	648	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Alignment Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Cigna	PPO		68	68% of all negotiated rates	179	percent of total billed charges	179	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Coalition	PPO		57	57% of all negotiated rates	240	percent of total billed charges	240	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Coventry	PPO		75	75% of all negotiated rates	140	percent of total billed charges	140	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Humana-Commerical	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Optum Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	P3	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Select Health	HMO		41	41% of all negotiated rates	330	percent of total billed charges	330	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Silversummit Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	363	percent of total billed charges	363	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Teachers Trust	PPO		65	65% of all negotiated rates	196	percent of total billed charges	196	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	TriWest	PPO		30	30% of all negotiated rates	391	percent of total billed charges	391	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Aetna	PPO		120	120% of Aetna market fee schedule	46	fee schedule	46	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Lt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Alignment Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Cigna	PPO		68	68% of all negotiated rates	179	percent of total billed charges	179	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Coalition	PPO		57	57% of all negotiated rates	240	percent of total billed charges	240	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Coventry	PPO		75	75% of all negotiated rates	140	percent of total billed charges	140	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Humana-Commerical	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Optum Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	P3	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Select Health	HMO		41	41% of all negotiated rates	330	percent of total billed charges	330	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Silversummit Medicare	HMO		39	39% of all negotiated rates	341	percent of total billed charges	341	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	363	percent of total billed charges	363	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Teachers Trust	PPO		65	65% of all negotiated rates	196	percent of total billed charges	196	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	TriWest	PPO		30	30% of all negotiated rates	391	percent of total billed charges	391	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	168	percent of total billed charges	168	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	559	
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Aetna	PPO		120	120% of Aetna market fee schedule	46	fee schedule	46	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	532	Coinsurance and deductible may apply
XR Wrist Comp Min 3 Views Rt	73110	CPT	4051110	LOCAL	320	RC		outpatient			559	475	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	532	Coinsurance and deductible may apply
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Aetna Medicare	HMO		26	26% of all negotiated rates	1824	percent of total billed charges	1824	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Alignment Medicare	HMO		39	39% of all negotiated rates	1504	percent of total billed charges	1504	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	986	percent of total billed charges	986	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1233	percent of total billed charges	1233	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1504	percent of total billed charges	1504	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Cigna	PPO		68	68% of all negotiated rates	789	percent of total billed charges	789	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Coalition	PPO		57	57% of all negotiated rates	1060	percent of total billed charges	1060	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Coventry	PPO		75	75% of all negotiated rates	616	percent of total billed charges	616	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Humana-Commerical	PPO		70	70% of all negotiated rates	740	percent of total billed charges	740	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1504	percent of total billed charges	1504	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Multiplan	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	One Health	PPO		55	55% of all negotiated rates	1109	percent of total billed charges	1109	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Optum Medicare	HMO		39	39% of all negotiated rates	1504	percent of total billed charges	1504	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	P3	HMO		39	39% of all negotiated rates	1504	percent of total billed charges	1504	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	740	percent of total billed charges	740	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Select Health	HMO		41	41% of all negotiated rates	1455	percent of total billed charges	1455	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1639	percent of total billed charges	1639	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Sierra/HPN	HMO		60	60% of all negotiated rates	986	percent of total billed charges	986	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Silversummit Medicare	HMO		39	39% of all negotiated rates	1504	percent of total billed charges	1504	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1603	percent of total billed charges	1603	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Teachers Trust	PPO		65	65% of all negotiated rates	863	percent of total billed charges	863	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	TriWest	PPO		30	30% of all negotiated rates	1726	percent of total billed charges	1726	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	740	percent of total billed charges	740	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	United Healthcare	PPO		60	60% of all negotiated rates	986	percent of total billed charges	986	2465	
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Aetna	PPO		120	120% of Aetna market fee schedule	365	fee schedule	365	2348	Coinsurance and deductible may apply
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	322	fee schedule	322	2348	Coinsurance and deductible may apply
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	322	fee schedule	322	2348	Coinsurance and deductible may apply
NM Bone 3 Phase Study	78315	CPT	4073151	LOCAL	340	RC		outpatient			2465	2096	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	322	fee schedule	322	2348	Coinsurance and deductible may apply
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Aetna Medicare	HMO		26	26% of all negotiated rates	2413	percent of total billed charges	2413	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Alignment Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1631	percent of total billed charges	1631	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Cigna	PPO		68	68% of all negotiated rates	1044	percent of total billed charges	1044	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Coalition	PPO		57	57% of all negotiated rates	1402	percent of total billed charges	1402	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Coventry	PPO		75	75% of all negotiated rates	815	percent of total billed charges	815	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	652	percent of total billed charges	652	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Humana-Commerical	PPO		70	70% of all negotiated rates	978	percent of total billed charges	978	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Multiplan	PPO		80	80% of all negotiated rates	652	percent of total billed charges	652	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	One Health	PPO		55	55% of all negotiated rates	1468	percent of total billed charges	1468	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Optum Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	P3	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	978	percent of total billed charges	978	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Select Health	HMO		41	41% of all negotiated rates	1924	percent of total billed charges	1924	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2169	percent of total billed charges	2169	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Sierra/HPN	HMO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Silversummit Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2120	percent of total billed charges	2120	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Teachers Trust	PPO		65	65% of all negotiated rates	1141	percent of total billed charges	1141	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	TriWest	PPO		30	30% of all negotiated rates	2283	percent of total billed charges	2283	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	978	percent of total billed charges	978	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	United Healthcare	PPO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3261	
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Aetna	PPO		120	120% of Aetna market fee schedule	303	fee schedule	303	3106	Coinsurance and deductible may apply
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	225	fee schedule	225	3106	Coinsurance and deductible may apply
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	225	fee schedule	225	3106	Coinsurance and deductible may apply
NM Bone Whole Body	78306	CPT	4078306	LOCAL	340	RC		outpatient			3261	2772	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	225	fee schedule	225	3106	Coinsurance and deductible may apply
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Aetna Medicare	HMO		26	26% of all negotiated rates	3538	percent of total billed charges	3538	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Alignment Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2391	percent of total billed charges	2391	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Cigna	PPO		68	68% of all negotiated rates	1530	percent of total billed charges	1530	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Coalition	PPO		57	57% of all negotiated rates	2056	percent of total billed charges	2056	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Coventry	PPO		75	75% of all negotiated rates	1195	percent of total billed charges	1195	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Humana-Commerical	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Multiplan	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	One Health	PPO		55	55% of all negotiated rates	2152	percent of total billed charges	2152	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Optum Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	P3	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Select Health	HMO		41	41% of all negotiated rates	2821	percent of total billed charges	2821	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3180	percent of total billed charges	3180	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Sierra/HPN	HMO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Silversummit Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3108	percent of total billed charges	3108	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Teachers Trust	PPO		65	65% of all negotiated rates	1674	percent of total billed charges	1674	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	TriWest	PPO		30	30% of all negotiated rates	3347	percent of total billed charges	3347	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	United Healthcare	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Aetna	PPO		120	120% of Aetna market fee schedule	368	fee schedule	368	4554	Coinsurance and deductible may apply
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	277	fee schedule	277	4554	Coinsurance and deductible may apply
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	277	fee schedule	277	4554	Coinsurance and deductible may apply
NM Cardiac Blood Pool Gated Single	78453	CPT	4078478	LOCAL	340	RC		outpatient			4782	4064	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	277	fee schedule	277	4554	Coinsurance and deductible may apply
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Aetna Medicare	HMO		26	26% of all negotiated rates	2093	percent of total billed charges	2093	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Alignment Medicare	HMO		39	39% of all negotiated rates	1726	percent of total billed charges	1726	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1131	percent of total billed charges	1131	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1414	percent of total billed charges	1414	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1726	percent of total billed charges	1726	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Cigna	PPO		68	68% of all negotiated rates	905	percent of total billed charges	905	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Coalition	PPO		57	57% of all negotiated rates	1216	percent of total billed charges	1216	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Coventry	PPO		75	75% of all negotiated rates	707	percent of total billed charges	707	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	566	percent of total billed charges	566	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Humana-Commerical	PPO		70	70% of all negotiated rates	849	percent of total billed charges	849	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1726	percent of total billed charges	1726	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Multiplan	PPO		80	80% of all negotiated rates	566	percent of total billed charges	566	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	One Health	PPO		55	55% of all negotiated rates	1273	percent of total billed charges	1273	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Optum Medicare	HMO		39	39% of all negotiated rates	1726	percent of total billed charges	1726	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	P3	HMO		39	39% of all negotiated rates	1726	percent of total billed charges	1726	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	849	percent of total billed charges	849	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Select Health	HMO		41	41% of all negotiated rates	1669	percent of total billed charges	1669	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1881	percent of total billed charges	1881	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Sierra/HPN	HMO		60	60% of all negotiated rates	1131	percent of total billed charges	1131	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Silversummit Medicare	HMO		39	39% of all negotiated rates	1726	percent of total billed charges	1726	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1839	percent of total billed charges	1839	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Teachers Trust	PPO		65	65% of all negotiated rates	990	percent of total billed charges	990	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	TriWest	PPO		30	30% of all negotiated rates	1980	percent of total billed charges	1980	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	849	percent of total billed charges	849	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	United Healthcare	PPO		60	60% of all negotiated rates	1131	percent of total billed charges	1131	2829	
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Aetna	PPO		120	120% of Aetna market fee schedule	347	fee schedule	347	2694	Coinsurance and deductible may apply
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	268	fee schedule	268	2694	Coinsurance and deductible may apply
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	268	fee schedule	268	2694	Coinsurance and deductible may apply
NM Gastric Emptying Study	78264	CPT	4078264	LOCAL	340	RC		outpatient			2829	2404	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	268	fee schedule	268	2694	Coinsurance and deductible may apply
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Aetna Medicare	HMO		26	26% of all negotiated rates	1596	percent of total billed charges	1596	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Alignment Medicare	HMO		39	39% of all negotiated rates	1316	percent of total billed charges	1316	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	863	percent of total billed charges	863	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1078	percent of total billed charges	1078	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1316	percent of total billed charges	1316	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Cigna	PPO		68	68% of all negotiated rates	690	percent of total billed charges	690	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Coalition	PPO		57	57% of all negotiated rates	927	percent of total billed charges	927	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Coventry	PPO		75	75% of all negotiated rates	539	percent of total billed charges	539	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	431	percent of total billed charges	431	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Humana-Commerical	PPO		70	70% of all negotiated rates	647	percent of total billed charges	647	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1316	percent of total billed charges	1316	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Multiplan	PPO		80	80% of all negotiated rates	431	percent of total billed charges	431	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	One Health	PPO		55	55% of all negotiated rates	971	percent of total billed charges	971	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Optum Medicare	HMO		39	39% of all negotiated rates	1316	percent of total billed charges	1316	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	P3	HMO		39	39% of all negotiated rates	1316	percent of total billed charges	1316	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	647	percent of total billed charges	647	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Select Health	HMO		41	41% of all negotiated rates	1272	percent of total billed charges	1272	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1434	percent of total billed charges	1434	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Sierra/HPN	HMO		60	60% of all negotiated rates	863	percent of total billed charges	863	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Silversummit Medicare	HMO		39	39% of all negotiated rates	1316	percent of total billed charges	1316	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1402	percent of total billed charges	1402	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Teachers Trust	PPO		65	65% of all negotiated rates	755	percent of total billed charges	755	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	TriWest	PPO		30	30% of all negotiated rates	1510	percent of total billed charges	1510	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	647	percent of total billed charges	647	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	United Healthcare	PPO		60	60% of all negotiated rates	863	percent of total billed charges	863	2157	
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Aetna	PPO		120	120% of Aetna market fee schedule	340	fee schedule	340	2054	Coinsurance and deductible may apply
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	2054	Coinsurance and deductible may apply
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	2054	Coinsurance and deductible may apply
NM Gastric Mucosa	78290	CPT	4078270	LOCAL	340	RC		outpatient			2157	1833	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	2054	Coinsurance and deductible may apply
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Aetna Medicare	HMO		26	26% of all negotiated rates	1931	percent of total billed charges	1931	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Alignment Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1044	percent of total billed charges	1044	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1305	percent of total billed charges	1305	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Cigna	PPO		68	68% of all negotiated rates	835	percent of total billed charges	835	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Coalition	PPO		57	57% of all negotiated rates	1122	percent of total billed charges	1122	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Coventry	PPO		75	75% of all negotiated rates	652	percent of total billed charges	652	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	522	percent of total billed charges	522	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Humana-Commerical	PPO		70	70% of all negotiated rates	783	percent of total billed charges	783	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Multiplan	PPO		80	80% of all negotiated rates	522	percent of total billed charges	522	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	One Health	PPO		55	55% of all negotiated rates	1174	percent of total billed charges	1174	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Optum Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	P3	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	783	percent of total billed charges	783	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Select Health	HMO		41	41% of all negotiated rates	1539	percent of total billed charges	1539	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1735	percent of total billed charges	1735	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Sierra/HPN	HMO		60	60% of all negotiated rates	1044	percent of total billed charges	1044	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Silversummit Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1696	percent of total billed charges	1696	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Teachers Trust	PPO		65	65% of all negotiated rates	913	percent of total billed charges	913	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	TriWest	PPO		30	30% of all negotiated rates	1826	percent of total billed charges	1826	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	783	percent of total billed charges	783	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	United Healthcare	PPO		60	60% of all negotiated rates	1044	percent of total billed charges	1044	2609	
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Aetna	PPO		120	120% of Aetna market fee schedule	422	fee schedule	422	2485	Coinsurance and deductible may apply
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	436	fee schedule	436	2485	Coinsurance and deductible may apply
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	436	fee schedule	436	2485	Coinsurance and deductible may apply
NM Hepa Duct System	78227	CPT	4072245	LOCAL	340	RC		outpatient			2609	2218	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	436	fee schedule	436	2485	Coinsurance and deductible may apply
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Aetna Medicare	HMO		26	26% of all negotiated rates	2486	percent of total billed charges	2486	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Alignment Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1344	percent of total billed charges	1344	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1680	percent of total billed charges	1680	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Cigna	PPO		68	68% of all negotiated rates	1075	percent of total billed charges	1075	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Coalition	PPO		57	57% of all negotiated rates	1445	percent of total billed charges	1445	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Coventry	PPO		75	75% of all negotiated rates	840	percent of total billed charges	840	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	672	percent of total billed charges	672	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Humana-Commerical	PPO		70	70% of all negotiated rates	1008	percent of total billed charges	1008	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Multiplan	PPO		80	80% of all negotiated rates	672	percent of total billed charges	672	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	One Health	PPO		55	55% of all negotiated rates	1512	percent of total billed charges	1512	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Optum Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	P3	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1008	percent of total billed charges	1008	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Select Health	HMO		41	41% of all negotiated rates	1982	percent of total billed charges	1982	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2234	percent of total billed charges	2234	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Sierra/HPN	HMO		60	60% of all negotiated rates	1344	percent of total billed charges	1344	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Silversummit Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2184	percent of total billed charges	2184	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Teachers Trust	PPO		65	65% of all negotiated rates	1176	percent of total billed charges	1176	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	TriWest	PPO		30	30% of all negotiated rates	2352	percent of total billed charges	2352	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1008	percent of total billed charges	1008	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	United Healthcare	PPO		60	60% of all negotiated rates	1344	percent of total billed charges	1344	3360	
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Aetna	PPO		120	120% of Aetna market fee schedule	205	fee schedule	205	3200	Coinsurance and deductible may apply
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	123	fee schedule	123	3200	Coinsurance and deductible may apply
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	123	fee schedule	123	3200	Coinsurance and deductible may apply
NM Kidney w/ Flow w/ + w/o Pharm	78708	CPT	4078708	LOCAL	340	RC		outpatient			3360	2856	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	123	fee schedule	123	3200	Coinsurance and deductible may apply
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Aetna Medicare	HMO		26	26% of all negotiated rates	1208	percent of total billed charges	1208	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Alignment Medicare	HMO		39	39% of all negotiated rates	996	percent of total billed charges	996	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	653	percent of total billed charges	653	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	816	percent of total billed charges	816	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	996	percent of total billed charges	996	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Cigna	PPO		68	68% of all negotiated rates	522	percent of total billed charges	522	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Coalition	PPO		57	57% of all negotiated rates	702	percent of total billed charges	702	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Coventry	PPO		75	75% of all negotiated rates	408	percent of total billed charges	408	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	327	percent of total billed charges	327	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Humana-Commerical	PPO		70	70% of all negotiated rates	490	percent of total billed charges	490	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	996	percent of total billed charges	996	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	One Health	PPO		55	55% of all negotiated rates	735	percent of total billed charges	735	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Optum Medicare	HMO		39	39% of all negotiated rates	996	percent of total billed charges	996	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	P3	HMO		39	39% of all negotiated rates	996	percent of total billed charges	996	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Select Health	HMO		41	41% of all negotiated rates	963	percent of total billed charges	963	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1086	percent of total billed charges	1086	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Sierra/HPN	HMO		60	60% of all negotiated rates	653	percent of total billed charges	653	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Silversummit Medicare	HMO		39	39% of all negotiated rates	996	percent of total billed charges	996	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	Teachers Trust	PPO		65	65% of all negotiated rates	571	percent of total billed charges	571	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	490	percent of total billed charges	490	1633	
NM Liver Spect	78206	CPT	4078205	LOCAL	340	RC		outpatient			1633	1388	United Healthcare	PPO		60	60% of all negotiated rates	653	percent of total billed charges	653	1633	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Aetna Medicare	HMO		26	26% of all negotiated rates	3538	percent of total billed charges	3538	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Alignment Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2391	percent of total billed charges	2391	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Cigna	PPO		68	68% of all negotiated rates	1530	percent of total billed charges	1530	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Coalition	PPO		57	57% of all negotiated rates	2056	percent of total billed charges	2056	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Coventry	PPO		75	75% of all negotiated rates	1195	percent of total billed charges	1195	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Humana-Commerical	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Multiplan	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	One Health	PPO		55	55% of all negotiated rates	2152	percent of total billed charges	2152	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Optum Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	P3	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Select Health	HMO		41	41% of all negotiated rates	2821	percent of total billed charges	2821	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3180	percent of total billed charges	3180	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Sierra/HPN	HMO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Silversummit Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3108	percent of total billed charges	3108	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Teachers Trust	PPO		65	65% of all negotiated rates	1674	percent of total billed charges	1674	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	TriWest	PPO		30	30% of all negotiated rates	3347	percent of total billed charges	3347	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	United Healthcare	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Aetna	PPO		120	120% of Aetna market fee schedule	590	fee schedule	590	4554	Coinsurance and deductible may apply
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	429	fee schedule	429	4554	Coinsurance and deductible may apply
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	429	fee schedule	429	4554	Coinsurance and deductible may apply
NM Myocard Perf Spect Mult Rest+Stress	78452	CPT	4078480	LOCAL	340	RC		outpatient			4782	4064	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	429	fee schedule	429	4554	Coinsurance and deductible may apply
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Aetna Medicare	HMO		26	26% of all negotiated rates	1223	percent of total billed charges	1223	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Alignment Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	661	percent of total billed charges	661	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	826	percent of total billed charges	826	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Cigna	PPO		68	68% of all negotiated rates	529	percent of total billed charges	529	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Coalition	PPO		57	57% of all negotiated rates	711	percent of total billed charges	711	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Coventry	PPO		75	75% of all negotiated rates	413	percent of total billed charges	413	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	331	percent of total billed charges	331	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Humana-Commerical	PPO		70	70% of all negotiated rates	496	percent of total billed charges	496	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Multiplan	PPO		80	80% of all negotiated rates	331	percent of total billed charges	331	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	One Health	PPO		55	55% of all negotiated rates	744	percent of total billed charges	744	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Optum Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	P3	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	496	percent of total billed charges	496	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Select Health	HMO		41	41% of all negotiated rates	975	percent of total billed charges	975	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1099	percent of total billed charges	1099	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Sierra/HPN	HMO		60	60% of all negotiated rates	661	percent of total billed charges	661	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Silversummit Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1074	percent of total billed charges	1074	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Teachers Trust	PPO		65	65% of all negotiated rates	578	percent of total billed charges	578	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	TriWest	PPO		30	30% of all negotiated rates	1157	percent of total billed charges	1157	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	496	percent of total billed charges	496	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	United Healthcare	PPO		60	60% of all negotiated rates	661	percent of total billed charges	661	1653	
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Aetna	PPO		120	120% of Aetna market fee schedule	318	fee schedule	318	1574	Coinsurance and deductible may apply
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	279	fee schedule	279	1574	Coinsurance and deductible may apply
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	279	fee schedule	279	1574	Coinsurance and deductible may apply
NM Parathyroid	78070	CPT	4078070	LOCAL	340	RC		outpatient			1653	1405	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	279	fee schedule	279	1574	Coinsurance and deductible may apply
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Aetna Medicare	HMO		26	26% of all negotiated rates	2262	percent of total billed charges	2262	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Alignment Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1223	percent of total billed charges	1223	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1528	percent of total billed charges	1528	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Cigna	PPO		68	68% of all negotiated rates	978	percent of total billed charges	978	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Coalition	PPO		57	57% of all negotiated rates	1314	percent of total billed charges	1314	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Coventry	PPO		75	75% of all negotiated rates	764	percent of total billed charges	764	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	611	percent of total billed charges	611	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Humana-Commerical	PPO		70	70% of all negotiated rates	917	percent of total billed charges	917	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Multiplan	PPO		80	80% of all negotiated rates	611	percent of total billed charges	611	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	One Health	PPO		55	55% of all negotiated rates	1375	percent of total billed charges	1375	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Optum Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	P3	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	917	percent of total billed charges	917	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Select Health	HMO		41	41% of all negotiated rates	1803	percent of total billed charges	1803	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2033	percent of total billed charges	2033	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Sierra/HPN	HMO		60	60% of all negotiated rates	1223	percent of total billed charges	1223	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Silversummit Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1987	percent of total billed charges	1987	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Teachers Trust	PPO		65	65% of all negotiated rates	1070	percent of total billed charges	1070	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	TriWest	PPO		30	30% of all negotiated rates	2140	percent of total billed charges	2140	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	917	percent of total billed charges	917	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	United Healthcare	PPO		60	60% of all negotiated rates	1223	percent of total billed charges	1223	3057	
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Aetna	PPO		120	120% of Aetna market fee schedule	458	fee schedule	458	2911	Coinsurance and deductible may apply
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	305	fee schedule	305	2911	Coinsurance and deductible may apply
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	305	fee schedule	305	2911	Coinsurance and deductible may apply
NM Pulm Perf +Vent Quantitative	78582	CPT	4078590	LOCAL	340	RC		outpatient			3057	2598	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	305	fee schedule	305	2911	Coinsurance and deductible may apply
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Aetna Medicare	HMO		26	26% of all negotiated rates	942	percent of total billed charges	942	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Alignment Medicare	HMO		39	39% of all negotiated rates	776	percent of total billed charges	776	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	509	percent of total billed charges	509	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	636	percent of total billed charges	636	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	776	percent of total billed charges	776	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Cigna	PPO		68	68% of all negotiated rates	407	percent of total billed charges	407	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Coalition	PPO		57	57% of all negotiated rates	547	percent of total billed charges	547	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Coventry	PPO		75	75% of all negotiated rates	318	percent of total billed charges	318	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	255	percent of total billed charges	255	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Humana-Commerical	PPO		70	70% of all negotiated rates	382	percent of total billed charges	382	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	776	percent of total billed charges	776	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Multiplan	PPO		80	80% of all negotiated rates	255	percent of total billed charges	255	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	One Health	PPO		55	55% of all negotiated rates	573	percent of total billed charges	573	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Optum Medicare	HMO		39	39% of all negotiated rates	776	percent of total billed charges	776	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	P3	HMO		39	39% of all negotiated rates	776	percent of total billed charges	776	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	382	percent of total billed charges	382	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Select Health	HMO		41	41% of all negotiated rates	751	percent of total billed charges	751	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	846	percent of total billed charges	846	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Sierra/HPN	HMO		60	60% of all negotiated rates	509	percent of total billed charges	509	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Silversummit Medicare	HMO		39	39% of all negotiated rates	776	percent of total billed charges	776	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	827	percent of total billed charges	827	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Teachers Trust	PPO		65	65% of all negotiated rates	445	percent of total billed charges	445	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	TriWest	PPO		30	30% of all negotiated rates	891	percent of total billed charges	891	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	382	percent of total billed charges	382	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	United Healthcare	PPO		60	60% of all negotiated rates	509	percent of total billed charges	509	1273	
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Aetna	PPO		120	120% of Aetna market fee schedule	98	fee schedule	98	1212	Coinsurance and deductible may apply
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	73	fee schedule	73	1212	Coinsurance and deductible may apply
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	73	fee schedule	73	1212	Coinsurance and deductible may apply
NM Thyroid Only	78012	CPT	4078010	LOCAL	340	RC		outpatient			1273	1082	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	73	fee schedule	73	1212	Coinsurance and deductible may apply
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Aetna Medicare	HMO		26	26% of all negotiated rates	5508	percent of total billed charges	5508	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Alignment Medicare	HMO		39	39% of all negotiated rates	4541	percent of total billed charges	4541	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2977	percent of total billed charges	2977	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3722	percent of total billed charges	3722	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4541	percent of total billed charges	4541	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Cigna	PPO		68	68% of all negotiated rates	2382	percent of total billed charges	2382	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Coalition	PPO		57	57% of all negotiated rates	3201	percent of total billed charges	3201	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Coventry	PPO		75	75% of all negotiated rates	1861	percent of total billed charges	1861	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1489	percent of total billed charges	1489	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Humana-Commerical	PPO		70	70% of all negotiated rates	2233	percent of total billed charges	2233	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4541	percent of total billed charges	4541	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Multiplan	PPO		80	80% of all negotiated rates	1489	percent of total billed charges	1489	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	One Health	PPO		55	55% of all negotiated rates	3350	percent of total billed charges	3350	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Optum Medicare	HMO		39	39% of all negotiated rates	4541	percent of total billed charges	4541	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	P3	HMO		39	39% of all negotiated rates	4541	percent of total billed charges	4541	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2233	percent of total billed charges	2233	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Select Health	HMO		41	41% of all negotiated rates	4392	percent of total billed charges	4392	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4950	percent of total billed charges	4950	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Sierra/HPN	HMO		60	60% of all negotiated rates	2977	percent of total billed charges	2977	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Silversummit Medicare	HMO		39	39% of all negotiated rates	4541	percent of total billed charges	4541	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4838	percent of total billed charges	4838	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Teachers Trust	PPO		65	65% of all negotiated rates	2605	percent of total billed charges	2605	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	TriWest	PPO		30	30% of all negotiated rates	5210	percent of total billed charges	5210	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2233	percent of total billed charges	2233	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	United Healthcare	PPO		60	60% of all negotiated rates	2977	percent of total billed charges	2977	7443	
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Aetna	PPO		120	120% of Aetna market fee schedule	391	fee schedule	391	7089	Coinsurance and deductible may apply
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	302	fee schedule	302	7089	Coinsurance and deductible may apply
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	302	fee schedule	302	7089	Coinsurance and deductible may apply
NM Tumor Loc Whole Body	78802	CPT	4078340	LOCAL	340	RC		outpatient			7443	6327	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	302	fee schedule	302	7089	Coinsurance and deductible may apply
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Aetna Medicare	HMO		26	26% of all negotiated rates	2974	percent of total billed charges	2974	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Alignment Medicare	HMO		39	39% of all negotiated rates	2452	percent of total billed charges	2452	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1608	percent of total billed charges	1608	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2010	percent of total billed charges	2010	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2452	percent of total billed charges	2452	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Cigna	PPO		68	68% of all negotiated rates	1286	percent of total billed charges	1286	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Coalition	PPO		57	57% of all negotiated rates	1728	percent of total billed charges	1728	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Coventry	PPO		75	75% of all negotiated rates	1005	percent of total billed charges	1005	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	804	percent of total billed charges	804	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Humana-Commerical	PPO		70	70% of all negotiated rates	1206	percent of total billed charges	1206	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2452	percent of total billed charges	2452	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	One Health	PPO		55	55% of all negotiated rates	1809	percent of total billed charges	1809	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Optum Medicare	HMO		39	39% of all negotiated rates	2452	percent of total billed charges	2452	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	P3	HMO		39	39% of all negotiated rates	2452	percent of total billed charges	2452	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Select Health	HMO		41	41% of all negotiated rates	2371	percent of total billed charges	2371	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2673	percent of total billed charges	2673	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Sierra/HPN	HMO		60	60% of all negotiated rates	1608	percent of total billed charges	1608	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Silversummit Medicare	HMO		39	39% of all negotiated rates	2452	percent of total billed charges	2452	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	Teachers Trust	PPO		65	65% of all negotiated rates	1407	percent of total billed charges	1407	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1206	percent of total billed charges	1206	4019	
NM Abscess Loc Whole Body	78806	CPT	4071930	LOCAL	341	RC		outpatient			4019	3416	United Healthcare	PPO		60	60% of all negotiated rates	1608	percent of total billed charges	1608	4019	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Aetna Medicare	HMO		26	26% of all negotiated rates	2030	percent of total billed charges	2030	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Alignment Medicare	HMO		39	39% of all negotiated rates	1673	percent of total billed charges	1673	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1097	percent of total billed charges	1097	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1371	percent of total billed charges	1371	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1673	percent of total billed charges	1673	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Cigna	PPO		68	68% of all negotiated rates	878	percent of total billed charges	878	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Coalition	PPO		57	57% of all negotiated rates	1179	percent of total billed charges	1179	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Coventry	PPO		75	75% of all negotiated rates	686	percent of total billed charges	686	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	549	percent of total billed charges	549	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Humana-Commerical	PPO		70	70% of all negotiated rates	823	percent of total billed charges	823	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1673	percent of total billed charges	1673	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Multiplan	PPO		80	80% of all negotiated rates	549	percent of total billed charges	549	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	One Health	PPO		55	55% of all negotiated rates	1234	percent of total billed charges	1234	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Optum Medicare	HMO		39	39% of all negotiated rates	1673	percent of total billed charges	1673	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	P3	HMO		39	39% of all negotiated rates	1673	percent of total billed charges	1673	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	823	percent of total billed charges	823	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Select Health	HMO		41	41% of all negotiated rates	1618	percent of total billed charges	1618	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1824	percent of total billed charges	1824	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Sierra/HPN	HMO		60	60% of all negotiated rates	1097	percent of total billed charges	1097	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Silversummit Medicare	HMO		39	39% of all negotiated rates	1673	percent of total billed charges	1673	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1783	percent of total billed charges	1783	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Teachers Trust	PPO		65	65% of all negotiated rates	960	percent of total billed charges	960	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	TriWest	PPO		30	30% of all negotiated rates	1920	percent of total billed charges	1920	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	823	percent of total billed charges	823	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	United Healthcare	PPO		60	60% of all negotiated rates	1097	percent of total billed charges	1097	2743	
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Aetna	PPO		120	120% of Aetna market fee schedule	357	fee schedule	357	2612	Coinsurance and deductible may apply
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	2612	Coinsurance and deductible may apply
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	2612	Coinsurance and deductible may apply
NM GI Blood Loss	78278	CPT	4072789	LOCAL	341	RC		outpatient			2743	2331	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	2612	Coinsurance and deductible may apply
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Aetna Medicare	HMO		26	26% of all negotiated rates	1931	percent of total billed charges	1931	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Alignment Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1044	percent of total billed charges	1044	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1305	percent of total billed charges	1305	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Cigna	PPO		68	68% of all negotiated rates	835	percent of total billed charges	835	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Coalition	PPO		57	57% of all negotiated rates	1122	percent of total billed charges	1122	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Coventry	PPO		75	75% of all negotiated rates	652	percent of total billed charges	652	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	522	percent of total billed charges	522	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Humana-Commerical	PPO		70	70% of all negotiated rates	783	percent of total billed charges	783	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Multiplan	PPO		80	80% of all negotiated rates	522	percent of total billed charges	522	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	One Health	PPO		55	55% of all negotiated rates	1174	percent of total billed charges	1174	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Optum Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	P3	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	783	percent of total billed charges	783	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Select Health	HMO		41	41% of all negotiated rates	1539	percent of total billed charges	1539	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1735	percent of total billed charges	1735	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Sierra/HPN	HMO		60	60% of all negotiated rates	1044	percent of total billed charges	1044	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Silversummit Medicare	HMO		39	39% of all negotiated rates	1592	percent of total billed charges	1592	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1696	percent of total billed charges	1696	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Teachers Trust	PPO		65	65% of all negotiated rates	913	percent of total billed charges	913	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	TriWest	PPO		30	30% of all negotiated rates	1826	percent of total billed charges	1826	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	783	percent of total billed charges	783	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	United Healthcare	PPO		60	60% of all negotiated rates	1044	percent of total billed charges	1044	2609	
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Aetna	PPO		120	120% of Aetna market fee schedule	237	fee schedule	237	2485	Coinsurance and deductible may apply
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	209	fee schedule	209	2485	Coinsurance and deductible may apply
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	209	fee schedule	209	2485	Coinsurance and deductible may apply
NM Liver +Spleen Static Only	78215	CPT	4072151	LOCAL	341	RC		outpatient			2609	2218	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	209	fee schedule	209	2485	Coinsurance and deductible may apply
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Aetna Medicare	HMO		26	26% of all negotiated rates	1287	percent of total billed charges	1287	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Alignment Medicare	HMO		39	39% of all negotiated rates	1061	percent of total billed charges	1061	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	696	percent of total billed charges	696	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	870	percent of total billed charges	870	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1061	percent of total billed charges	1061	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Cigna	PPO		68	68% of all negotiated rates	557	percent of total billed charges	557	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Coalition	PPO		57	57% of all negotiated rates	748	percent of total billed charges	748	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Coventry	PPO		75	75% of all negotiated rates	435	percent of total billed charges	435	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	348	percent of total billed charges	348	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Humana-Commerical	PPO		70	70% of all negotiated rates	522	percent of total billed charges	522	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1061	percent of total billed charges	1061	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Multiplan	PPO		80	80% of all negotiated rates	348	percent of total billed charges	348	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	One Health	PPO		55	55% of all negotiated rates	783	percent of total billed charges	783	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Optum Medicare	HMO		39	39% of all negotiated rates	1061	percent of total billed charges	1061	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	P3	HMO		39	39% of all negotiated rates	1061	percent of total billed charges	1061	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	522	percent of total billed charges	522	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Select Health	HMO		41	41% of all negotiated rates	1027	percent of total billed charges	1027	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1157	percent of total billed charges	1157	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Sierra/HPN	HMO		60	60% of all negotiated rates	696	percent of total billed charges	696	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Silversummit Medicare	HMO		39	39% of all negotiated rates	1061	percent of total billed charges	1061	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1131	percent of total billed charges	1131	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Teachers Trust	PPO		65	65% of all negotiated rates	609	percent of total billed charges	609	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	TriWest	PPO		30	30% of all negotiated rates	1218	percent of total billed charges	1218	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	522	percent of total billed charges	522	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	United Healthcare	PPO		60	60% of all negotiated rates	696	percent of total billed charges	696	1740	
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Aetna	PPO		120	120% of Aetna market fee schedule	288	fee schedule	288	1657	Coinsurance and deductible may apply
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1657	Coinsurance and deductible may apply
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1657	Coinsurance and deductible may apply
NM Pulm Perf w/ Vent	78580	CPT	4075808	LOCAL	341	RC		outpatient			1740	1479	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1657	Coinsurance and deductible may apply
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
NM Unlisted Procedure	78999	CPT	4079990	LOCAL	341	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Aetna Medicare	HMO		26	26% of all negotiated rates	3758	percent of total billed charges	3758	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Alignment Medicare	HMO		39	39% of all negotiated rates	3097	percent of total billed charges	3097	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2031	percent of total billed charges	2031	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2539	percent of total billed charges	2539	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3097	percent of total billed charges	3097	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Coventry	PPO		75	75% of all negotiated rates	1269	percent of total billed charges	1269	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1016	percent of total billed charges	1016	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Humana-Commerical	PPO		70	70% of all negotiated rates	1523	percent of total billed charges	1523	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3097	percent of total billed charges	3097	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Multiplan	PPO		80	80% of all negotiated rates	1016	percent of total billed charges	1016	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Optum Medicare	HMO		39	39% of all negotiated rates	3097	percent of total billed charges	3097	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	P3	HMO		39	39% of all negotiated rates	3097	percent of total billed charges	3097	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Select Health	HMO		41	41% of all negotiated rates	2996	percent of total billed charges	2996	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3377	percent of total billed charges	3377	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	Sierra/HPN	HMO		60	60% of all negotiated rates	2031	percent of total billed charges	2031	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Silversummit Medicare	HMO		39	39% of all negotiated rates	3097	percent of total billed charges	3097	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	TriWest	PPO		30	30% of all negotiated rates	3554	percent of total billed charges	3554	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	United Healthcare	PPO		60	60% of all negotiated rates	2031	percent of total billed charges	2031	5078	
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Aetna	PPO	425		case rate	425	case rate	425	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	318	fee schedule	318	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	Cigna	PPO	632.07		case rate	632	case rate	632	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	Coalition	PPO	861		case rate	861	case rate	861	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	318	fee schedule	318	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		both			5078	4316	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	318	fee schedule	318	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	One Health	PPO	694		case rate	694	case rate	694	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	Teachers Trust	PPO	707		case rate	707	case rate	707	4836	Coinsurance and deductible may apply
CT Angio Abdomen + Pelvis w/Runoff	75635	CPT	4060154	LOCAL	350	RC		outpatient			5078	4316	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4836	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	233	fee schedule	233	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	233	fee schedule	233	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	233	fee schedule	233	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Angio Neck w/ Cont	70492	CPT	4060492	LOCAL	350	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Aetna Medicare	HMO		26	26% of all negotiated rates	706	percent of total billed charges	706	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Alignment Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	477	percent of total billed charges	477	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Coventry	PPO		75	75% of all negotiated rates	239	percent of total billed charges	239	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Humana-Commerical	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Multiplan	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Optum Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	P3	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Select Health	HMO		41	41% of all negotiated rates	563	percent of total billed charges	563	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	635	percent of total billed charges	635	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	Sierra/HPN	HMO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Silversummit Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	TriWest	PPO		30	30% of all negotiated rates	668	percent of total billed charges	668	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	United Healthcare	PPO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Aetna	PPO	425		case rate	425	case rate	425	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	109	fee schedule	109	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	Cigna	PPO	632.07		case rate	632	case rate	632	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	Coalition	PPO	861		case rate	861	case rate	861	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	109	fee schedule	109	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		both			954	811	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	109	fee schedule	109	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	One Health	PPO	694		case rate	694	case rate	694	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	Teachers Trust	PPO	707		case rate	707	case rate	707	909	Coinsurance and deductible may apply
CT Ltd or Localized Fol-Up	76380	CPT	4063801	LOCAL	350	RC		outpatient			954	811	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	909	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Sinus Ltd	70486	CPT	4064366	LOCAL	350	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Aetna Medicare	HMO		26	26% of all negotiated rates	2817	percent of total billed charges	2817	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Alignment Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1523	percent of total billed charges	1523	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1904	percent of total billed charges	1904	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Coventry	PPO		75	75% of all negotiated rates	952	percent of total billed charges	952	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	761	percent of total billed charges	761	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Humana-Commerical	PPO		70	70% of all negotiated rates	1142	percent of total billed charges	1142	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Multiplan	PPO		80	80% of all negotiated rates	761	percent of total billed charges	761	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Optum Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	P3	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Select Health	HMO		41	41% of all negotiated rates	2246	percent of total billed charges	2246	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2532	percent of total billed charges	2532	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	Sierra/HPN	HMO		60	60% of all negotiated rates	1523	percent of total billed charges	1523	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Silversummit Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	TriWest	PPO		30	30% of all negotiated rates	2665	percent of total billed charges	2665	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	United Healthcare	PPO		60	60% of all negotiated rates	1523	percent of total billed charges	1523	3807	
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Aetna	PPO	425		case rate	425	case rate	425	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	235	fee schedule	235	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	Cigna	PPO	632.07		case rate	632	case rate	632	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	Coalition	PPO	861		case rate	861	case rate	861	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	235	fee schedule	235	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		both			3807	3236	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	235	fee schedule	235	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	One Health	PPO	694		case rate	694	case rate	694	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	Teachers Trust	PPO	707		case rate	707	case rate	707	3626	Coinsurance and deductible may apply
CT Spine Cervical w/ + w/o Cont	72127	CPT	4062127	LOCAL	350	RC		outpatient			3807	3236	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3626	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Aetna Medicare	HMO		26	26% of all negotiated rates	2329	percent of total billed charges	2329	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Alignment Medicare	HMO		39	39% of all negotiated rates	1920	percent of total billed charges	1920	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1259	percent of total billed charges	1259	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1574	percent of total billed charges	1574	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1920	percent of total billed charges	1920	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Coventry	PPO		75	75% of all negotiated rates	787	percent of total billed charges	787	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	630	percent of total billed charges	630	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Humana-Commerical	PPO		70	70% of all negotiated rates	944	percent of total billed charges	944	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1920	percent of total billed charges	1920	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Multiplan	PPO		80	80% of all negotiated rates	630	percent of total billed charges	630	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Optum Medicare	HMO		39	39% of all negotiated rates	1920	percent of total billed charges	1920	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	P3	HMO		39	39% of all negotiated rates	1920	percent of total billed charges	1920	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Select Health	HMO		41	41% of all negotiated rates	1857	percent of total billed charges	1857	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2093	percent of total billed charges	2093	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	Sierra/HPN	HMO		60	60% of all negotiated rates	1259	percent of total billed charges	1259	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Silversummit Medicare	HMO		39	39% of all negotiated rates	1920	percent of total billed charges	1920	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	TriWest	PPO		30	30% of all negotiated rates	2204	percent of total billed charges	2204	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	United Healthcare	PPO		60	60% of all negotiated rates	1259	percent of total billed charges	1259	3148	
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Aetna	PPO	425		case rate	425	case rate	425	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	236	fee schedule	236	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	Cigna	PPO	632.07		case rate	632	case rate	632	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	Coalition	PPO	861		case rate	861	case rate	861	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	236	fee schedule	236	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		both			3148	2676	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	236	fee schedule	236	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	One Health	PPO	694		case rate	694	case rate	694	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	Teachers Trust	PPO	707		case rate	707	case rate	707	2998	Coinsurance and deductible may apply
CT Spine Lumbar w/ + w/o Cont	72133	CPT	4062133	LOCAL	350	RC		outpatient			3148	2676	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2998	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Aetna Medicare	HMO		26	26% of all negotiated rates	3697	percent of total billed charges	3697	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Alignment Medicare	HMO		39	39% of all negotiated rates	3047	percent of total billed charges	3047	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1998	percent of total billed charges	1998	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2498	percent of total billed charges	2498	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3047	percent of total billed charges	3047	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Coventry	PPO		75	75% of all negotiated rates	1249	percent of total billed charges	1249	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	999	percent of total billed charges	999	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Humana-Commerical	PPO		70	70% of all negotiated rates	1499	percent of total billed charges	1499	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3047	percent of total billed charges	3047	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Multiplan	PPO		80	80% of all negotiated rates	999	percent of total billed charges	999	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Optum Medicare	HMO		39	39% of all negotiated rates	3047	percent of total billed charges	3047	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	P3	HMO		39	39% of all negotiated rates	3047	percent of total billed charges	3047	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Select Health	HMO		41	41% of all negotiated rates	2948	percent of total billed charges	2948	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3322	percent of total billed charges	3322	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	Sierra/HPN	HMO		60	60% of all negotiated rates	1998	percent of total billed charges	1998	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Silversummit Medicare	HMO		39	39% of all negotiated rates	3047	percent of total billed charges	3047	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	TriWest	PPO		30	30% of all negotiated rates	3497	percent of total billed charges	3497	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	United Healthcare	PPO		60	60% of all negotiated rates	1998	percent of total billed charges	1998	4996	
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Aetna	PPO	425		case rate	425	case rate	425	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	382	fee schedule	382	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	Cigna	PPO	632.07		case rate	632	case rate	632	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	Coalition	PPO	861		case rate	861	case rate	861	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	382	fee schedule	382	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		both			4996	4247	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	382	fee schedule	382	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	One Health	PPO	694		case rate	694	case rate	694	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	Teachers Trust	PPO	707		case rate	707	case rate	707	4758	Coinsurance and deductible may apply
CT Angio Head	70496	CPT	4060510	LOCAL	351	RC		outpatient			4996	4247	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4758	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Aetna Medicare	HMO		26	26% of all negotiated rates	3169	percent of total billed charges	3169	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Alignment Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2141	percent of total billed charges	2141	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Coventry	PPO		75	75% of all negotiated rates	1071	percent of total billed charges	1071	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	857	percent of total billed charges	857	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Humana-Commerical	PPO		70	70% of all negotiated rates	1285	percent of total billed charges	1285	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Multiplan	PPO		80	80% of all negotiated rates	857	percent of total billed charges	857	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Optum Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	P3	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Select Health	HMO		41	41% of all negotiated rates	2527	percent of total billed charges	2527	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2848	percent of total billed charges	2848	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	Sierra/HPN	HMO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Silversummit Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	TriWest	PPO		30	30% of all negotiated rates	2998	percent of total billed charges	2998	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	United Healthcare	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Aetna	PPO	425		case rate	425	case rate	425	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	382	fee schedule	382	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	Cigna	PPO	632.07		case rate	632	case rate	632	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	Coalition	PPO	861		case rate	861	case rate	861	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	382	fee schedule	382	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		both			4283	3641	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	382	fee schedule	382	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	One Health	PPO	694		case rate	694	case rate	694	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	Teachers Trust	PPO	707		case rate	707	case rate	707	4079	Coinsurance and deductible may apply
CT Angio Head +Angio Neck w/ + w/o Cont	70496	CPT	4060510	LOCAL	351	RC		outpatient			4283	3641	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4079	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	148	fee schedule	148	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	148	fee schedule	148	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	148	fee schedule	148	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Head or Brain w/ + w/o Cont	70470	CPT	4064700	LOCAL	351	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Aetna Medicare	HMO		26	26% of all negotiated rates	3231	percent of total billed charges	3231	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Alignment Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2183	percent of total billed charges	2183	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Humana-Commerical	PPO		70	70% of all negotiated rates	1310	percent of total billed charges	1310	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Optum Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	P3	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Select Health	HMO		41	41% of all negotiated rates	2576	percent of total billed charges	2576	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2903	percent of total billed charges	2903	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	Sierra/HPN	HMO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Silversummit Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	TriWest	PPO		30	30% of all negotiated rates	3056	percent of total billed charges	3056	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	United Healthcare	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Aetna	PPO	425		case rate	425	case rate	425	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	120	fee schedule	120	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	Cigna	PPO	632.07		case rate	632	case rate	632	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	Coalition	PPO	861		case rate	861	case rate	861	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	120	fee schedule	120	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		both			4366	3711	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	120	fee schedule	120	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	One Health	PPO	694		case rate	694	case rate	694	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	Teachers Trust	PPO	707		case rate	707	case rate	707	4158	Coinsurance and deductible may apply
CT Head or Brain w/ Cont	70460	CPT	4064601	LOCAL	351	RC		outpatient			4366	3711	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4158	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	87	fee schedule	87	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	87	fee schedule	87	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	87	fee schedule	87	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Head or Brain w/o Cont	70450	CPT	4064502	LOCAL	351	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ + w/o Cont	70488	CPT	4064882	LOCAL	351	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Aetna Medicare	HMO		26	26% of all negotiated rates	2486	percent of total billed charges	2486	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Alignment Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1344	percent of total billed charges	1344	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1680	percent of total billed charges	1680	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Coventry	PPO		75	75% of all negotiated rates	840	percent of total billed charges	840	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	672	percent of total billed charges	672	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Humana-Commerical	PPO		70	70% of all negotiated rates	1008	percent of total billed charges	1008	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Multiplan	PPO		80	80% of all negotiated rates	672	percent of total billed charges	672	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Optum Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	P3	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Select Health	HMO		41	41% of all negotiated rates	1982	percent of total billed charges	1982	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2234	percent of total billed charges	2234	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	Sierra/HPN	HMO		60	60% of all negotiated rates	1344	percent of total billed charges	1344	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Silversummit Medicare	HMO		39	39% of all negotiated rates	2050	percent of total billed charges	2050	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	TriWest	PPO		30	30% of all negotiated rates	2352	percent of total billed charges	2352	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	United Healthcare	PPO		60	60% of all negotiated rates	1344	percent of total billed charges	1344	3360	
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Aetna	PPO	425		case rate	425	case rate	425	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	Cigna	PPO	632.07		case rate	632	case rate	632	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	Coalition	PPO	861		case rate	861	case rate	861	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		both			3360	2856	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	One Health	PPO	694		case rate	694	case rate	694	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	Teachers Trust	PPO	707		case rate	707	case rate	707	3200	Coinsurance and deductible may apply
CT Maxillofacial w/ Cont	70487	CPT	4064874	LOCAL	351	RC		outpatient			3360	2856	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3200	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Maxillofacial w/o Cont	70486	CPT	4064866	LOCAL	351	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	233	fee schedule	233	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	233	fee schedule	233	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	233	fee schedule	233	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ + w/o Cont	70492	CPT	4064924	LOCAL	351	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Aetna Medicare	HMO		26	26% of all negotiated rates	3148	percent of total billed charges	3148	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Alignment Medicare	HMO		39	39% of all negotiated rates	2595	percent of total billed charges	2595	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1702	percent of total billed charges	1702	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2127	percent of total billed charges	2127	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2595	percent of total billed charges	2595	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Coventry	PPO		75	75% of all negotiated rates	1064	percent of total billed charges	1064	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	851	percent of total billed charges	851	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Humana-Commerical	PPO		70	70% of all negotiated rates	1276	percent of total billed charges	1276	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2595	percent of total billed charges	2595	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Multiplan	PPO		80	80% of all negotiated rates	851	percent of total billed charges	851	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Optum Medicare	HMO		39	39% of all negotiated rates	2595	percent of total billed charges	2595	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	P3	HMO		39	39% of all negotiated rates	2595	percent of total billed charges	2595	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Select Health	HMO		41	41% of all negotiated rates	2510	percent of total billed charges	2510	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2829	percent of total billed charges	2829	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	Sierra/HPN	HMO		60	60% of all negotiated rates	1702	percent of total billed charges	1702	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Silversummit Medicare	HMO		39	39% of all negotiated rates	2595	percent of total billed charges	2595	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	TriWest	PPO		30	30% of all negotiated rates	2978	percent of total billed charges	2978	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	United Healthcare	PPO		60	60% of all negotiated rates	1702	percent of total billed charges	1702	4255	
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Aetna	PPO	425		case rate	425	case rate	425	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	187	fee schedule	187	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	Cigna	PPO	632.07		case rate	632	case rate	632	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	Coalition	PPO	861		case rate	861	case rate	861	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	187	fee schedule	187	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		both			4255	3616	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	187	fee schedule	187	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	One Health	PPO	694		case rate	694	case rate	694	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	Teachers Trust	PPO	707		case rate	707	case rate	707	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/ Cont	70491	CPT	4064916	LOCAL	351	RC		outpatient			4255	3616	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4052	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Neck Soft Tissue w/o Cont	70490	CPT	4064908	LOCAL	351	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Aetna Medicare	HMO		26	26% of all negotiated rates	3046	percent of total billed charges	3046	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Alignment Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1646	percent of total billed charges	1646	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2058	percent of total billed charges	2058	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Coventry	PPO		75	75% of all negotiated rates	1029	percent of total billed charges	1029	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	823	percent of total billed charges	823	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Humana-Commerical	PPO		70	70% of all negotiated rates	1235	percent of total billed charges	1235	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Multiplan	PPO		80	80% of all negotiated rates	823	percent of total billed charges	823	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Optum Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	P3	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Select Health	HMO		41	41% of all negotiated rates	2428	percent of total billed charges	2428	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2737	percent of total billed charges	2737	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	Sierra/HPN	HMO		60	60% of all negotiated rates	1646	percent of total billed charges	1646	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Silversummit Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	TriWest	PPO		30	30% of all negotiated rates	2881	percent of total billed charges	2881	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	United Healthcare	PPO		60	60% of all negotiated rates	1646	percent of total billed charges	1646	4116	
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Aetna	PPO	425		case rate	425	case rate	425	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	267	fee schedule	267	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	Cigna	PPO	632.07		case rate	632	case rate	632	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	Coalition	PPO	861		case rate	861	case rate	861	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	267	fee schedule	267	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		both			4116	3499	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	267	fee schedule	267	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	One Health	PPO	694		case rate	694	case rate	694	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	Teachers Trust	PPO	707		case rate	707	case rate	707	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ + w/o Cont	70482	CPT	4060535	LOCAL	351	RC		outpatient			4116	3499	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3920	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Aetna Medicare	HMO		26	26% of all negotiated rates	2041	percent of total billed charges	2041	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Alignment Medicare	HMO		39	39% of all negotiated rates	1683	percent of total billed charges	1683	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1103	percent of total billed charges	1103	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1379	percent of total billed charges	1379	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1683	percent of total billed charges	1683	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Coventry	PPO		75	75% of all negotiated rates	690	percent of total billed charges	690	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	552	percent of total billed charges	552	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Humana-Commerical	PPO		70	70% of all negotiated rates	828	percent of total billed charges	828	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1683	percent of total billed charges	1683	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Multiplan	PPO		80	80% of all negotiated rates	552	percent of total billed charges	552	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Optum Medicare	HMO		39	39% of all negotiated rates	1683	percent of total billed charges	1683	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	P3	HMO		39	39% of all negotiated rates	1683	percent of total billed charges	1683	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Select Health	HMO		41	41% of all negotiated rates	1627	percent of total billed charges	1627	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1834	percent of total billed charges	1834	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	Sierra/HPN	HMO		60	60% of all negotiated rates	1103	percent of total billed charges	1103	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Silversummit Medicare	HMO		39	39% of all negotiated rates	1683	percent of total billed charges	1683	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	TriWest	PPO		30	30% of all negotiated rates	1931	percent of total billed charges	1931	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	United Healthcare	PPO		60	60% of all negotiated rates	1103	percent of total billed charges	1103	2758	
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Aetna	PPO	425		case rate	425	case rate	425	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	Cigna	PPO	632.07		case rate	632	case rate	632	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	Coalition	PPO	861		case rate	861	case rate	861	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		both			2758	2345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	One Health	PPO	694		case rate	694	case rate	694	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	Teachers Trust	PPO	707		case rate	707	case rate	707	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/ Cont	70481	CPT	4064817	LOCAL	351	RC		outpatient			2758	2345	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2627	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	199	fee schedule	199	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	199	fee schedule	199	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	199	fee schedule	199	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Orbit Sella etc. or IAC w/o Cont	70480	CPT	4064809	LOCAL	351	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Aetna Medicare	HMO		26	26% of all negotiated rates	3169	percent of total billed charges	3169	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Alignment Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2141	percent of total billed charges	2141	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Coventry	PPO		75	75% of all negotiated rates	1071	percent of total billed charges	1071	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	857	percent of total billed charges	857	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Humana-Commerical	PPO		70	70% of all negotiated rates	1285	percent of total billed charges	1285	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Multiplan	PPO		80	80% of all negotiated rates	857	percent of total billed charges	857	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Optum Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	P3	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Select Health	HMO		41	41% of all negotiated rates	2527	percent of total billed charges	2527	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2848	percent of total billed charges	2848	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Sierra/HPN	HMO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Silversummit Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	TriWest	PPO		30	30% of all negotiated rates	2998	percent of total billed charges	2998	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1285	percent of total billed charges	1285	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	United Healthcare	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Aetna	PPO	425		case rate	425	case rate	425	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Cigna	PPO	632.07		case rate	632	case rate	632	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Coalition	PPO	861		case rate	861	case rate	861	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	One Health	PPO	694		case rate	694	case rate	694	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4079	Coinsurance and deductible may apply
BCH CT Angio Neck	70498	CPT	4060530	LOCAL	352	RC		outpatient			4283	3641	Teachers Trust	PPO	707		case rate	707	percent of total billed charges	707	4079	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Aetna Medicare	HMO		26	26% of all negotiated rates	3458	percent of total billed charges	3458	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Alignment Medicare	HMO		39	39% of all negotiated rates	2851	percent of total billed charges	2851	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1869	percent of total billed charges	1869	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2337	percent of total billed charges	2337	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2851	percent of total billed charges	2851	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Coventry	PPO		75	75% of all negotiated rates	1168	percent of total billed charges	1168	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	935	percent of total billed charges	935	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Humana-Commerical	PPO		70	70% of all negotiated rates	1402	percent of total billed charges	1402	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2851	percent of total billed charges	2851	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Multiplan	PPO		80	80% of all negotiated rates	935	percent of total billed charges	935	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Optum Medicare	HMO		39	39% of all negotiated rates	2851	percent of total billed charges	2851	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	P3	HMO		39	39% of all negotiated rates	2851	percent of total billed charges	2851	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Select Health	HMO		41	41% of all negotiated rates	2757	percent of total billed charges	2757	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3108	percent of total billed charges	3108	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	Sierra/HPN	HMO		60	60% of all negotiated rates	1869	percent of total billed charges	1869	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Silversummit Medicare	HMO		39	39% of all negotiated rates	2851	percent of total billed charges	2851	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	TriWest	PPO		30	30% of all negotiated rates	3271	percent of total billed charges	3271	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	United Healthcare	PPO		60	60% of all negotiated rates	1869	percent of total billed charges	1869	4674	
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Aetna	PPO	425		case rate	425	case rate	425	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	Cigna	PPO	632.07		case rate	632	case rate	632	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	Coalition	PPO	861		case rate	861	case rate	861	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		both			4674	3973	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	One Health	PPO	694		case rate	694	case rate	694	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	Teachers Trust	PPO	707		case rate	707	case rate	707	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ + w/o Cont	74178	CPT	4060104	LOCAL	352	RC		outpatient			4674	3973	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4451	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Aetna Medicare	HMO		26	26% of all negotiated rates	3216	percent of total billed charges	3216	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Alignment Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1738	percent of total billed charges	1738	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2173	percent of total billed charges	2173	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Coventry	PPO		75	75% of all negotiated rates	1086	percent of total billed charges	1086	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	869	percent of total billed charges	869	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Humana-Commerical	PPO		70	70% of all negotiated rates	1304	percent of total billed charges	1304	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Multiplan	PPO		80	80% of all negotiated rates	869	percent of total billed charges	869	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Optum Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	P3	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Select Health	HMO		41	41% of all negotiated rates	2564	percent of total billed charges	2564	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2890	percent of total billed charges	2890	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	Sierra/HPN	HMO		60	60% of all negotiated rates	1738	percent of total billed charges	1738	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Silversummit Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	TriWest	PPO		30	30% of all negotiated rates	3042	percent of total billed charges	3042	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	United Healthcare	PPO		60	60% of all negotiated rates	1738	percent of total billed charges	1738	4346	
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Aetna	PPO	425		case rate	425	case rate	425	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	248	fee schedule	248	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	Cigna	PPO	632.07		case rate	632	case rate	632	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	Coalition	PPO	861		case rate	861	case rate	861	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	248	fee schedule	248	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		both			4346	3694	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	248	fee schedule	248	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	One Health	PPO	694		case rate	694	case rate	694	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	Teachers Trust	PPO	707		case rate	707	case rate	707	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/ Cont	74177	CPT	4060103	LOCAL	352	RC		outpatient			4346	3694	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4139	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Aetna Medicare	HMO		26	26% of all negotiated rates	2413	percent of total billed charges	2413	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Alignment Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1631	percent of total billed charges	1631	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Coventry	PPO		75	75% of all negotiated rates	815	percent of total billed charges	815	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	652	percent of total billed charges	652	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Humana-Commerical	PPO		70	70% of all negotiated rates	978	percent of total billed charges	978	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Multiplan	PPO		80	80% of all negotiated rates	652	percent of total billed charges	652	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Optum Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	P3	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Select Health	HMO		41	41% of all negotiated rates	1924	percent of total billed charges	1924	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2169	percent of total billed charges	2169	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	Sierra/HPN	HMO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Silversummit Medicare	HMO		39	39% of all negotiated rates	1989	percent of total billed charges	1989	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	TriWest	PPO		30	30% of all negotiated rates	2283	percent of total billed charges	2283	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	United Healthcare	PPO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3261	
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Aetna	PPO	425		case rate	425	case rate	425	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	Cigna	PPO	632.07		case rate	632	case rate	632	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	Coalition	PPO	861		case rate	861	case rate	861	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		both			3261	2772	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	One Health	PPO	694		case rate	694	case rate	694	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	Teachers Trust	PPO	707		case rate	707	case rate	707	3106	Coinsurance and deductible may apply
CT Abdomen +Pelvis w/o Cont	74176	CPT	4060102	LOCAL	352	RC		outpatient			3261	2772	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3106	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	220	fee schedule	220	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	220	fee schedule	220	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	220	fee schedule	220	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Abdomen w/ + w/o Cont	74170	CPT	4061702	LOCAL	352	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Aetna Medicare	HMO		26	26% of all negotiated rates	3231	percent of total billed charges	3231	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Alignment Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2183	percent of total billed charges	2183	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Humana-Commerical	PPO		70	70% of all negotiated rates	1310	percent of total billed charges	1310	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Optum Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	P3	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Select Health	HMO		41	41% of all negotiated rates	2576	percent of total billed charges	2576	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2903	percent of total billed charges	2903	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	Sierra/HPN	HMO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Silversummit Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	TriWest	PPO		30	30% of all negotiated rates	3056	percent of total billed charges	3056	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	United Healthcare	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Aetna	PPO	425		case rate	425	case rate	425	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	187	fee schedule	187	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	Cigna	PPO	632.07		case rate	632	case rate	632	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	Coalition	PPO	861		case rate	861	case rate	861	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	187	fee schedule	187	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		both			4366	3711	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	187	fee schedule	187	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	One Health	PPO	694		case rate	694	case rate	694	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	Teachers Trust	PPO	707		case rate	707	case rate	707	4158	Coinsurance and deductible may apply
CT Abdomen w/ Cont	74160	CPT	4061603	LOCAL	352	RC		outpatient			4366	3711	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4158	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Abdomen w/o Cont	74150	CPT	4061504	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Aetna Medicare	HMO		26	26% of all negotiated rates	4235	percent of total billed charges	4235	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Alignment Medicare	HMO		39	39% of all negotiated rates	3491	percent of total billed charges	3491	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2289	percent of total billed charges	2289	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2862	percent of total billed charges	2862	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3491	percent of total billed charges	3491	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Coventry	PPO		75	75% of all negotiated rates	1431	percent of total billed charges	1431	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1145	percent of total billed charges	1145	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Humana-Commerical	PPO		70	70% of all negotiated rates	1717	percent of total billed charges	1717	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3491	percent of total billed charges	3491	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Multiplan	PPO		80	80% of all negotiated rates	1145	percent of total billed charges	1145	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Optum Medicare	HMO		39	39% of all negotiated rates	3491	percent of total billed charges	3491	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	P3	HMO		39	39% of all negotiated rates	3491	percent of total billed charges	3491	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Select Health	HMO		41	41% of all negotiated rates	3377	percent of total billed charges	3377	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3806	percent of total billed charges	3806	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	Sierra/HPN	HMO		60	60% of all negotiated rates	2289	percent of total billed charges	2289	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Silversummit Medicare	HMO		39	39% of all negotiated rates	3491	percent of total billed charges	3491	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	TriWest	PPO		30	30% of all negotiated rates	4006	percent of total billed charges	4006	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	United Healthcare	PPO		60	60% of all negotiated rates	2289	percent of total billed charges	2289	5724	
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Aetna	PPO	425		case rate	425	case rate	425	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	461	fee schedule	461	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	Cigna	PPO	632.07		case rate	632	case rate	632	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	Coalition	PPO	861		case rate	861	case rate	861	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	461	fee schedule	461	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		both			5724	4865	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	461	fee schedule	461	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	One Health	PPO	694		case rate	694	case rate	694	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	Teachers Trust	PPO	707		case rate	707	case rate	707	5451	Coinsurance and deductible may apply
CT Angio Abdomen +Pelvis w/ Cont	74174	CPT	4060520	LOCAL	352	RC		outpatient			5724	4865	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	5451	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Aetna Medicare	HMO		26	26% of all negotiated rates	3169	percent of total billed charges	3169	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Alignment Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2141	percent of total billed charges	2141	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Coventry	PPO		75	75% of all negotiated rates	1071	percent of total billed charges	1071	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	857	percent of total billed charges	857	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Humana-Commerical	PPO		70	70% of all negotiated rates	1285	percent of total billed charges	1285	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Multiplan	PPO		80	80% of all negotiated rates	857	percent of total billed charges	857	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Optum Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	P3	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Select Health	HMO		41	41% of all negotiated rates	2527	percent of total billed charges	2527	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2848	percent of total billed charges	2848	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	Sierra/HPN	HMO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Silversummit Medicare	HMO		39	39% of all negotiated rates	2613	percent of total billed charges	2613	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	TriWest	PPO		30	30% of all negotiated rates	2998	percent of total billed charges	2998	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	United Healthcare	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4283	
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Aetna	PPO	425		case rate	425	case rate	425	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	310	fee schedule	310	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	Cigna	PPO	632.07		case rate	632	case rate	632	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	Coalition	PPO	861		case rate	861	case rate	861	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	310	fee schedule	310	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		both			4283	3641	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	310	fee schedule	310	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	One Health	PPO	694		case rate	694	case rate	694	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	Teachers Trust	PPO	707		case rate	707	case rate	707	4079	Coinsurance and deductible may apply
CT Angio Abdomen w/ Cont	74175	CPT	4060525	LOCAL	352	RC		outpatient			4283	3641	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4079	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Aetna Medicare	HMO		26	26% of all negotiated rates	3231	percent of total billed charges	3231	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Alignment Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2183	percent of total billed charges	2183	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Humana-Commerical	PPO		70	70% of all negotiated rates	1310	percent of total billed charges	1310	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Optum Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	P3	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Select Health	HMO		41	41% of all negotiated rates	2576	percent of total billed charges	2576	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2903	percent of total billed charges	2903	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Sierra/HPN	HMO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Silversummit Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	TriWest	PPO		30	30% of all negotiated rates	3056	percent of total billed charges	3056	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	United Healthcare	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Aetna	PPO	425		case rate	425	case rate	425	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	295	fee schedule	295	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Cigna	PPO	632.07		case rate	632	case rate	632	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Coalition	PPO	861		case rate	861	case rate	861	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	295	fee schedule	295	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	295	fee schedule	295	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	One Health	PPO	694		case rate	694	case rate	694	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Teachers Trust	PPO	707		case rate	707	case rate	707	4158	Coinsurance and deductible may apply
CT Angio Chest +Abdomen +Pelvis w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Aetna Medicare	HMO		26	26% of all negotiated rates	3231	percent of total billed charges	3231	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Alignment Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2183	percent of total billed charges	2183	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Humana-Commerical	PPO		70	70% of all negotiated rates	1310	percent of total billed charges	1310	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Optum Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	P3	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Select Health	HMO		41	41% of all negotiated rates	2576	percent of total billed charges	2576	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2903	percent of total billed charges	2903	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Sierra/HPN	HMO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Silversummit Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	TriWest	PPO		30	30% of all negotiated rates	3056	percent of total billed charges	3056	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	United Healthcare	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Aetna	PPO	425		case rate	425	case rate	425	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	295	fee schedule	295	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Cigna	PPO	632.07		case rate	632	case rate	632	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Coalition	PPO	861		case rate	861	case rate	861	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	295	fee schedule	295	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		both			4366	3711	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	295	fee schedule	295	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	One Health	PPO	694		case rate	694	case rate	694	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	Teachers Trust	PPO	707		case rate	707	case rate	707	4158	Coinsurance and deductible may apply
CT Angio Chest PE w/ Cont	71275	CPT	4062604	LOCAL	352	RC		outpatient			4366	3711	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4158	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Aetna Medicare	HMO		26	26% of all negotiated rates	2385	percent of total billed charges	2385	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Alignment Medicare	HMO		39	39% of all negotiated rates	1966	percent of total billed charges	1966	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1289	percent of total billed charges	1289	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1612	percent of total billed charges	1612	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1966	percent of total billed charges	1966	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Coventry	PPO		75	75% of all negotiated rates	806	percent of total billed charges	806	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	645	percent of total billed charges	645	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Humana-Commerical	PPO		70	70% of all negotiated rates	967	percent of total billed charges	967	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1966	percent of total billed charges	1966	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Multiplan	PPO		80	80% of all negotiated rates	645	percent of total billed charges	645	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Optum Medicare	HMO		39	39% of all negotiated rates	1966	percent of total billed charges	1966	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	P3	HMO		39	39% of all negotiated rates	1966	percent of total billed charges	1966	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Select Health	HMO		41	41% of all negotiated rates	1902	percent of total billed charges	1902	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2144	percent of total billed charges	2144	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	Sierra/HPN	HMO		60	60% of all negotiated rates	1289	percent of total billed charges	1289	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Silversummit Medicare	HMO		39	39% of all negotiated rates	1966	percent of total billed charges	1966	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	TriWest	PPO		30	30% of all negotiated rates	2256	percent of total billed charges	2256	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	United Healthcare	PPO		60	60% of all negotiated rates	1289	percent of total billed charges	1289	3224	
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Aetna	PPO	425		case rate	425	case rate	425	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	Cigna	PPO	632.07		case rate	632	case rate	632	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	Coalition	PPO	861		case rate	861	case rate	861	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		both			3224	2740	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	One Health	PPO	694		case rate	694	case rate	694	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	Teachers Trust	PPO	707		case rate	707	case rate	707	3070	Coinsurance and deductible may apply
CT Biopsy	77012	CPT	4063607	LOCAL	352	RC		outpatient			3224	2740	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3070	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	234	fee schedule	234	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	234	fee schedule	234	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	234	fee schedule	234	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o Cont	71270	CPT	4062703	LOCAL	352	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Aetna Medicare	HMO		26	26% of all negotiated rates	3417	percent of total billed charges	3417	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Alignment Medicare	HMO		39	39% of all negotiated rates	2817	percent of total billed charges	2817	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1847	percent of total billed charges	1847	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2309	percent of total billed charges	2309	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2817	percent of total billed charges	2817	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Coventry	PPO		75	75% of all negotiated rates	1154	percent of total billed charges	1154	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	924	percent of total billed charges	924	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Humana-Commerical	PPO		70	70% of all negotiated rates	1385	percent of total billed charges	1385	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2817	percent of total billed charges	2817	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Multiplan	PPO		80	80% of all negotiated rates	924	percent of total billed charges	924	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Optum Medicare	HMO		39	39% of all negotiated rates	2817	percent of total billed charges	2817	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	P3	HMO		39	39% of all negotiated rates	2817	percent of total billed charges	2817	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Select Health	HMO		41	41% of all negotiated rates	2725	percent of total billed charges	2725	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3071	percent of total billed charges	3071	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	Sierra/HPN	HMO		60	60% of all negotiated rates	1847	percent of total billed charges	1847	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Silversummit Medicare	HMO		39	39% of all negotiated rates	2817	percent of total billed charges	2817	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	TriWest	PPO		30	30% of all negotiated rates	3233	percent of total billed charges	3233	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	United Healthcare	PPO		60	60% of all negotiated rates	1847	percent of total billed charges	1847	4618	
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Aetna	PPO	425		case rate	425	case rate	425	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	234	fee schedule	234	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	Cigna	PPO	632.07		case rate	632	case rate	632	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	Coalition	PPO	861		case rate	861	case rate	861	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	234	fee schedule	234	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		both			4618	3925	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	234	fee schedule	234	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	One Health	PPO	694		case rate	694	case rate	694	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	Teachers Trust	PPO	707		case rate	707	case rate	707	4398	Coinsurance and deductible may apply
CT Chest w/ + w/o contrast	71270	CPT	4069020	LOCAL	352	RC		outpatient			4618	3925	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4398	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Aetna Medicare	HMO		26	26% of all negotiated rates	2615	percent of total billed charges	2615	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Alignment Medicare	HMO		39	39% of all negotiated rates	2155	percent of total billed charges	2155	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1413	percent of total billed charges	1413	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1767	percent of total billed charges	1767	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2155	percent of total billed charges	2155	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Coventry	PPO		75	75% of all negotiated rates	883	percent of total billed charges	883	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	707	percent of total billed charges	707	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Humana-Commerical	PPO		70	70% of all negotiated rates	1060	percent of total billed charges	1060	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2155	percent of total billed charges	2155	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Multiplan	PPO		80	80% of all negotiated rates	707	percent of total billed charges	707	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Optum Medicare	HMO		39	39% of all negotiated rates	2155	percent of total billed charges	2155	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	P3	HMO		39	39% of all negotiated rates	2155	percent of total billed charges	2155	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Select Health	HMO		41	41% of all negotiated rates	2085	percent of total billed charges	2085	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2350	percent of total billed charges	2350	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	Sierra/HPN	HMO		60	60% of all negotiated rates	1413	percent of total billed charges	1413	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Silversummit Medicare	HMO		39	39% of all negotiated rates	2155	percent of total billed charges	2155	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	TriWest	PPO		30	30% of all negotiated rates	2473	percent of total billed charges	2473	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	United Healthcare	PPO		60	60% of all negotiated rates	1413	percent of total billed charges	1413	3533	
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Aetna	PPO	425		case rate	425	case rate	425	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	Cigna	PPO	632.07		case rate	632	case rate	632	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	Coalition	PPO	861		case rate	861	case rate	861	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		both			3533	3003	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	One Health	PPO	694		case rate	694	case rate	694	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	Teachers Trust	PPO	707		case rate	707	case rate	707	3365	Coinsurance and deductible may apply
CT Chest w/ Cont	71260	CPT	4062604	LOCAL	352	RC		outpatient			3533	3003	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3365	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Aetna Medicare	HMO		26	26% of all negotiated rates	2490	percent of total billed charges	2490	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Alignment Medicare	HMO		39	39% of all negotiated rates	2053	percent of total billed charges	2053	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1346	percent of total billed charges	1346	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1683	percent of total billed charges	1683	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2053	percent of total billed charges	2053	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Coventry	PPO		75	75% of all negotiated rates	841	percent of total billed charges	841	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	673	percent of total billed charges	673	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Humana-Commerical	PPO		70	70% of all negotiated rates	1010	percent of total billed charges	1010	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2053	percent of total billed charges	2053	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Multiplan	PPO		80	80% of all negotiated rates	673	percent of total billed charges	673	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Optum Medicare	HMO		39	39% of all negotiated rates	2053	percent of total billed charges	2053	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	P3	HMO		39	39% of all negotiated rates	2053	percent of total billed charges	2053	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Select Health	HMO		41	41% of all negotiated rates	1985	percent of total billed charges	1985	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2238	percent of total billed charges	2238	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	Sierra/HPN	HMO		60	60% of all negotiated rates	1346	percent of total billed charges	1346	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Silversummit Medicare	HMO		39	39% of all negotiated rates	2053	percent of total billed charges	2053	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	TriWest	PPO		30	30% of all negotiated rates	2356	percent of total billed charges	2356	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	United Healthcare	PPO		60	60% of all negotiated rates	1346	percent of total billed charges	1346	3365	
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Aetna	PPO	425		case rate	425	case rate	425	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	Cigna	PPO	632.07		case rate	632	case rate	632	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	Coalition	PPO	861		case rate	861	case rate	861	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		both			3365	2860	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	One Health	PPO	694		case rate	694	case rate	694	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	Teachers Trust	PPO	707		case rate	707	case rate	707	3205	Coinsurance and deductible may apply
CT Chest w/ Contrast	71260	CPT	4069015	LOCAL	352	RC		outpatient			3365	2860	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3205	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Chest w/o Cont	71250	CPT	4062505	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Aetna Medicare	HMO		26	26% of all negotiated rates	1800	percent of total billed charges	1800	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Alignment Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	973	percent of total billed charges	973	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1216	percent of total billed charges	1216	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Coventry	PPO		75	75% of all negotiated rates	608	percent of total billed charges	608	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	486	percent of total billed charges	486	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Humana-Commerical	PPO		70	70% of all negotiated rates	730	percent of total billed charges	730	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Multiplan	PPO		80	80% of all negotiated rates	486	percent of total billed charges	486	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Optum Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	P3	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Select Health	HMO		41	41% of all negotiated rates	1435	percent of total billed charges	1435	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1617	percent of total billed charges	1617	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	Sierra/HPN	HMO		60	60% of all negotiated rates	973	percent of total billed charges	973	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Silversummit Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	TriWest	PPO		30	30% of all negotiated rates	1702	percent of total billed charges	1702	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	United Healthcare	PPO		60	60% of all negotiated rates	973	percent of total billed charges	973	2432	
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Aetna	PPO	425		case rate	425	case rate	425	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	Cigna	PPO	632.07		case rate	632	case rate	632	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	Coalition	PPO	861		case rate	861	case rate	861	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		both			2432	2067	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	One Health	PPO	694		case rate	694	case rate	694	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	Teachers Trust	PPO	707		case rate	707	case rate	707	2316	Coinsurance and deductible may apply
CT Chest w/o contrast	71250	CPT	4069010	LOCAL	352	RC		outpatient			2432	2067	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2316	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Aetna Medicare	HMO		26	26% of all negotiated rates	2751	percent of total billed charges	2751	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Alignment Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1487	percent of total billed charges	1487	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1859	percent of total billed charges	1859	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Coventry	PPO		75	75% of all negotiated rates	929	percent of total billed charges	929	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	743	percent of total billed charges	743	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Humana-Commerical	PPO		70	70% of all negotiated rates	1115	percent of total billed charges	1115	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Multiplan	PPO		80	80% of all negotiated rates	743	percent of total billed charges	743	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Optum Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	P3	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Select Health	HMO		41	41% of all negotiated rates	2193	percent of total billed charges	2193	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2472	percent of total billed charges	2472	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Sierra/HPN	HMO		60	60% of all negotiated rates	1487	percent of total billed charges	1487	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Silversummit Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	TriWest	PPO		30	30% of all negotiated rates	2602	percent of total billed charges	2602	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	United Healthcare	PPO		60	60% of all negotiated rates	1487	percent of total billed charges	1487	3717	
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Aetna	PPO	425		case rate	425	case rate	425	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Cigna	PPO	632.07		case rate	632	case rate	632	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Coalition	PPO	861		case rate	861	case rate	861	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	One Health	PPO	694		case rate	694	case rate	694	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Teachers Trust	PPO	707		case rate	707	case rate	707	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Lt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Aetna Medicare	HMO		26	26% of all negotiated rates	2751	percent of total billed charges	2751	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Alignment Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1487	percent of total billed charges	1487	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1859	percent of total billed charges	1859	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Coventry	PPO		75	75% of all negotiated rates	929	percent of total billed charges	929	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	743	percent of total billed charges	743	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Humana-Commerical	PPO		70	70% of all negotiated rates	1115	percent of total billed charges	1115	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Multiplan	PPO		80	80% of all negotiated rates	743	percent of total billed charges	743	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Optum Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	P3	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Select Health	HMO		41	41% of all negotiated rates	2193	percent of total billed charges	2193	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2472	percent of total billed charges	2472	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Sierra/HPN	HMO		60	60% of all negotiated rates	1487	percent of total billed charges	1487	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Silversummit Medicare	HMO		39	39% of all negotiated rates	2267	percent of total billed charges	2267	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	TriWest	PPO		30	30% of all negotiated rates	2602	percent of total billed charges	2602	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	United Healthcare	PPO		60	60% of all negotiated rates	1487	percent of total billed charges	1487	3717	
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Aetna	PPO	425		case rate	425	case rate	425	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Cigna	PPO	632.07		case rate	632	case rate	632	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Coalition	PPO	861		case rate	861	case rate	861	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		both			3717	3159	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	One Health	PPO	694		case rate	694	case rate	694	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	Teachers Trust	PPO	707		case rate	707	case rate	707	3540	Coinsurance and deductible may apply
CT LE w/ + w/o Cont Rt	73702	CPT	4067020	LOCAL	352	RC		outpatient			3717	3159	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3540	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Aetna Medicare	HMO		26	26% of all negotiated rates	1771	percent of total billed charges	1771	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Alignment Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	957	percent of total billed charges	957	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1196	percent of total billed charges	1196	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Coventry	PPO		75	75% of all negotiated rates	598	percent of total billed charges	598	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	479	percent of total billed charges	479	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Humana-Commerical	PPO		70	70% of all negotiated rates	718	percent of total billed charges	718	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Multiplan	PPO		80	80% of all negotiated rates	479	percent of total billed charges	479	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Optum Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	P3	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Select Health	HMO		41	41% of all negotiated rates	1412	percent of total billed charges	1412	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1591	percent of total billed charges	1591	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Sierra/HPN	HMO		60	60% of all negotiated rates	957	percent of total billed charges	957	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Silversummit Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	TriWest	PPO		30	30% of all negotiated rates	1675	percent of total billed charges	1675	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	United Healthcare	PPO		60	60% of all negotiated rates	957	percent of total billed charges	957	2393	
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Aetna	PPO	425		case rate	425	case rate	425	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Cigna	PPO	632.07		case rate	632	case rate	632	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Coalition	PPO	861		case rate	861	case rate	861	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	One Health	PPO	694		case rate	694	case rate	694	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Teachers Trust	PPO	707		case rate	707	case rate	707	2279	Coinsurance and deductible may apply
CT LE w/ Cont Lt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Aetna Medicare	HMO		26	26% of all negotiated rates	1771	percent of total billed charges	1771	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Alignment Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	957	percent of total billed charges	957	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1196	percent of total billed charges	1196	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Coventry	PPO		75	75% of all negotiated rates	598	percent of total billed charges	598	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	479	percent of total billed charges	479	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Humana-Commerical	PPO		70	70% of all negotiated rates	718	percent of total billed charges	718	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Multiplan	PPO		80	80% of all negotiated rates	479	percent of total billed charges	479	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Optum Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	P3	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Select Health	HMO		41	41% of all negotiated rates	1412	percent of total billed charges	1412	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1591	percent of total billed charges	1591	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Sierra/HPN	HMO		60	60% of all negotiated rates	957	percent of total billed charges	957	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Silversummit Medicare	HMO		39	39% of all negotiated rates	1460	percent of total billed charges	1460	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	TriWest	PPO		30	30% of all negotiated rates	1675	percent of total billed charges	1675	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	United Healthcare	PPO		60	60% of all negotiated rates	957	percent of total billed charges	957	2393	
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Aetna	PPO	425		case rate	425	case rate	425	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Cigna	PPO	632.07		case rate	632	case rate	632	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Coalition	PPO	861		case rate	861	case rate	861	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		both			2393	2034	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	One Health	PPO	694		case rate	694	case rate	694	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	Teachers Trust	PPO	707		case rate	707	case rate	707	2279	Coinsurance and deductible may apply
CT LE w/ Cont Rt	73701	CPT	4067015	LOCAL	352	RC		outpatient			2393	2034	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2279	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Aetna Medicare	HMO		26	26% of all negotiated rates	1601	percent of total billed charges	1601	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Alignment Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	866	percent of total billed charges	866	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1082	percent of total billed charges	1082	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Coventry	PPO		75	75% of all negotiated rates	541	percent of total billed charges	541	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	433	percent of total billed charges	433	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Humana-Commerical	PPO		70	70% of all negotiated rates	649	percent of total billed charges	649	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Multiplan	PPO		80	80% of all negotiated rates	433	percent of total billed charges	433	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Optum Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	P3	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Select Health	HMO		41	41% of all negotiated rates	1277	percent of total billed charges	1277	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1439	percent of total billed charges	1439	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Sierra/HPN	HMO		60	60% of all negotiated rates	866	percent of total billed charges	866	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Silversummit Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	TriWest	PPO		30	30% of all negotiated rates	1515	percent of total billed charges	1515	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	United Healthcare	PPO		60	60% of all negotiated rates	866	percent of total billed charges	866	2164	
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Aetna	PPO	425		case rate	425	case rate	425	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Cigna	PPO	632.07		case rate	632	case rate	632	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Coalition	PPO	861		case rate	861	case rate	861	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	One Health	PPO	694		case rate	694	case rate	694	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Teachers Trust	PPO	707		case rate	707	case rate	707	2061	Coinsurance and deductible may apply
CT LE w/o Cont Lt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Aetna Medicare	HMO		26	26% of all negotiated rates	1601	percent of total billed charges	1601	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Alignment Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	866	percent of total billed charges	866	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1082	percent of total billed charges	1082	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Coventry	PPO		75	75% of all negotiated rates	541	percent of total billed charges	541	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	433	percent of total billed charges	433	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Humana-Commerical	PPO		70	70% of all negotiated rates	649	percent of total billed charges	649	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Multiplan	PPO		80	80% of all negotiated rates	433	percent of total billed charges	433	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Optum Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	P3	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Select Health	HMO		41	41% of all negotiated rates	1277	percent of total billed charges	1277	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1439	percent of total billed charges	1439	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Sierra/HPN	HMO		60	60% of all negotiated rates	866	percent of total billed charges	866	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Silversummit Medicare	HMO		39	39% of all negotiated rates	1320	percent of total billed charges	1320	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	TriWest	PPO		30	30% of all negotiated rates	1515	percent of total billed charges	1515	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	United Healthcare	PPO		60	60% of all negotiated rates	866	percent of total billed charges	866	2164	
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Aetna	PPO	425		case rate	425	case rate	425	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Cigna	PPO	632.07		case rate	632	case rate	632	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Coalition	PPO	861		case rate	861	case rate	861	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		both			2164	1839	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	One Health	PPO	694		case rate	694	case rate	694	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	Teachers Trust	PPO	707		case rate	707	case rate	707	2061	Coinsurance and deductible may apply
CT LE w/o Cont Rt	73700	CPT	4067007	LOCAL	352	RC		outpatient			2164	1839	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2061	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Aetna Medicare	HMO		26	26% of all negotiated rates	3588	percent of total billed charges	3588	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Alignment Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2424	percent of total billed charges	2424	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Coventry	PPO		75	75% of all negotiated rates	1212	percent of total billed charges	1212	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Humana-Commerical	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Optum Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	P3	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Select Health	HMO		41	41% of all negotiated rates	2861	percent of total billed charges	2861	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3225	percent of total billed charges	3225	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Silversummit Medicare	HMO		39	39% of all negotiated rates	2958	percent of total billed charges	2958	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	TriWest	PPO		30	30% of all negotiated rates	3394	percent of total billed charges	3394	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	United Healthcare	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4849	
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Aetna	PPO	425		case rate	425	case rate	425	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	228	fee schedule	228	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	Cigna	PPO	632.07		case rate	632	case rate	632	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	Coalition	PPO	861		case rate	861	case rate	861	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	228	fee schedule	228	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		both			4849	4122	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	228	fee schedule	228	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	One Health	PPO	694		case rate	694	case rate	694	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	Teachers Trust	PPO	707		case rate	707	case rate	707	4618	Coinsurance and deductible may apply
CT Pelvis w/ + w/o Cont	72194	CPT	4061944	LOCAL	352	RC		outpatient			4849	4122	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4618	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Aetna Medicare	HMO		26	26% of all negotiated rates	3231	percent of total billed charges	3231	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Alignment Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2183	percent of total billed charges	2183	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Humana-Commerical	PPO		70	70% of all negotiated rates	1310	percent of total billed charges	1310	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Optum Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	P3	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Select Health	HMO		41	41% of all negotiated rates	2576	percent of total billed charges	2576	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2903	percent of total billed charges	2903	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	Sierra/HPN	HMO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Silversummit Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	TriWest	PPO		30	30% of all negotiated rates	3056	percent of total billed charges	3056	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	United Healthcare	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Aetna	PPO	425		case rate	425	case rate	425	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	Cigna	PPO	632.07		case rate	632	case rate	632	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	Coalition	PPO	861		case rate	861	case rate	861	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		both			4366	3711	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	One Health	PPO	694		case rate	694	case rate	694	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	Teachers Trust	PPO	707		case rate	707	case rate	707	4158	Coinsurance and deductible may apply
CT Pelvis w/ Cont	72193	CPT	4061936	LOCAL	352	RC		outpatient			4366	3711	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4158	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	103	fee schedule	103	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	103	fee schedule	103	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	103	fee schedule	103	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Pelvis w/o Cont	72192	CPT	4061928	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Aetna Medicare	HMO		26	26% of all negotiated rates	2704	percent of total billed charges	2704	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Alignment Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1827	percent of total billed charges	1827	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Humana-Commerical	PPO		70	70% of all negotiated rates	1096	percent of total billed charges	1096	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Optum Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	P3	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Select Health	HMO		41	41% of all negotiated rates	2156	percent of total billed charges	2156	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2430	percent of total billed charges	2430	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Silversummit Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	TriWest	PPO		30	30% of all negotiated rates	2558	percent of total billed charges	2558	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	United Healthcare	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3654	
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Aetna	PPO	425		case rate	425	case rate	425	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	Cigna	PPO	632.07		case rate	632	case rate	632	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	Coalition	PPO	861		case rate	861	case rate	861	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		both			3654	3106	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	One Health	PPO	694		case rate	694	case rate	694	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	Teachers Trust	PPO	707		case rate	707	case rate	707	3480	Coinsurance and deductible may apply
CT Spine Cervical w/ Cont	72126	CPT	4061276	LOCAL	352	RC		outpatient			3654	3106	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3480	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	151	fee schedule	151	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	151	fee schedule	151	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	151	fee schedule	151	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Spine Cervical w/o Cont	72125	CPT	4061258	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Aetna Medicare	HMO		26	26% of all negotiated rates	3231	percent of total billed charges	3231	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Alignment Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2183	percent of total billed charges	2183	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Humana-Commerical	PPO		70	70% of all negotiated rates	1310	percent of total billed charges	1310	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Optum Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	P3	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Select Health	HMO		41	41% of all negotiated rates	2576	percent of total billed charges	2576	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2903	percent of total billed charges	2903	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	Sierra/HPN	HMO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Silversummit Medicare	HMO		39	39% of all negotiated rates	2663	percent of total billed charges	2663	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	TriWest	PPO		30	30% of all negotiated rates	3056	percent of total billed charges	3056	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	United Healthcare	PPO		60	60% of all negotiated rates	1746	percent of total billed charges	1746	4366	
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Aetna	PPO	425		case rate	425	case rate	425	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	Cigna	PPO	632.07		case rate	632	case rate	632	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	Coalition	PPO	861		case rate	861	case rate	861	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		both			4366	3711	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	One Health	PPO	694		case rate	694	case rate	694	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	Teachers Trust	PPO	707		case rate	707	case rate	707	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/ Cont	72132	CPT	4061274	LOCAL	352	RC		outpatient			4366	3711	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	4158	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	202	fee schedule	202	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	202	fee schedule	202	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	202	fee schedule	202	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Spine Lumbar w/o Cont	72131	CPT	4061316	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Aetna Medicare	HMO		26	26% of all negotiated rates	3046	percent of total billed charges	3046	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Alignment Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1646	percent of total billed charges	1646	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2058	percent of total billed charges	2058	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Coventry	PPO		75	75% of all negotiated rates	1029	percent of total billed charges	1029	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	823	percent of total billed charges	823	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Humana-Commerical	PPO		70	70% of all negotiated rates	1235	percent of total billed charges	1235	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Multiplan	PPO		80	80% of all negotiated rates	823	percent of total billed charges	823	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Optum Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	P3	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Select Health	HMO		41	41% of all negotiated rates	2428	percent of total billed charges	2428	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2737	percent of total billed charges	2737	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	Sierra/HPN	HMO		60	60% of all negotiated rates	1646	percent of total billed charges	1646	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Silversummit Medicare	HMO		39	39% of all negotiated rates	2511	percent of total billed charges	2511	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	TriWest	PPO		30	30% of all negotiated rates	2881	percent of total billed charges	2881	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	United Healthcare	PPO		60	60% of all negotiated rates	1646	percent of total billed charges	1646	4116	
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Aetna	PPO	425		case rate	425	case rate	425	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	239	fee schedule	239	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	Cigna	PPO	632.07		case rate	632	case rate	632	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	Coalition	PPO	861		case rate	861	case rate	861	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	239	fee schedule	239	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		both			4116	3499	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	239	fee schedule	239	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	One Health	PPO	694		case rate	694	case rate	694	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	Teachers Trust	PPO	707		case rate	707	case rate	707	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ + w/o Cont	72130	CPT	4060230	LOCAL	352	RC		outpatient			4116	3499	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3920	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Aetna Medicare	HMO		26	26% of all negotiated rates	2704	percent of total billed charges	2704	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Alignment Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1827	percent of total billed charges	1827	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Humana-Commerical	PPO		70	70% of all negotiated rates	1096	percent of total billed charges	1096	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Optum Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	P3	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Select Health	HMO		41	41% of all negotiated rates	2156	percent of total billed charges	2156	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2430	percent of total billed charges	2430	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Silversummit Medicare	HMO		39	39% of all negotiated rates	2229	percent of total billed charges	2229	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	TriWest	PPO		30	30% of all negotiated rates	2558	percent of total billed charges	2558	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	United Healthcare	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3654	
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Aetna	PPO	425		case rate	425	case rate	425	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	239	fee schedule	239	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	Cigna	PPO	632.07		case rate	632	case rate	632	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	Coalition	PPO	861		case rate	861	case rate	861	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	239	fee schedule	239	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		both			3654	3106	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	239	fee schedule	239	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	One Health	PPO	694		case rate	694	case rate	694	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	Teachers Trust	PPO	707		case rate	707	case rate	707	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/ Cont	72130	CPT	4060225	LOCAL	352	RC		outpatient			3654	3106	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3480	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	150	fee schedule	150	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	150	fee schedule	150	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	150	fee schedule	150	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT Spine Thoracic w/o Cont	72128	CPT	4061282	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Aetna Medicare	HMO		26	26% of all negotiated rates	2511	percent of total billed charges	2511	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Alignment Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1357	percent of total billed charges	1357	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1697	percent of total billed charges	1697	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Coventry	PPO		75	75% of all negotiated rates	848	percent of total billed charges	848	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	679	percent of total billed charges	679	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Humana-Commerical	PPO		70	70% of all negotiated rates	1018	percent of total billed charges	1018	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Multiplan	PPO		80	80% of all negotiated rates	679	percent of total billed charges	679	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Optum Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	P3	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Select Health	HMO		41	41% of all negotiated rates	2002	percent of total billed charges	2002	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2257	percent of total billed charges	2257	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Sierra/HPN	HMO		60	60% of all negotiated rates	1357	percent of total billed charges	1357	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Silversummit Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	TriWest	PPO		30	30% of all negotiated rates	2376	percent of total billed charges	2376	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	United Healthcare	PPO		60	60% of all negotiated rates	1357	percent of total billed charges	1357	3394	
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Aetna	PPO	425		case rate	425	case rate	425	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	252	fee schedule	252	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Cigna	PPO	632.07		case rate	632	case rate	632	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Coalition	PPO	861		case rate	861	case rate	861	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	252	fee schedule	252	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	252	fee schedule	252	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	One Health	PPO	694		case rate	694	case rate	694	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Teachers Trust	PPO	707		case rate	707	case rate	707	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Lt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Aetna Medicare	HMO		26	26% of all negotiated rates	2511	percent of total billed charges	2511	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Alignment Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1357	percent of total billed charges	1357	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1697	percent of total billed charges	1697	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Coventry	PPO		75	75% of all negotiated rates	848	percent of total billed charges	848	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	679	percent of total billed charges	679	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Humana-Commerical	PPO		70	70% of all negotiated rates	1018	percent of total billed charges	1018	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Multiplan	PPO		80	80% of all negotiated rates	679	percent of total billed charges	679	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Optum Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	P3	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Select Health	HMO		41	41% of all negotiated rates	2002	percent of total billed charges	2002	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2257	percent of total billed charges	2257	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Sierra/HPN	HMO		60	60% of all negotiated rates	1357	percent of total billed charges	1357	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Silversummit Medicare	HMO		39	39% of all negotiated rates	2070	percent of total billed charges	2070	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	TriWest	PPO		30	30% of all negotiated rates	2376	percent of total billed charges	2376	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	United Healthcare	PPO		60	60% of all negotiated rates	1357	percent of total billed charges	1357	3394	
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Aetna	PPO	425		case rate	425	case rate	425	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	252	fee schedule	252	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Cigna	PPO	632.07		case rate	632	case rate	632	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Coalition	PPO	861		case rate	861	case rate	861	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	252	fee schedule	252	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		both			3394	2885	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	252	fee schedule	252	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	One Health	PPO	694		case rate	694	case rate	694	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	Teachers Trust	PPO	707		case rate	707	case rate	707	3232	Coinsurance and deductible may apply
CT UE w/ + w/o Cont Rt	73202	CPT	4060106	LOCAL	352	RC		outpatient			3394	2885	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3232	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Aetna Medicare	HMO		26	26% of all negotiated rates	2630	percent of total billed charges	2630	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Alignment Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1422	percent of total billed charges	1422	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1777	percent of total billed charges	1777	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Coventry	PPO		75	75% of all negotiated rates	889	percent of total billed charges	889	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	711	percent of total billed charges	711	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Humana-Commerical	PPO		70	70% of all negotiated rates	1066	percent of total billed charges	1066	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Multiplan	PPO		80	80% of all negotiated rates	711	percent of total billed charges	711	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Optum Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	P3	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Select Health	HMO		41	41% of all negotiated rates	2097	percent of total billed charges	2097	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2364	percent of total billed charges	2364	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Sierra/HPN	HMO		60	60% of all negotiated rates	1422	percent of total billed charges	1422	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Silversummit Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	TriWest	PPO		30	30% of all negotiated rates	2488	percent of total billed charges	2488	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	United Healthcare	PPO		60	60% of all negotiated rates	1422	percent of total billed charges	1422	3554	
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Aetna	PPO	425		case rate	425	case rate	425	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Cigna	PPO	632.07		case rate	632	case rate	632	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Coalition	PPO	861		case rate	861	case rate	861	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	One Health	PPO	694		case rate	694	case rate	694	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Teachers Trust	PPO	707		case rate	707	case rate	707	3385	Coinsurance and deductible may apply
CT UE w/ Cont Lt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Aetna Medicare	HMO		26	26% of all negotiated rates	2630	percent of total billed charges	2630	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Alignment Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1422	percent of total billed charges	1422	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1777	percent of total billed charges	1777	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Coventry	PPO		75	75% of all negotiated rates	889	percent of total billed charges	889	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	711	percent of total billed charges	711	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Humana-Commerical	PPO		70	70% of all negotiated rates	1066	percent of total billed charges	1066	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Multiplan	PPO		80	80% of all negotiated rates	711	percent of total billed charges	711	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Optum Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	P3	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Select Health	HMO		41	41% of all negotiated rates	2097	percent of total billed charges	2097	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2364	percent of total billed charges	2364	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Sierra/HPN	HMO		60	60% of all negotiated rates	1422	percent of total billed charges	1422	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Silversummit Medicare	HMO		39	39% of all negotiated rates	2168	percent of total billed charges	2168	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	TriWest	PPO		30	30% of all negotiated rates	2488	percent of total billed charges	2488	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	United Healthcare	PPO		60	60% of all negotiated rates	1422	percent of total billed charges	1422	3554	
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Aetna	PPO	425		case rate	425	case rate	425	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Cigna	PPO	632.07		case rate	632	case rate	632	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Coalition	PPO	861		case rate	861	case rate	861	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		both			3554	3021	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	One Health	PPO	694		case rate	694	case rate	694	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	Teachers Trust	PPO	707		case rate	707	case rate	707	3385	Coinsurance and deductible may apply
CT UE w/ Cont Rt	73201	CPT	4060105	LOCAL	352	RC		outpatient			3554	3021	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	3385	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT UE w/o Cont Lt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Aetna Medicare	HMO		26	26% of all negotiated rates	1890	percent of total billed charges	1890	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Alignment Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1277	percent of total billed charges	1277	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Coventry	PPO		75	75% of all negotiated rates	638	percent of total billed charges	638	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Humana-Commerical	PPO		70	70% of all negotiated rates	766	percent of total billed charges	766	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Multiplan	PPO		80	80% of all negotiated rates	511	percent of total billed charges	511	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Optum Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	P3	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Select Health	HMO		41	41% of all negotiated rates	1507	percent of total billed charges	1507	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1698	percent of total billed charges	1698	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Sierra/HPN	HMO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Silversummit Medicare	HMO		39	39% of all negotiated rates	1558	percent of total billed charges	1558	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	TriWest	PPO		30	30% of all negotiated rates	1788	percent of total billed charges	1788	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	United Healthcare	PPO		60	60% of all negotiated rates	1021	percent of total billed charges	1021	2554	
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Aetna	PPO	425		case rate	425	case rate	425	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Cigna	PPO	632.07		case rate	632	case rate	632	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Coalition	PPO	861		case rate	861	case rate	861	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		both			2554	2171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	One Health	PPO	694		case rate	694	case rate	694	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Saint Mary's Health Plan	PPO	521		case rate	521	percent of total billed charges	521	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Southpoint (Gaghan South)	PPO	701.79		case rate	702	case rate	702	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	Teachers Trust	PPO	707		case rate	707	case rate	707	2432	Coinsurance and deductible may apply
CT UE w/o Cont Rt	73200	CPT	4062008	LOCAL	352	RC		outpatient			2554	2171	UHN-Universal Health Network	PPO	831.09		case rate	831	case rate	831	2432	Coinsurance and deductible may apply
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Aetna Medicare	HMO		26	26% of all negotiated rates	4110	percent of total billed charges	4110	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Alignment Medicare	HMO		39	39% of all negotiated rates	3388	percent of total billed charges	3388	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2222	percent of total billed charges	2222	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2777	percent of total billed charges	2777	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3388	percent of total billed charges	3388	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Cigna	PPO		68	68% of all negotiated rates	1777	percent of total billed charges	1777	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Coventry	PPO		75	75% of all negotiated rates	1389	percent of total billed charges	1389	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1111	percent of total billed charges	1111	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Humana-Commerical	PPO		70	70% of all negotiated rates	1666	percent of total billed charges	1666	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3388	percent of total billed charges	3388	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Multiplan	PPO		80	80% of all negotiated rates	1111	percent of total billed charges	1111	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Multiplan	HMO		80	80% of all negotiated rates	1111	percent of total billed charges	1111	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Optum Medicare	HMO		39	39% of all negotiated rates	3388	percent of total billed charges	3388	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	P3	HMO		39	39% of all negotiated rates	3388	percent of total billed charges	3388	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1666	percent of total billed charges	1666	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Saint Mary's Health Plan	HMO		70	70% of all negotiated rates	1666	percent of total billed charges	1666	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Select Health	HMO		41	41% of all negotiated rates	3277	percent of total billed charges	3277	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3694	percent of total billed charges	3694	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Sierra/HPN	HMO		60	60% of all negotiated rates	2222	percent of total billed charges	2222	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Silversummit Medicare	HMO		39	39% of all negotiated rates	3388	percent of total billed charges	3388	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3610	percent of total billed charges	3610	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3610	percent of total billed charges	3610	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	TriWest	PPO		30	30% of all negotiated rates	3888	percent of total billed charges	3888	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	TriWest	PPO		30	30% of all negotiated rates	3888	percent of total billed charges	3888	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1666	percent of total billed charges	1666	5555	
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Aetna	PPO	750		case rate	750	case rate	750	5290	Coinsurance and deductible may apply
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	5290	Coinsurance and deductible may apply
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	5290	Coinsurance and deductible may apply
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	5290	Coinsurance and deductible may apply
36569 INSERT PICC CATH CHARGE	36569	CPT	3026568	LOCAL	360	RC		outpatient			5555	4721	Teachers Trust	PPO	700		case rate	700	case rate	700	5290	Coinsurance and deductible may apply
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Aetna Medicare	HMO		26	26% of all negotiated rates	5902	percent of total billed charges	5902	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Alignment Medicare	HMO		39	39% of all negotiated rates	4865	percent of total billed charges	4865	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3190	percent of total billed charges	3190	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3988	percent of total billed charges	3988	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4865	percent of total billed charges	4865	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Cigna	PPO		68	68% of all negotiated rates	2552	percent of total billed charges	2552	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Coventry	PPO		75	75% of all negotiated rates	1994	percent of total billed charges	1994	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1595	percent of total billed charges	1595	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Humana-Commerical	PPO		70	70% of all negotiated rates	2393	percent of total billed charges	2393	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4865	percent of total billed charges	4865	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Multiplan	PPO		80	80% of all negotiated rates	1595	percent of total billed charges	1595	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Optum Medicare	HMO		39	39% of all negotiated rates	4865	percent of total billed charges	4865	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	P3	HMO		39	39% of all negotiated rates	4865	percent of total billed charges	4865	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2393	percent of total billed charges	2393	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Select Health	HMO		41	41% of all negotiated rates	4706	percent of total billed charges	4706	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5304	percent of total billed charges	5304	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Sierra/HPN	HMO		60	60% of all negotiated rates	3190	percent of total billed charges	3190	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Silversummit Medicare	HMO		39	39% of all negotiated rates	4865	percent of total billed charges	4865	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5184	percent of total billed charges	5184	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	TriWest	PPO		30	30% of all negotiated rates	5583	percent of total billed charges	5583	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2393	percent of total billed charges	2393	7976	
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Aetna	PPO	1150		case rate	1150	case rate	1150	7596	Coinsurance and deductible may apply
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	567	fee schedule	567	7596	Coinsurance and deductible may apply
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	567	fee schedule	567	7596	Coinsurance and deductible may apply
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	567	fee schedule	567	7596	Coinsurance and deductible may apply
Appendectomy Laparoscopic	44970	CPT	49044970	LOCAL	360	RC		outpatient			7976	6779	Teachers Trust	PPO	1505		case rate	1505	case rate	1505	7596	Coinsurance and deductible may apply
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Aetna Medicare	HMO		26	26% of all negotiated rates	5757	percent of total billed charges	5757	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Alignment Medicare	HMO		39	39% of all negotiated rates	4745	percent of total billed charges	4745	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3112	percent of total billed charges	3112	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3890	percent of total billed charges	3890	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4745	percent of total billed charges	4745	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Cigna	PPO		68	68% of all negotiated rates	2489	percent of total billed charges	2489	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Coventry	PPO		75	75% of all negotiated rates	1945	percent of total billed charges	1945	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1556	percent of total billed charges	1556	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Humana-Commerical	PPO		70	70% of all negotiated rates	2334	percent of total billed charges	2334	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4745	percent of total billed charges	4745	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Optum Medicare	HMO		39	39% of all negotiated rates	4745	percent of total billed charges	4745	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	P3	HMO		39	39% of all negotiated rates	4745	percent of total billed charges	4745	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Select Health	HMO		41	41% of all negotiated rates	4590	percent of total billed charges	4590	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5173	percent of total billed charges	5173	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Sierra/HPN	HMO		60	60% of all negotiated rates	3112	percent of total billed charges	3112	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Silversummit Medicare	HMO		39	39% of all negotiated rates	4745	percent of total billed charges	4745	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2334	percent of total billed charges	2334	7779	
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1392	fee schedule	1392	7409	Coinsurance and deductible may apply
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1392	fee schedule	1392	7409	Coinsurance and deductible may apply
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1392	fee schedule	1392	7409	Coinsurance and deductible may apply
Arthroplasty Shoulder	23472	CPT	36023472	LOCAL	360	RC		outpatient			7779	6613	Teachers Trust	PPO	2090		case rate	2090	case rate	2090	7409	Coinsurance and deductible may apply
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Aetna Medicare	HMO		26	26% of all negotiated rates	3366	percent of total billed charges	3366	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Alignment Medicare	HMO		39	39% of all negotiated rates	2775	percent of total billed charges	2775	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1819	percent of total billed charges	1819	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2274	percent of total billed charges	2274	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2775	percent of total billed charges	2775	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Cigna	PPO		68	68% of all negotiated rates	1456	percent of total billed charges	1456	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Coventry	PPO		75	75% of all negotiated rates	1137	percent of total billed charges	1137	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	910	percent of total billed charges	910	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Humana-Commerical	PPO		70	70% of all negotiated rates	1365	percent of total billed charges	1365	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2775	percent of total billed charges	2775	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Multiplan	PPO		80	80% of all negotiated rates	910	percent of total billed charges	910	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Optum Medicare	HMO		39	39% of all negotiated rates	2775	percent of total billed charges	2775	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	P3	HMO		39	39% of all negotiated rates	2775	percent of total billed charges	2775	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1365	percent of total billed charges	1365	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Select Health	HMO		41	41% of all negotiated rates	2684	percent of total billed charges	2684	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3025	percent of total billed charges	3025	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Sierra/HPN	HMO		60	60% of all negotiated rates	1819	percent of total billed charges	1819	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Silversummit Medicare	HMO		39	39% of all negotiated rates	2775	percent of total billed charges	2775	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2957	percent of total billed charges	2957	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	TriWest	PPO		30	30% of all negotiated rates	3184	percent of total billed charges	3184	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1365	percent of total billed charges	1365	4549	
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Aetna	PPO	1550		case rate	1550	case rate	1550	4332	Coinsurance and deductible may apply
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1023	fee schedule	1023	4332	Coinsurance and deductible may apply
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1023	fee schedule	1023	4332	Coinsurance and deductible may apply
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1023	fee schedule	1023	4332	Coinsurance and deductible may apply
Arthroscopy Shoulder with Subacromial Decompression and Rota	29827	CPT	36029827	LOCAL	360	RC		outpatient			4549	3866	Teachers Trust	PPO	1505		case rate	1505	case rate	1505	4332	Coinsurance and deductible may apply
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Aetna Medicare	HMO		26	26% of all negotiated rates	8855	percent of total billed charges	8855	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Alignment Medicare	HMO		39	39% of all negotiated rates	7300	percent of total billed charges	7300	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4787	percent of total billed charges	4787	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5983	percent of total billed charges	5983	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7300	percent of total billed charges	7300	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Cigna	PPO		68	68% of all negotiated rates	3829	percent of total billed charges	3829	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Coventry	PPO		75	75% of all negotiated rates	2992	percent of total billed charges	2992	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2393	percent of total billed charges	2393	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Humana-Commerical	PPO		70	70% of all negotiated rates	3590	percent of total billed charges	3590	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7300	percent of total billed charges	7300	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Multiplan	PPO		80	80% of all negotiated rates	2393	percent of total billed charges	2393	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Optum Medicare	HMO		39	39% of all negotiated rates	7300	percent of total billed charges	7300	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	P3	HMO		39	39% of all negotiated rates	7300	percent of total billed charges	7300	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3590	percent of total billed charges	3590	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Select Health	HMO		41	41% of all negotiated rates	7060	percent of total billed charges	7060	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	7958	percent of total billed charges	7958	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Sierra/HPN	HMO		60	60% of all negotiated rates	4787	percent of total billed charges	4787	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Silversummit Medicare	HMO		39	39% of all negotiated rates	7300	percent of total billed charges	7300	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	7778	percent of total billed charges	7778	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	TriWest	PPO		30	30% of all negotiated rates	8377	percent of total billed charges	8377	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3590	percent of total billed charges	3590	11967	
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Aetna	PPO	1750		case rate	1750	case rate	1750	11397	Coinsurance and deductible may apply
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1294	fee schedule	1294	11397	Coinsurance and deductible may apply
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1294	fee schedule	1294	11397	Coinsurance and deductible may apply
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	1294	fee schedule	1294	11397	Coinsurance and deductible may apply
Knee Arthroplasty	27447	CPT	36027447	LOCAL	360	RC		outpatient			11967	10172	Teachers Trust	PPO	1744		case rate	1744	case rate	1744	11397	Coinsurance and deductible may apply
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Aetna Medicare	HMO		26	26% of all negotiated rates	163	percent of total billed charges	163	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Alignment Medicare	HMO		39	39% of all negotiated rates	135	percent of total billed charges	135	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	88	percent of total billed charges	88	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	110	percent of total billed charges	110	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	135	percent of total billed charges	135	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Cigna	PPO		68	68% of all negotiated rates	71	percent of total billed charges	71	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Coventry	PPO		75	75% of all negotiated rates	55	percent of total billed charges	55	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	44	percent of total billed charges	44	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Humana-Commerical	PPO		70	70% of all negotiated rates	66	percent of total billed charges	66	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	135	percent of total billed charges	135	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Multiplan	PPO		80	80% of all negotiated rates	44	percent of total billed charges	44	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Optum Medicare	HMO		39	39% of all negotiated rates	135	percent of total billed charges	135	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	P3	HMO		39	39% of all negotiated rates	135	percent of total billed charges	135	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	66	percent of total billed charges	66	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Select Health	HMO		41	41% of all negotiated rates	130	percent of total billed charges	130	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	147	percent of total billed charges	147	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Sierra/HPN	HMO		60	60% of all negotiated rates	88	percent of total billed charges	88	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Silversummit Medicare	HMO		39	39% of all negotiated rates	135	percent of total billed charges	135	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	143	percent of total billed charges	143	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	TriWest	PPO		30	30% of all negotiated rates	154	percent of total billed charges	154	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	66	percent of total billed charges	66	221	
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Aetna	PPO	750		case rate	750	case rate	750	210	Coinsurance and deductible may apply
Nerve Block Popliteal	64455	CPT	36064455	LOCAL	360	RC		outpatient			221	187	Teachers Trust	PPO	700		case rate	700	case rate	700	210	Coinsurance and deductible may apply
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Aetna Medicare	HMO		26	26% of all negotiated rates	622	percent of total billed charges	622	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Alignment Medicare	HMO		39	39% of all negotiated rates	513	percent of total billed charges	513	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	336	percent of total billed charges	336	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	421	percent of total billed charges	421	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	513	percent of total billed charges	513	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Cigna	PPO		68	68% of all negotiated rates	269	percent of total billed charges	269	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Coventry	PPO		75	75% of all negotiated rates	210	percent of total billed charges	210	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Humana-Commerical	PPO		70	70% of all negotiated rates	252	percent of total billed charges	252	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	513	percent of total billed charges	513	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Multiplan	HMO		80	80% of all negotiated rates	168	percent of total billed charges	168	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Optum Medicare	HMO		39	39% of all negotiated rates	513	percent of total billed charges	513	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	P3	HMO		39	39% of all negotiated rates	513	percent of total billed charges	513	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Saint Mary's Health Plan	HMO		70	70% of all negotiated rates	252	percent of total billed charges	252	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Select Health	HMO		41	41% of all negotiated rates	496	percent of total billed charges	496	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	559	percent of total billed charges	559	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Sierra/HPN	HMO		60	60% of all negotiated rates	336	percent of total billed charges	336	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Silversummit Medicare	HMO		39	39% of all negotiated rates	513	percent of total billed charges	513	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	547	percent of total billed charges	547	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	TriWest	PPO		30	30% of all negotiated rates	589	percent of total billed charges	589	841	
43760 CHANGE G-TUBE CHARGE	43760	CPT	3020570	LOCAL	361	RC		outpatient			841	715	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	252	percent of total billed charges	252	841	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Aetna Medicare	HMO		26	26% of all negotiated rates	1261	percent of total billed charges	1261	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Alignment Medicare	HMO		39	39% of all negotiated rates	1040	percent of total billed charges	1040	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	682	percent of total billed charges	682	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	852	percent of total billed charges	852	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1040	percent of total billed charges	1040	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Cigna	PPO		68	68% of all negotiated rates	545	percent of total billed charges	545	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Coventry	PPO		75	75% of all negotiated rates	426	percent of total billed charges	426	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	341	percent of total billed charges	341	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Humana-Commerical	PPO		70	70% of all negotiated rates	511	percent of total billed charges	511	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1040	percent of total billed charges	1040	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Multiplan	PPO		80	80% of all negotiated rates	341	percent of total billed charges	341	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Optum Medicare	HMO		39	39% of all negotiated rates	1040	percent of total billed charges	1040	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	P3	HMO		39	39% of all negotiated rates	1040	percent of total billed charges	1040	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	511	percent of total billed charges	511	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Select Health	HMO		41	41% of all negotiated rates	1005	percent of total billed charges	1005	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1133	percent of total billed charges	1133	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Sierra/HPN	HMO		60	60% of all negotiated rates	682	percent of total billed charges	682	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Silversummit Medicare	HMO		39	39% of all negotiated rates	1040	percent of total billed charges	1040	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1108	percent of total billed charges	1108	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	TriWest	PPO		30	30% of all negotiated rates	1193	percent of total billed charges	1193	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	511	percent of total billed charges	511	1704	
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Aetna	PPO	750		case rate	750	case rate	750	1623	Coinsurance and deductible may apply
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	1623	Coinsurance and deductible may apply
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	1623	Coinsurance and deductible may apply
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	1623	Coinsurance and deductible may apply
XR Spine Puncture Lumbar Diag	62270	CPT	4052704	LOCAL	361	RC		outpatient			1704	1449	Teachers Trust	PPO	700		case rate	700	case rate	700	1623	Coinsurance and deductible may apply
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Aetna	PPO		38	38% of all negotiated rates	376	percent of total billed charges	376	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Aetna Medicare	HMO		26	26% of all negotiated rates	449	percent of total billed charges	449	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Alignment Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	243	percent of total billed charges	243	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	303	percent of total billed charges	303	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Cigna	PPO		68	68% of all negotiated rates	194	percent of total billed charges	194	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Coalition	PPO		49	49% of all negotiated rates	310	percent of total billed charges	310	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Humana-Commerical	PPO		70	70% of all negotiated rates	182	percent of total billed charges	182	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Multiplan	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	One Health	PPO		55	55% of all negotiated rates	273	percent of total billed charges	273	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Optum Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	P3	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	182	percent of total billed charges	182	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Select Health	HMO		41	41% of all negotiated rates	358	percent of total billed charges	358	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	404	percent of total billed charges	404	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Sierra/HPN	HMO		60	60% of all negotiated rates	243	percent of total billed charges	243	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Silversummit Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	394	percent of total billed charges	394	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	Teachers Trust	PPO		65	65% of all negotiated rates	212	percent of total billed charges	212	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	TriWest	PPO		30	30% of all negotiated rates	425	percent of total billed charges	425	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	182	percent of total billed charges	182	607	
Aph FFP CP2D Thawed			4023886	LOCAL	383	RC		outpatient			607	516	United Healthcare	PPO		60	60% of all negotiated rates	243	percent of total billed charges	243	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Aetna	PPO		38	38% of all negotiated rates	376	percent of total billed charges	376	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Aetna Medicare	HMO		26	26% of all negotiated rates	449	percent of total billed charges	449	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Alignment Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	243	percent of total billed charges	243	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	303	percent of total billed charges	303	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Cigna	PPO		68	68% of all negotiated rates	194	percent of total billed charges	194	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Coalition	PPO		49	49% of all negotiated rates	310	percent of total billed charges	310	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Humana-Commerical	PPO		70	70% of all negotiated rates	182	percent of total billed charges	182	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Multiplan	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	One Health	PPO		55	55% of all negotiated rates	273	percent of total billed charges	273	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Optum Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	P3	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	182	percent of total billed charges	182	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Select Health	HMO		41	41% of all negotiated rates	358	percent of total billed charges	358	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	404	percent of total billed charges	404	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Sierra/HPN	HMO		60	60% of all negotiated rates	243	percent of total billed charges	243	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Silversummit Medicare	HMO		39	39% of all negotiated rates	370	percent of total billed charges	370	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	394	percent of total billed charges	394	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	Teachers Trust	PPO		65	65% of all negotiated rates	212	percent of total billed charges	212	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	TriWest	PPO		30	30% of all negotiated rates	425	percent of total billed charges	425	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	182	percent of total billed charges	182	607	
Thawed Plasma CP2D <24h			4023886	LOCAL	383	RC		outpatient			607	516	United Healthcare	PPO		60	60% of all negotiated rates	243	percent of total billed charges	243	607	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 1			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 2			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR 3			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 1			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 2			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna	PPO		38	38% of all negotiated rates	817	percent of total billed charges	817	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Aetna Medicare	HMO		26	26% of all negotiated rates	975	percent of total billed charges	975	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Alignment Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	659	percent of total billed charges	659	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Cigna	PPO		68	68% of all negotiated rates	422	percent of total billed charges	422	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Coalition	PPO		49	49% of all negotiated rates	672	percent of total billed charges	672	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Coventry	PPO		75	75% of all negotiated rates	329	percent of total billed charges	329	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Commerical	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Multiplan	PPO		80	80% of all negotiated rates	264	percent of total billed charges	264	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	One Health	PPO		55	55% of all negotiated rates	593	percent of total billed charges	593	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Optum Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	P3	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Select Health	HMO		41	41% of all negotiated rates	777	percent of total billed charges	777	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	876	percent of total billed charges	876	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Sierra/HPN	HMO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Silversummit Medicare	HMO		39	39% of all negotiated rates	804	percent of total billed charges	804	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	857	percent of total billed charges	857	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	Teachers Trust	PPO		65	65% of all negotiated rates	461	percent of total billed charges	461	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	TriWest	PPO		30	30% of all negotiated rates	922	percent of total billed charges	922	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	395	percent of total billed charges	395	1318	
Aph Plt ACDA LR Irr 3			4021900	LOCAL	390	RC		outpatient			1318	1120	United Healthcare	PPO		60	60% of all negotiated rates	527	percent of total billed charges	527	1318	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS1 LR Irr1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC ACDA AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR 1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR 2			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr 1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Aph RBC CP2D AS3 LR Irr 2			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Aetna Medicare	HMO		26	26% of all negotiated rates	263	percent of total billed charges	263	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Alignment Medicare	HMO		39	39% of all negotiated rates	217	percent of total billed charges	217	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	142	percent of total billed charges	142	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	178	percent of total billed charges	178	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	217	percent of total billed charges	217	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Coalition	PPO		49	49% of all negotiated rates	182	percent of total billed charges	182	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	217	percent of total billed charges	217	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	One Health	PPO		55	55% of all negotiated rates	160	percent of total billed charges	160	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Optum Medicare	HMO		39	39% of all negotiated rates	217	percent of total billed charges	217	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	P3	HMO		39	39% of all negotiated rates	217	percent of total billed charges	217	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Select Health	HMO		41	41% of all negotiated rates	210	percent of total billed charges	210	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Sierra/HPN	HMO		60	60% of all negotiated rates	142	percent of total billed charges	142	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	217	percent of total billed charges	217	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	231	percent of total billed charges	231	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	TriWest	PPO		30	30% of all negotiated rates	249	percent of total billed charges	249	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	United Healthcare	PPO		60	60% of all negotiated rates	142	percent of total billed charges	142	356	
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	339	Coinsurance and deductible may apply
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	339	Coinsurance and deductible may apply
Bill RBC Pretx Incubation w/ Ch	86970	CPT	4024285SO	LOCAL	390	RC		outpatient			356	303	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	339	Coinsurance and deductible may apply
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Aetna	PPO		38	38% of all negotiated rates	240	percent of total billed charges	240	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Aetna Medicare	HMO		26	26% of all negotiated rates	286	percent of total billed charges	286	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Alignment Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	155	percent of total billed charges	155	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	193	percent of total billed charges	193	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Cigna	PPO		68	68% of all negotiated rates	124	percent of total billed charges	124	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Coalition	PPO		49	49% of all negotiated rates	197	percent of total billed charges	197	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Coventry	PPO		75	75% of all negotiated rates	97	percent of total billed charges	97	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	77	percent of total billed charges	77	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Humana-Commerical	PPO		70	70% of all negotiated rates	116	percent of total billed charges	116	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Multiplan	PPO		80	80% of all negotiated rates	77	percent of total billed charges	77	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	One Health	PPO		55	55% of all negotiated rates	174	percent of total billed charges	174	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Optum Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	P3	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	116	percent of total billed charges	116	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Select Health	HMO		41	41% of all negotiated rates	228	percent of total billed charges	228	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	257	percent of total billed charges	257	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Sierra/HPN	HMO		60	60% of all negotiated rates	155	percent of total billed charges	155	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Silversummit Medicare	HMO		39	39% of all negotiated rates	236	percent of total billed charges	236	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	251	percent of total billed charges	251	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Teachers Trust	PPO		65	65% of all negotiated rates	135	percent of total billed charges	135	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	TriWest	PPO		30	30% of all negotiated rates	270	percent of total billed charges	270	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	116	percent of total billed charges	116	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	United Healthcare	PPO		60	60% of all negotiated rates	155	percent of total billed charges	155	386	
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	368	Coinsurance and deductible may apply
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	368	Coinsurance and deductible may apply
Bill RC Pretx Incubation w/ Enyzm	86971	CPT	4020284SO	LOCAL	390	RC		outpatient			386	328	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	368	Coinsurance and deductible may apply
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Aetna	PPO		38	38% of all negotiated rates	125	percent of total billed charges	125	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Aetna Medicare	HMO		26	26% of all negotiated rates	149	percent of total billed charges	149	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Alignment Medicare	HMO		39	39% of all negotiated rates	123	percent of total billed charges	123	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	81	percent of total billed charges	81	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	101	percent of total billed charges	101	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	123	percent of total billed charges	123	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Cigna	PPO		68	68% of all negotiated rates	65	percent of total billed charges	65	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Coalition	PPO		49	49% of all negotiated rates	103	percent of total billed charges	103	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Coventry	PPO		75	75% of all negotiated rates	50	percent of total billed charges	50	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Humana-Commerical	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	123	percent of total billed charges	123	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Multiplan	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	One Health	PPO		55	55% of all negotiated rates	91	percent of total billed charges	91	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Optum Medicare	HMO		39	39% of all negotiated rates	123	percent of total billed charges	123	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	P3	HMO		39	39% of all negotiated rates	123	percent of total billed charges	123	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Select Health	HMO		41	41% of all negotiated rates	119	percent of total billed charges	119	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	134	percent of total billed charges	134	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Sierra/HPN	HMO		60	60% of all negotiated rates	81	percent of total billed charges	81	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Silversummit Medicare	HMO		39	39% of all negotiated rates	123	percent of total billed charges	123	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	131	percent of total billed charges	131	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Teachers Trust	PPO		65	65% of all negotiated rates	71	percent of total billed charges	71	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	TriWest	PPO		30	30% of all negotiated rates	141	percent of total billed charges	141	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	United Healthcare	PPO		60	60% of all negotiated rates	81	percent of total billed charges	81	202	
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	192	Coinsurance and deductible may apply
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	192	Coinsurance and deductible may apply
Bill Red Cell Treatment - EGA/CHL/DTT	86970	CPT	24265493SO	LOCAL	390	RC		outpatient			202	171	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	192	Coinsurance and deductible may apply
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
E5031 Aph Plt ACDA LR BM 1			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
E5032 Aph Plt ACDA LR BM 2			4021900	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
Leukoreduced Units			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
RBC CP2D AS3 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna	PPO		38	38% of all negotiated rates	928	percent of total billed charges	928	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Aetna Medicare	HMO		26	26% of all negotiated rates	1107	percent of total billed charges	1107	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Alignment Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	748	percent of total billed charges	748	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Cigna	PPO		68	68% of all negotiated rates	479	percent of total billed charges	479	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coalition	PPO		49	49% of all negotiated rates	763	percent of total billed charges	763	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Coventry	PPO		75	75% of all negotiated rates	374	percent of total billed charges	374	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Commerical	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Multiplan	PPO		80	80% of all negotiated rates	299	percent of total billed charges	299	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	One Health	PPO		55	55% of all negotiated rates	673	percent of total billed charges	673	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Optum Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	P3	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Select Health	HMO		41	41% of all negotiated rates	883	percent of total billed charges	883	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	995	percent of total billed charges	995	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Sierra/HPN	HMO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Silversummit Medicare	HMO		39	39% of all negotiated rates	913	percent of total billed charges	913	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	973	percent of total billed charges	973	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	Teachers Trust	PPO		65	65% of all negotiated rates	524	percent of total billed charges	524	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	TriWest	PPO		30	30% of all negotiated rates	1047	percent of total billed charges	1047	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	449	percent of total billed charges	449	1496	
RBC CPD AS1 500 LR Irr			4024272	LOCAL	390	RC		outpatient			1496	1272	United Healthcare	PPO		60	60% of all negotiated rates	599	percent of total billed charges	599	1496	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Aetna	PPO		38	38% of all negotiated rates	626	percent of total billed charges	626	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Aetna Medicare	HMO		26	26% of all negotiated rates	747	percent of total billed charges	747	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Alignment Medicare	HMO		39	39% of all negotiated rates	616	percent of total billed charges	616	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	404	percent of total billed charges	404	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	505	percent of total billed charges	505	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	616	percent of total billed charges	616	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Cigna	PPO		68	68% of all negotiated rates	323	percent of total billed charges	323	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Coalition	PPO		49	49% of all negotiated rates	515	percent of total billed charges	515	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Coventry	PPO		75	75% of all negotiated rates	253	percent of total billed charges	253	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	202	percent of total billed charges	202	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Humana-Commerical	PPO		70	70% of all negotiated rates	303	percent of total billed charges	303	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	616	percent of total billed charges	616	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Multiplan	PPO		80	80% of all negotiated rates	202	percent of total billed charges	202	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Multiplan	HMO		80	80% of all negotiated rates	202	percent of total billed charges	202	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	One Health	PPO		55	55% of all negotiated rates	455	percent of total billed charges	455	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Optum Medicare	HMO		39	39% of all negotiated rates	616	percent of total billed charges	616	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	P3	HMO		39	39% of all negotiated rates	616	percent of total billed charges	616	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	303	percent of total billed charges	303	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Saint Mary's Health Plan	HMO		70	70% of all negotiated rates	303	percent of total billed charges	303	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Select Health	HMO		41	41% of all negotiated rates	596	percent of total billed charges	596	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	672	percent of total billed charges	672	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Sierra/HPN	HMO		60	60% of all negotiated rates	404	percent of total billed charges	404	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Silversummit Medicare	HMO		39	39% of all negotiated rates	616	percent of total billed charges	616	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	657	percent of total billed charges	657	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	657	percent of total billed charges	657	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Teachers Trust	PPO		65	65% of all negotiated rates	354	percent of total billed charges	354	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	TriWest	PPO		30	30% of all negotiated rates	707	percent of total billed charges	707	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	TriWest	PPO		30	30% of all negotiated rates	707	percent of total billed charges	707	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	303	percent of total billed charges	303	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	United Healthcare	PPO		60	60% of all negotiated rates	404	percent of total billed charges	404	1010	
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	962	Coinsurance and deductible may apply
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	962	Coinsurance and deductible may apply
36430 TRANSFUSION BLOOD PRODUCT CHARGE	36430	CPT	3026430	LOCAL	391	RC		outpatient			1010	859	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	962	Coinsurance and deductible may apply
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Aetna	PPO		38	38% of all negotiated rates	923	percent of total billed charges	923	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Aetna Medicare	HMO		26	26% of all negotiated rates	1102	percent of total billed charges	1102	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Alignment Medicare	HMO		39	39% of all negotiated rates	908	percent of total billed charges	908	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	596	percent of total billed charges	596	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	744	percent of total billed charges	744	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	908	percent of total billed charges	908	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Cigna	PPO		68	68% of all negotiated rates	476	percent of total billed charges	476	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Coalition	PPO		49	49% of all negotiated rates	759	percent of total billed charges	759	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Coventry	PPO		75	75% of all negotiated rates	372	percent of total billed charges	372	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	298	percent of total billed charges	298	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Humana-Commerical	PPO		70	70% of all negotiated rates	447	percent of total billed charges	447	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	908	percent of total billed charges	908	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Multiplan	PPO		80	80% of all negotiated rates	298	percent of total billed charges	298	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	One Health	PPO		55	55% of all negotiated rates	670	percent of total billed charges	670	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Optum Medicare	HMO		39	39% of all negotiated rates	908	percent of total billed charges	908	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	P3	HMO		39	39% of all negotiated rates	908	percent of total billed charges	908	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	447	percent of total billed charges	447	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Select Health	HMO		41	41% of all negotiated rates	878	percent of total billed charges	878	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	990	percent of total billed charges	990	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Sierra/HPN	HMO		60	60% of all negotiated rates	596	percent of total billed charges	596	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Silversummit Medicare	HMO		39	39% of all negotiated rates	908	percent of total billed charges	908	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	968	percent of total billed charges	968	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Teachers Trust	PPO		65	65% of all negotiated rates	521	percent of total billed charges	521	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	TriWest	PPO		30	30% of all negotiated rates	1042	percent of total billed charges	1042	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	447	percent of total billed charges	447	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	United Healthcare	PPO		60	60% of all negotiated rates	596	percent of total billed charges	596	1489	
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	1418	Coinsurance and deductible may apply
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	1418	Coinsurance and deductible may apply
TRANSFUSION BLOOD PR	36430	CPT	3236430	LOCAL	391	RC		outpatient			1489	1266	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	1418	Coinsurance and deductible may apply
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Aetna Medicare	HMO		26	26% of all negotiated rates	439	percent of total billed charges	439	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Alignment Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	297	percent of total billed charges	297	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Cigna	PPO		68	68% of all negotiated rates	190	percent of total billed charges	190	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Coalition	PPO		57	57% of all negotiated rates	255	percent of total billed charges	255	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Coventry	PPO		75	75% of all negotiated rates	148	percent of total billed charges	148	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Humana-Commerical	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Multiplan	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	One Health	PPO		55	55% of all negotiated rates	267	percent of total billed charges	267	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Optum Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	P3	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Select Health	HMO		41	41% of all negotiated rates	350	percent of total billed charges	350	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	395	percent of total billed charges	395	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Sierra/HPN	HMO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Silversummit Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	386	percent of total billed charges	386	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Teachers Trust	PPO		65	65% of all negotiated rates	208	percent of total billed charges	208	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	TriWest	PPO		30	30% of all negotiated rates	415	percent of total billed charges	415	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	United Healthcare	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Aetna	PPO		120	120% of Aetna market fee schedule	196	fee schedule	196	565	Coinsurance and deductible may apply
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	176	fee schedule	176	565	Coinsurance and deductible may apply
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	176	fee schedule	176	565	Coinsurance and deductible may apply
MA Diag Breast 2D w/ Cad Bil.	77066	CPT	4097037	LOCAL	401	RC		outpatient			593	504	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	176	fee schedule	176	565	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Aetna Medicare	HMO		26	26% of all negotiated rates	348	percent of total billed charges	348	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Alignment Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	235	percent of total billed charges	235	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Coalition	PPO		57	57% of all negotiated rates	202	percent of total billed charges	202	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Optum Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	P3	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	313	percent of total billed charges	313	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Sierra/HPN	HMO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Silversummit Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	TriWest	PPO		30	30% of all negotiated rates	329	percent of total billed charges	329	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	United Healthcare	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Aetna	PPO		120	120% of Aetna market fee schedule	155	fee schedule	155	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Lt.	77065	CPT	4097091	LOCAL	401	RC		outpatient			470	400	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Aetna Medicare	HMO		26	26% of all negotiated rates	348	percent of total billed charges	348	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Alignment Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	235	percent of total billed charges	235	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Coalition	PPO		57	57% of all negotiated rates	202	percent of total billed charges	202	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Optum Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	P3	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	313	percent of total billed charges	313	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Sierra/HPN	HMO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Silversummit Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	TriWest	PPO		30	30% of all negotiated rates	329	percent of total billed charges	329	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	United Healthcare	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Aetna	PPO		120	120% of Aetna market fee schedule	155	fee schedule	155	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Breast 2D w/Cad Rt.	77065	CPT	4097106	LOCAL	401	RC		outpatient			470	400	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Aetna Medicare	HMO		26	26% of all negotiated rates	348	percent of total billed charges	348	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Alignment Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	235	percent of total billed charges	235	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Coalition	PPO		57	57% of all negotiated rates	202	percent of total billed charges	202	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Optum Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	P3	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	313	percent of total billed charges	313	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Sierra/HPN	HMO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Silversummit Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	TriWest	PPO		30	30% of all negotiated rates	329	percent of total billed charges	329	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	United Healthcare	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 3DTomo Lt.	77061	CPT	4097052	LOCAL	401	RC		outpatient			470	400	Aetna	PPO		120	120% of Aetna market fee schedule	191	fee schedule	191	448	Coinsurance and deductible may apply
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Aetna Medicare	HMO		26	26% of all negotiated rates	348	percent of total billed charges	348	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Alignment Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	235	percent of total billed charges	235	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Coalition	PPO		57	57% of all negotiated rates	202	percent of total billed charges	202	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Optum Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	P3	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	313	percent of total billed charges	313	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Sierra/HPN	HMO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Silversummit Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	TriWest	PPO		30	30% of all negotiated rates	329	percent of total billed charges	329	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	United Healthcare	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Breast 3DTomo Rt.	77061	CPT	4097059	LOCAL	401	RC		outpatient			470	400	Aetna	PPO		120	120% of Aetna market fee schedule	191	fee schedule	191	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Aetna Medicare	HMO		26	26% of all negotiated rates	439	percent of total billed charges	439	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Alignment Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	297	percent of total billed charges	297	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Cigna	PPO		68	68% of all negotiated rates	190	percent of total billed charges	190	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Coalition	PPO		57	57% of all negotiated rates	255	percent of total billed charges	255	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Coventry	PPO		75	75% of all negotiated rates	148	percent of total billed charges	148	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Humana-Commerical	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Multiplan	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	One Health	PPO		55	55% of all negotiated rates	267	percent of total billed charges	267	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Optum Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	P3	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Select Health	HMO		41	41% of all negotiated rates	350	percent of total billed charges	350	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	395	percent of total billed charges	395	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Sierra/HPN	HMO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Silversummit Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	386	percent of total billed charges	386	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Teachers Trust	PPO		65	65% of all negotiated rates	208	percent of total billed charges	208	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	TriWest	PPO		30	30% of all negotiated rates	415	percent of total billed charges	415	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	United Healthcare	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Aetna	PPO		120	120% of Aetna market fee schedule	196	fee schedule	196	565	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	176	fee schedule	176	565	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	176	fee schedule	176	565	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Bil.	77066	CPT	4097075	LOCAL	401	RC		outpatient			593	504	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	176	fee schedule	176	565	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Aetna Medicare	HMO		26	26% of all negotiated rates	348	percent of total billed charges	348	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Alignment Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	235	percent of total billed charges	235	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Coalition	PPO		57	57% of all negotiated rates	202	percent of total billed charges	202	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Optum Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	P3	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	313	percent of total billed charges	313	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Sierra/HPN	HMO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Silversummit Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	TriWest	PPO		30	30% of all negotiated rates	329	percent of total billed charges	329	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	United Healthcare	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Aetna	PPO		120	120% of Aetna market fee schedule	155	fee schedule	155	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Lt.	77065	CPT	4097079	LOCAL	401	RC		outpatient			470	400	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Aetna Medicare	HMO		26	26% of all negotiated rates	348	percent of total billed charges	348	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Alignment Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	235	percent of total billed charges	235	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Cigna	PPO		68	68% of all negotiated rates	151	percent of total billed charges	151	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Coalition	PPO		57	57% of all negotiated rates	202	percent of total billed charges	202	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Coventry	PPO		75	75% of all negotiated rates	118	percent of total billed charges	118	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Multiplan	PPO		80	80% of all negotiated rates	94	percent of total billed charges	94	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	One Health	PPO		55	55% of all negotiated rates	212	percent of total billed charges	212	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Optum Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	P3	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Select Health	HMO		41	41% of all negotiated rates	278	percent of total billed charges	278	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	313	percent of total billed charges	313	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Sierra/HPN	HMO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Silversummit Medicare	HMO		39	39% of all negotiated rates	287	percent of total billed charges	287	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	306	percent of total billed charges	306	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Teachers Trust	PPO		65	65% of all negotiated rates	165	percent of total billed charges	165	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	TriWest	PPO		30	30% of all negotiated rates	329	percent of total billed charges	329	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	United Healthcare	PPO		60	60% of all negotiated rates	188	percent of total billed charges	188	470	
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Aetna	PPO		120	120% of Aetna market fee schedule	155	fee schedule	155	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Implant 2D w/Cad Rt.	77065	CPT	4097083	LOCAL	401	RC		outpatient			470	400	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	139	fee schedule	139	448	Coinsurance and deductible may apply
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Aetna Medicare	HMO		26	26% of all negotiated rates	439	percent of total billed charges	439	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Alignment Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	297	percent of total billed charges	297	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Cigna	PPO		68	68% of all negotiated rates	190	percent of total billed charges	190	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Coalition	PPO		57	57% of all negotiated rates	255	percent of total billed charges	255	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Coventry	PPO		75	75% of all negotiated rates	148	percent of total billed charges	148	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Humana-Commerical	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Multiplan	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	One Health	PPO		55	55% of all negotiated rates	267	percent of total billed charges	267	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Optum Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	P3	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Select Health	HMO		41	41% of all negotiated rates	350	percent of total billed charges	350	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	395	percent of total billed charges	395	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Sierra/HPN	HMO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Silversummit Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	386	percent of total billed charges	386	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Teachers Trust	PPO		65	65% of all negotiated rates	208	percent of total billed charges	208	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	TriWest	PPO		30	30% of all negotiated rates	415	percent of total billed charges	415	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	United Healthcare	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Implant 3DTomo Bil.	77062	CPT	4097109	LOCAL	401	RC		outpatient			593	504	Aetna	PPO		120	120% of Aetna market fee schedule	150	fee schedule	150	565	Coinsurance and deductible may apply
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Aetna Medicare	HMO		26	26% of all negotiated rates	279	percent of total billed charges	279	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Alignment Medicare	HMO		39	39% of all negotiated rates	230	percent of total billed charges	230	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	151	percent of total billed charges	151	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	188	percent of total billed charges	188	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	230	percent of total billed charges	230	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Cigna	PPO		68	68% of all negotiated rates	121	percent of total billed charges	121	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Coalition	PPO		57	57% of all negotiated rates	162	percent of total billed charges	162	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Coventry	PPO		75	75% of all negotiated rates	94	percent of total billed charges	94	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Humana-Commerical	PPO		70	70% of all negotiated rates	113	percent of total billed charges	113	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	230	percent of total billed charges	230	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Multiplan	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	One Health	PPO		55	55% of all negotiated rates	170	percent of total billed charges	170	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Optum Medicare	HMO		39	39% of all negotiated rates	230	percent of total billed charges	230	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	P3	HMO		39	39% of all negotiated rates	230	percent of total billed charges	230	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	113	percent of total billed charges	113	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Select Health	HMO		41	41% of all negotiated rates	222	percent of total billed charges	222	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	251	percent of total billed charges	251	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Sierra/HPN	HMO		60	60% of all negotiated rates	151	percent of total billed charges	151	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Silversummit Medicare	HMO		39	39% of all negotiated rates	230	percent of total billed charges	230	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	245	percent of total billed charges	245	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Teachers Trust	PPO		65	65% of all negotiated rates	132	percent of total billed charges	132	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	TriWest	PPO		30	30% of all negotiated rates	264	percent of total billed charges	264	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	113	percent of total billed charges	113	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	United Healthcare	PPO		60	60% of all negotiated rates	151	percent of total billed charges	151	377	
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Aetna	PPO		120	120% of Aetna market fee schedule	104	fee schedule	104	359	Coinsurance and deductible may apply
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	359	Coinsurance and deductible may apply
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	359	Coinsurance and deductible may apply
ULTRASOUND BREAST LIMITED	76642	CPT	4097314	LOCAL	402	RC		outpatient			377	320	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	359	Coinsurance and deductible may apply
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Aetna Medicare	HMO		26	26% of all negotiated rates	913	percent of total billed charges	913	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Alignment Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	617	percent of total billed charges	617	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Cigna	PPO		68	68% of all negotiated rates	395	percent of total billed charges	395	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Coalition	PPO		57	57% of all negotiated rates	531	percent of total billed charges	531	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Coventry	PPO		75	75% of all negotiated rates	308	percent of total billed charges	308	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Humana-Commerical	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Multiplan	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	One Health	PPO		55	55% of all negotiated rates	555	percent of total billed charges	555	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Optum Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	P3	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Select Health	HMO		41	41% of all negotiated rates	728	percent of total billed charges	728	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	820	percent of total billed charges	820	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Sierra/HPN	HMO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Silversummit Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	802	percent of total billed charges	802	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Teachers Trust	PPO		65	65% of all negotiated rates	432	percent of total billed charges	432	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	TriWest	PPO		30	30% of all negotiated rates	864	percent of total billed charges	864	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	United Healthcare	PPO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Aetna	PPO		120	120% of Aetna market fee schedule	130	fee schedule	130	1175	Coinsurance and deductible may apply
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	69	fee schedule	69	1175	Coinsurance and deductible may apply
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	69	fee schedule	69	1175	Coinsurance and deductible may apply
US Abdomen Aorta Ltd	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	69	fee schedule	69	1175	Coinsurance and deductible may apply
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Aetna Medicare	HMO		26	26% of all negotiated rates	1082	percent of total billed charges	1082	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Alignment Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	731	percent of total billed charges	731	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Cigna	PPO		68	68% of all negotiated rates	468	percent of total billed charges	468	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Coalition	PPO		57	57% of all negotiated rates	629	percent of total billed charges	629	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Coventry	PPO		75	75% of all negotiated rates	366	percent of total billed charges	366	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Humana-Commerical	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Multiplan	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	One Health	PPO		55	55% of all negotiated rates	658	percent of total billed charges	658	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Optum Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	P3	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Select Health	HMO		41	41% of all negotiated rates	863	percent of total billed charges	863	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	973	percent of total billed charges	973	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Sierra/HPN	HMO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Silversummit Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	951	percent of total billed charges	951	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Teachers Trust	PPO		65	65% of all negotiated rates	512	percent of total billed charges	512	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	TriWest	PPO		30	30% of all negotiated rates	1024	percent of total billed charges	1024	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	United Healthcare	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Aetna	PPO		120	120% of Aetna market fee schedule	162	fee schedule	162	1393	Coinsurance and deductible may apply
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	1393	Coinsurance and deductible may apply
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	1393	Coinsurance and deductible may apply
US Abdomen Comp	76700	CPT	4087004	LOCAL	402	RC		outpatient			1463	1243	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	149	fee schedule	149	1393	Coinsurance and deductible may apply
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Aetna Medicare	HMO		26	26% of all negotiated rates	1082	percent of total billed charges	1082	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Alignment Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	731	percent of total billed charges	731	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Cigna	PPO		68	68% of all negotiated rates	468	percent of total billed charges	468	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Coalition	PPO		57	57% of all negotiated rates	629	percent of total billed charges	629	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Coventry	PPO		75	75% of all negotiated rates	366	percent of total billed charges	366	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Humana-Commerical	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Multiplan	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	One Health	PPO		55	55% of all negotiated rates	658	percent of total billed charges	658	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Optum Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	P3	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Select Health	HMO		41	41% of all negotiated rates	863	percent of total billed charges	863	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	973	percent of total billed charges	973	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Sierra/HPN	HMO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Silversummit Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	951	percent of total billed charges	951	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Teachers Trust	PPO		65	65% of all negotiated rates	512	percent of total billed charges	512	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	TriWest	PPO		30	30% of all negotiated rates	1024	percent of total billed charges	1024	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	United Healthcare	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Aetna	PPO		120	120% of Aetna market fee schedule	129	fee schedule	129	1393	Coinsurance and deductible may apply
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	1393	Coinsurance and deductible may apply
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	1393	Coinsurance and deductible may apply
US Abdomen Ltd	76705	CPT	4086705	LOCAL	402	RC		outpatient			1463	1243	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	1393	Coinsurance and deductible may apply
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Aetna Medicare	HMO		26	26% of all negotiated rates	995	percent of total billed charges	995	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Alignment Medicare	HMO		39	39% of all negotiated rates	820	percent of total billed charges	820	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	538	percent of total billed charges	538	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	673	percent of total billed charges	673	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	820	percent of total billed charges	820	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Cigna	PPO		68	68% of all negotiated rates	430	percent of total billed charges	430	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Coalition	PPO		57	57% of all negotiated rates	578	percent of total billed charges	578	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Coventry	PPO		75	75% of all negotiated rates	336	percent of total billed charges	336	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	269	percent of total billed charges	269	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Humana-Commerical	PPO		70	70% of all negotiated rates	404	percent of total billed charges	404	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	820	percent of total billed charges	820	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Multiplan	PPO		80	80% of all negotiated rates	269	percent of total billed charges	269	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	One Health	PPO		55	55% of all negotiated rates	605	percent of total billed charges	605	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Optum Medicare	HMO		39	39% of all negotiated rates	820	percent of total billed charges	820	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	P3	HMO		39	39% of all negotiated rates	820	percent of total billed charges	820	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	404	percent of total billed charges	404	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Select Health	HMO		41	41% of all negotiated rates	794	percent of total billed charges	794	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	894	percent of total billed charges	894	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Sierra/HPN	HMO		60	60% of all negotiated rates	538	percent of total billed charges	538	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Silversummit Medicare	HMO		39	39% of all negotiated rates	820	percent of total billed charges	820	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	874	percent of total billed charges	874	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Teachers Trust	PPO		65	65% of all negotiated rates	471	percent of total billed charges	471	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	TriWest	PPO		30	30% of all negotiated rates	942	percent of total billed charges	942	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	404	percent of total billed charges	404	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	United Healthcare	PPO		60	60% of all negotiated rates	538	percent of total billed charges	538	1345	
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Aetna	PPO		120	120% of Aetna market fee schedule	245	fee schedule	245	1281	Coinsurance and deductible may apply
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	1281	Coinsurance and deductible may apply
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	1281	Coinsurance and deductible may apply
US Biopsy Fine Ndl Asp	76942	CPT	4086942	LOCAL	402	RC		outpatient			1345	1143	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	1281	Coinsurance and deductible may apply
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Aetna Medicare	HMO		26	26% of all negotiated rates	706	percent of total billed charges	706	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Alignment Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	381	percent of total billed charges	381	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	477	percent of total billed charges	477	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Cigna	PPO		68	68% of all negotiated rates	305	percent of total billed charges	305	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Coalition	PPO		57	57% of all negotiated rates	410	percent of total billed charges	410	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Coventry	PPO		75	75% of all negotiated rates	238	percent of total billed charges	238	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Humana-Commerical	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Multiplan	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	One Health	PPO		55	55% of all negotiated rates	429	percent of total billed charges	429	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Optum Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	P3	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Select Health	HMO		41	41% of all negotiated rates	563	percent of total billed charges	563	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	634	percent of total billed charges	634	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Sierra/HPN	HMO		60	60% of all negotiated rates	381	percent of total billed charges	381	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Silversummit Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	620	percent of total billed charges	620	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Teachers Trust	PPO		65	65% of all negotiated rates	334	percent of total billed charges	334	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	TriWest	PPO		30	30% of all negotiated rates	667	percent of total billed charges	667	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	United Healthcare	PPO		60	60% of all negotiated rates	381	percent of total billed charges	381	953	
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Aetna	PPO		120	120% of Aetna market fee schedule	98	fee schedule	98	908	Coinsurance and deductible may apply
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	908	Coinsurance and deductible may apply
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	908	Coinsurance and deductible may apply
US Bladder +Residual Post Voiding	76857	CPT	4088570	LOCAL	402	RC		outpatient			953	810	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	908	Coinsurance and deductible may apply
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Aetna Medicare	HMO		26	26% of all negotiated rates	353	percent of total billed charges	353	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Alignment Medicare	HMO		39	39% of all negotiated rates	291	percent of total billed charges	291	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	191	percent of total billed charges	191	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	238	percent of total billed charges	238	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	291	percent of total billed charges	291	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Cigna	PPO		68	68% of all negotiated rates	153	percent of total billed charges	153	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Coalition	PPO		57	57% of all negotiated rates	205	percent of total billed charges	205	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Coventry	PPO		75	75% of all negotiated rates	119	percent of total billed charges	119	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	95	percent of total billed charges	95	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Humana-Commerical	PPO		70	70% of all negotiated rates	143	percent of total billed charges	143	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	291	percent of total billed charges	291	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Multiplan	PPO		80	80% of all negotiated rates	95	percent of total billed charges	95	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	One Health	PPO		55	55% of all negotiated rates	215	percent of total billed charges	215	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Optum Medicare	HMO		39	39% of all negotiated rates	291	percent of total billed charges	291	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	P3	HMO		39	39% of all negotiated rates	291	percent of total billed charges	291	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	143	percent of total billed charges	143	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Select Health	HMO		41	41% of all negotiated rates	281	percent of total billed charges	281	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	317	percent of total billed charges	317	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Sierra/HPN	HMO		60	60% of all negotiated rates	191	percent of total billed charges	191	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Silversummit Medicare	HMO		39	39% of all negotiated rates	291	percent of total billed charges	291	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	310	percent of total billed charges	310	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Teachers Trust	PPO		65	65% of all negotiated rates	167	percent of total billed charges	167	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	TriWest	PPO		30	30% of all negotiated rates	334	percent of total billed charges	334	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	143	percent of total billed charges	143	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	United Healthcare	PPO		60	60% of all negotiated rates	191	percent of total billed charges	191	477	
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Aetna	PPO		120	120% of Aetna market fee schedule	127	fee schedule	127	454	Coinsurance and deductible may apply
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	454	Coinsurance and deductible may apply
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	454	Coinsurance and deductible may apply
US Breast Comp Bil.	76641	CPT	4097292	LOCAL	402	RC		outpatient			477	405	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	454	Coinsurance and deductible may apply
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Aetna Medicare	HMO		26	26% of all negotiated rates	533	percent of total billed charges	533	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Alignment Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	288	percent of total billed charges	288	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	360	percent of total billed charges	360	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Cigna	PPO		68	68% of all negotiated rates	230	percent of total billed charges	230	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Coalition	PPO		57	57% of all negotiated rates	310	percent of total billed charges	310	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Coventry	PPO		75	75% of all negotiated rates	180	percent of total billed charges	180	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Humana-Commerical	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Multiplan	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	One Health	PPO		55	55% of all negotiated rates	324	percent of total billed charges	324	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Optum Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	P3	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Select Health	HMO		41	41% of all negotiated rates	425	percent of total billed charges	425	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	479	percent of total billed charges	479	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Sierra/HPN	HMO		60	60% of all negotiated rates	288	percent of total billed charges	288	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Silversummit Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	468	percent of total billed charges	468	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Teachers Trust	PPO		65	65% of all negotiated rates	252	percent of total billed charges	252	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	TriWest	PPO		30	30% of all negotiated rates	504	percent of total billed charges	504	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	United Healthcare	PPO		60	60% of all negotiated rates	288	percent of total billed charges	288	720	
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Aetna	PPO		120	120% of Aetna market fee schedule	127	fee schedule	127	686	Coinsurance and deductible may apply
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	686	Coinsurance and deductible may apply
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	686	Coinsurance and deductible may apply
US Breast Comp Lt.	76641	CPT	4097294	LOCAL	402	RC		outpatient			720	612	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	686	Coinsurance and deductible may apply
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Aetna Medicare	HMO		26	26% of all negotiated rates	533	percent of total billed charges	533	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Alignment Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	288	percent of total billed charges	288	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	360	percent of total billed charges	360	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Cigna	PPO		68	68% of all negotiated rates	230	percent of total billed charges	230	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Coalition	PPO		57	57% of all negotiated rates	310	percent of total billed charges	310	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Coventry	PPO		75	75% of all negotiated rates	180	percent of total billed charges	180	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Humana-Commerical	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Multiplan	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	One Health	PPO		55	55% of all negotiated rates	324	percent of total billed charges	324	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Optum Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	P3	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Select Health	HMO		41	41% of all negotiated rates	425	percent of total billed charges	425	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	479	percent of total billed charges	479	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Sierra/HPN	HMO		60	60% of all negotiated rates	288	percent of total billed charges	288	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Silversummit Medicare	HMO		39	39% of all negotiated rates	439	percent of total billed charges	439	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	468	percent of total billed charges	468	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Teachers Trust	PPO		65	65% of all negotiated rates	252	percent of total billed charges	252	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	TriWest	PPO		30	30% of all negotiated rates	504	percent of total billed charges	504	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	United Healthcare	PPO		60	60% of all negotiated rates	288	percent of total billed charges	288	720	
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Aetna	PPO		120	120% of Aetna market fee schedule	127	fee schedule	127	686	Coinsurance and deductible may apply
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	686	Coinsurance and deductible may apply
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	686	Coinsurance and deductible may apply
US Breast Comp Rt.	76641	CPT	4097296	LOCAL	402	RC		outpatient			720	612	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	686	Coinsurance and deductible may apply
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Coalition	PPO		57	57% of all negotiated rates	234	percent of total billed charges	234	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Aetna	PPO		120	120% of Aetna market fee schedule	104	fee schedule	104	518	Coinsurance and deductible may apply
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	518	Coinsurance and deductible may apply
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	518	Coinsurance and deductible may apply
US Breast Ltd Lt.	76642	CPT	4097316	LOCAL	402	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	518	Coinsurance and deductible may apply
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Coalition	PPO		57	57% of all negotiated rates	234	percent of total billed charges	234	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Teachers Trust	PPO		65	65% of all negotiated rates	190	percent of total billed charges	190	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Aetna	PPO		120	120% of Aetna market fee schedule	104	fee schedule	104	518	Coinsurance and deductible may apply
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	518	Coinsurance and deductible may apply
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	518	Coinsurance and deductible may apply
US Breast Ltd Rt.	76642	CPT	4097318	LOCAL	402	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	518	Coinsurance and deductible may apply
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Aetna Medicare	HMO		26	26% of all negotiated rates	1897	percent of total billed charges	1897	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Alignment Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1026	percent of total billed charges	1026	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1282	percent of total billed charges	1282	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Cigna	PPO		68	68% of all negotiated rates	821	percent of total billed charges	821	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Coalition	PPO		57	57% of all negotiated rates	1103	percent of total billed charges	1103	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Coventry	PPO		75	75% of all negotiated rates	641	percent of total billed charges	641	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	513	percent of total billed charges	513	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Humana-Commerical	PPO		70	70% of all negotiated rates	769	percent of total billed charges	769	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Multiplan	PPO		80	80% of all negotiated rates	513	percent of total billed charges	513	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	One Health	PPO		55	55% of all negotiated rates	1154	percent of total billed charges	1154	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Optum Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	P3	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	769	percent of total billed charges	769	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Select Health	HMO		41	41% of all negotiated rates	1513	percent of total billed charges	1513	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1705	percent of total billed charges	1705	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Sierra/HPN	HMO		60	60% of all negotiated rates	1026	percent of total billed charges	1026	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Silversummit Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1667	percent of total billed charges	1667	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Teachers Trust	PPO		65	65% of all negotiated rates	897	percent of total billed charges	897	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	TriWest	PPO		30	30% of all negotiated rates	1795	percent of total billed charges	1795	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	769	percent of total billed charges	769	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	United Healthcare	PPO		60	60% of all negotiated rates	1026	percent of total billed charges	1026	2564	
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Aetna	PPO		120	120% of Aetna market fee schedule	80	fee schedule	80	2442	Coinsurance and deductible may apply
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	2442	Coinsurance and deductible may apply
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	2442	Coinsurance and deductible may apply
US Guide Abdomen Paracentesis	49082	CPT	4085210	LOCAL	402	RC		outpatient			2564	2179	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	2442	Coinsurance and deductible may apply
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Aetna Medicare	HMO		26	26% of all negotiated rates	1239	percent of total billed charges	1239	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Alignment Medicare	HMO		39	39% of all negotiated rates	1021	percent of total billed charges	1021	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	669	percent of total billed charges	669	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	837	percent of total billed charges	837	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1021	percent of total billed charges	1021	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Cigna	PPO		68	68% of all negotiated rates	536	percent of total billed charges	536	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Coalition	PPO		57	57% of all negotiated rates	720	percent of total billed charges	720	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Coventry	PPO		75	75% of all negotiated rates	418	percent of total billed charges	418	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	335	percent of total billed charges	335	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Humana-Commerical	PPO		70	70% of all negotiated rates	502	percent of total billed charges	502	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1021	percent of total billed charges	1021	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Multiplan	PPO		80	80% of all negotiated rates	335	percent of total billed charges	335	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	One Health	PPO		55	55% of all negotiated rates	753	percent of total billed charges	753	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Optum Medicare	HMO		39	39% of all negotiated rates	1021	percent of total billed charges	1021	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	P3	HMO		39	39% of all negotiated rates	1021	percent of total billed charges	1021	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	502	percent of total billed charges	502	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Select Health	HMO		41	41% of all negotiated rates	987	percent of total billed charges	987	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1113	percent of total billed charges	1113	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Sierra/HPN	HMO		60	60% of all negotiated rates	669	percent of total billed charges	669	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Silversummit Medicare	HMO		39	39% of all negotiated rates	1021	percent of total billed charges	1021	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1088	percent of total billed charges	1088	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Teachers Trust	PPO		65	65% of all negotiated rates	586	percent of total billed charges	586	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	TriWest	PPO		30	30% of all negotiated rates	1172	percent of total billed charges	1172	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	502	percent of total billed charges	502	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	United Healthcare	PPO		60	60% of all negotiated rates	669	percent of total billed charges	669	1674	
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Aetna	PPO		120	120% of Aetna market fee schedule	245	fee schedule	245	1594	Coinsurance and deductible may apply
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	1594	Coinsurance and deductible may apply
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	1594	Coinsurance and deductible may apply
US Guide Ndl Placement	76942	CPT	4089356	LOCAL	402	RC		outpatient			1674	1423	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	1594	Coinsurance and deductible may apply
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Aetna Medicare	HMO		26	26% of all negotiated rates	1897	percent of total billed charges	1897	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Alignment Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1026	percent of total billed charges	1026	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1282	percent of total billed charges	1282	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Cigna	PPO		68	68% of all negotiated rates	821	percent of total billed charges	821	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Coalition	PPO		57	57% of all negotiated rates	1103	percent of total billed charges	1103	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Coventry	PPO		75	75% of all negotiated rates	641	percent of total billed charges	641	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	513	percent of total billed charges	513	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Humana-Commerical	PPO		70	70% of all negotiated rates	769	percent of total billed charges	769	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Multiplan	PPO		80	80% of all negotiated rates	513	percent of total billed charges	513	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	One Health	PPO		55	55% of all negotiated rates	1154	percent of total billed charges	1154	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Optum Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	P3	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	769	percent of total billed charges	769	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Select Health	HMO		41	41% of all negotiated rates	1513	percent of total billed charges	1513	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1705	percent of total billed charges	1705	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Sierra/HPN	HMO		60	60% of all negotiated rates	1026	percent of total billed charges	1026	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Silversummit Medicare	HMO		39	39% of all negotiated rates	1564	percent of total billed charges	1564	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1667	percent of total billed charges	1667	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Teachers Trust	PPO		65	65% of all negotiated rates	897	percent of total billed charges	897	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	TriWest	PPO		30	30% of all negotiated rates	1795	percent of total billed charges	1795	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	769	percent of total billed charges	769	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	United Healthcare	PPO		60	60% of all negotiated rates	1026	percent of total billed charges	1026	2564	
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Aetna	PPO		120	120% of Aetna market fee schedule	123	fee schedule	123	2442	Coinsurance and deductible may apply
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	104	fee schedule	104	2442	Coinsurance and deductible may apply
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	104	fee schedule	104	2442	Coinsurance and deductible may apply
US Guide Paracentesis	49083	CPT	4085215	LOCAL	402	RC		outpatient			2564	2179	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	104	fee schedule	104	2442	Coinsurance and deductible may apply
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Aetna Medicare	HMO		26	26% of all negotiated rates	468	percent of total billed charges	468	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Alignment Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Coalition	PPO		57	57% of all negotiated rates	272	percent of total billed charges	272	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Humana-Commerical	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Optum Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	P3	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Select Health	HMO		41	41% of all negotiated rates	373	percent of total billed charges	373	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Sierra/HPN	HMO		60	60% of all negotiated rates	253	percent of total billed charges	253	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Silversummit Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	411	percent of total billed charges	411	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Teachers Trust	PPO		65	65% of all negotiated rates	221	percent of total billed charges	221	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	United Healthcare	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	632	
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Aetna	PPO		120	120% of Aetna market fee schedule	150	fee schedule	150	602	Coinsurance and deductible may apply
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	133	fee schedule	133	602	Coinsurance and deductible may apply
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	133	fee schedule	133	602	Coinsurance and deductible may apply
US OB < 14 Weeks With Transvaginal	76801	CPT	4080110	LOCAL	402	RC		outpatient			632	537	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	133	fee schedule	133	602	Coinsurance and deductible may apply
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Aetna Medicare	HMO		26	26% of all negotiated rates	1082	percent of total billed charges	1082	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Alignment Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	731	percent of total billed charges	731	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Cigna	PPO		68	68% of all negotiated rates	468	percent of total billed charges	468	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Coalition	PPO		57	57% of all negotiated rates	629	percent of total billed charges	629	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Coventry	PPO		75	75% of all negotiated rates	366	percent of total billed charges	366	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Humana-Commerical	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Multiplan	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	One Health	PPO		55	55% of all negotiated rates	658	percent of total billed charges	658	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Optum Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	P3	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Select Health	HMO		41	41% of all negotiated rates	863	percent of total billed charges	863	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	973	percent of total billed charges	973	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Sierra/HPN	HMO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Silversummit Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	951	percent of total billed charges	951	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Teachers Trust	PPO		65	65% of all negotiated rates	512	percent of total billed charges	512	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	TriWest	PPO		30	30% of all negotiated rates	1024	percent of total billed charges	1024	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	United Healthcare	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Aetna	PPO		120	120% of Aetna market fee schedule	149	fee schedule	149	1393	Coinsurance and deductible may apply
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1393	Coinsurance and deductible may apply
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1393	Coinsurance and deductible may apply
US Pelvic Non-OB Comp	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1393	Coinsurance and deductible may apply
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Aetna Medicare	HMO		26	26% of all negotiated rates	1082	percent of total billed charges	1082	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Alignment Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	731	percent of total billed charges	731	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Cigna	PPO		68	68% of all negotiated rates	468	percent of total billed charges	468	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Coalition	PPO		57	57% of all negotiated rates	629	percent of total billed charges	629	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Coventry	PPO		75	75% of all negotiated rates	366	percent of total billed charges	366	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Humana-Commerical	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Multiplan	PPO		80	80% of all negotiated rates	293	percent of total billed charges	293	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	One Health	PPO		55	55% of all negotiated rates	658	percent of total billed charges	658	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Optum Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	P3	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Select Health	HMO		41	41% of all negotiated rates	863	percent of total billed charges	863	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	973	percent of total billed charges	973	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Sierra/HPN	HMO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Silversummit Medicare	HMO		39	39% of all negotiated rates	892	percent of total billed charges	892	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	951	percent of total billed charges	951	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Teachers Trust	PPO		65	65% of all negotiated rates	512	percent of total billed charges	512	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	TriWest	PPO		30	30% of all negotiated rates	1024	percent of total billed charges	1024	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	439	percent of total billed charges	439	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	United Healthcare	PPO		60	60% of all negotiated rates	585	percent of total billed charges	585	1463	
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Aetna	PPO		120	120% of Aetna market fee schedule	149	fee schedule	149	1393	Coinsurance and deductible may apply
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1393	Coinsurance and deductible may apply
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1393	Coinsurance and deductible may apply
US Pelvis Non-OB Comp Transvaginal	76856	CPT	4088564	LOCAL	402	RC		outpatient			1463	1243	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1393	Coinsurance and deductible may apply
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Aetna Medicare	HMO		26	26% of all negotiated rates	490	percent of total billed charges	490	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Alignment Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	265	percent of total billed charges	265	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	331	percent of total billed charges	331	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Cigna	PPO		68	68% of all negotiated rates	212	percent of total billed charges	212	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Coalition	PPO		57	57% of all negotiated rates	285	percent of total billed charges	285	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Coventry	PPO		75	75% of all negotiated rates	166	percent of total billed charges	166	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	133	percent of total billed charges	133	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Humana-Commerical	PPO		70	70% of all negotiated rates	199	percent of total billed charges	199	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Multiplan	PPO		80	80% of all negotiated rates	133	percent of total billed charges	133	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	One Health	PPO		55	55% of all negotiated rates	298	percent of total billed charges	298	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Optum Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	P3	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	199	percent of total billed charges	199	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Select Health	HMO		41	41% of all negotiated rates	391	percent of total billed charges	391	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	441	percent of total billed charges	441	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Sierra/HPN	HMO		60	60% of all negotiated rates	265	percent of total billed charges	265	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Silversummit Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	431	percent of total billed charges	431	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Teachers Trust	PPO		65	65% of all negotiated rates	232	percent of total billed charges	232	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	TriWest	PPO		30	30% of all negotiated rates	464	percent of total billed charges	464	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	199	percent of total billed charges	199	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	United Healthcare	PPO		60	60% of all negotiated rates	265	percent of total billed charges	265	663	
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Aetna	PPO		120	120% of Aetna market fee schedule	172	fee schedule	172	631	Coinsurance and deductible may apply
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	154	fee schedule	154	631	Coinsurance and deductible may apply
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	154	fee schedule	154	631	Coinsurance and deductible may apply
US Pregnant < 14 Weeks 1st Gest	76805	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	154	fee schedule	154	631	Coinsurance and deductible may apply
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Aetna Medicare	HMO		26	26% of all negotiated rates	490	percent of total billed charges	490	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Alignment Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	265	percent of total billed charges	265	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	331	percent of total billed charges	331	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Cigna	PPO		68	68% of all negotiated rates	212	percent of total billed charges	212	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Coalition	PPO		57	57% of all negotiated rates	285	percent of total billed charges	285	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Coventry	PPO		75	75% of all negotiated rates	166	percent of total billed charges	166	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	133	percent of total billed charges	133	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Humana-Commerical	PPO		70	70% of all negotiated rates	199	percent of total billed charges	199	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Multiplan	PPO		80	80% of all negotiated rates	133	percent of total billed charges	133	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	One Health	PPO		55	55% of all negotiated rates	298	percent of total billed charges	298	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Optum Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	P3	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	199	percent of total billed charges	199	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Select Health	HMO		41	41% of all negotiated rates	391	percent of total billed charges	391	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	441	percent of total billed charges	441	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Sierra/HPN	HMO		60	60% of all negotiated rates	265	percent of total billed charges	265	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Silversummit Medicare	HMO		39	39% of all negotiated rates	404	percent of total billed charges	404	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	431	percent of total billed charges	431	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Teachers Trust	PPO		65	65% of all negotiated rates	232	percent of total billed charges	232	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	TriWest	PPO		30	30% of all negotiated rates	464	percent of total billed charges	464	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	199	percent of total billed charges	199	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	United Healthcare	PPO		60	60% of all negotiated rates	265	percent of total billed charges	265	663	
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Aetna	PPO		120	120% of Aetna market fee schedule	150	fee schedule	150	631	Coinsurance and deductible may apply
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	133	fee schedule	133	631	Coinsurance and deductible may apply
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	133	fee schedule	133	631	Coinsurance and deductible may apply
US Pregnant > 14 Weeks 1st Gest	76801	CPT	4088051	LOCAL	402	RC		outpatient			663	563	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	133	fee schedule	133	631	Coinsurance and deductible may apply
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Aetna Medicare	HMO		26	26% of all negotiated rates	913	percent of total billed charges	913	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Alignment Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	617	percent of total billed charges	617	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Cigna	PPO		68	68% of all negotiated rates	395	percent of total billed charges	395	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Coalition	PPO		57	57% of all negotiated rates	531	percent of total billed charges	531	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Coventry	PPO		75	75% of all negotiated rates	308	percent of total billed charges	308	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Humana-Commerical	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Multiplan	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	One Health	PPO		55	55% of all negotiated rates	555	percent of total billed charges	555	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Optum Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	P3	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Select Health	HMO		41	41% of all negotiated rates	728	percent of total billed charges	728	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	820	percent of total billed charges	820	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Sierra/HPN	HMO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Silversummit Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	802	percent of total billed charges	802	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Teachers Trust	PPO		65	65% of all negotiated rates	432	percent of total billed charges	432	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	TriWest	PPO		30	30% of all negotiated rates	864	percent of total billed charges	864	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	United Healthcare	PPO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Aetna	PPO		120	120% of Aetna market fee schedule	130	fee schedule	130	1175	Coinsurance and deductible may apply
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	69	fee schedule	69	1175	Coinsurance and deductible may apply
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	69	fee schedule	69	1175	Coinsurance and deductible may apply
US Renal Comp	76775	CPT	4082833	LOCAL	402	RC		outpatient			1234	1049	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	69	fee schedule	69	1175	Coinsurance and deductible may apply
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Aetna Medicare	HMO		26	26% of all negotiated rates	996	percent of total billed charges	996	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Alignment Medicare	HMO		39	39% of all negotiated rates	821	percent of total billed charges	821	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	538	percent of total billed charges	538	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	673	percent of total billed charges	673	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	821	percent of total billed charges	821	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Cigna	PPO		68	68% of all negotiated rates	431	percent of total billed charges	431	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Coalition	PPO		57	57% of all negotiated rates	579	percent of total billed charges	579	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Coventry	PPO		75	75% of all negotiated rates	337	percent of total billed charges	337	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	269	percent of total billed charges	269	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Humana-Commerical	PPO		70	70% of all negotiated rates	404	percent of total billed charges	404	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	821	percent of total billed charges	821	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Multiplan	PPO		80	80% of all negotiated rates	269	percent of total billed charges	269	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	One Health	PPO		55	55% of all negotiated rates	606	percent of total billed charges	606	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Optum Medicare	HMO		39	39% of all negotiated rates	821	percent of total billed charges	821	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	P3	HMO		39	39% of all negotiated rates	821	percent of total billed charges	821	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	404	percent of total billed charges	404	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Select Health	HMO		41	41% of all negotiated rates	794	percent of total billed charges	794	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	895	percent of total billed charges	895	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Sierra/HPN	HMO		60	60% of all negotiated rates	538	percent of total billed charges	538	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Silversummit Medicare	HMO		39	39% of all negotiated rates	821	percent of total billed charges	821	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	875	percent of total billed charges	875	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Teachers Trust	PPO		65	65% of all negotiated rates	471	percent of total billed charges	471	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	TriWest	PPO		30	30% of all negotiated rates	942	percent of total billed charges	942	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	404	percent of total billed charges	404	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	United Healthcare	PPO		60	60% of all negotiated rates	538	percent of total billed charges	538	1346	
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Aetna	PPO		120	120% of Aetna market fee schedule	149	fee schedule	149	1282	Coinsurance and deductible may apply
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	78	fee schedule	78	1282	Coinsurance and deductible may apply
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	78	fee schedule	78	1282	Coinsurance and deductible may apply
US Scrotum +Contents	76870	CPT	4088705	LOCAL	402	RC		outpatient			1346	1144	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	78	fee schedule	78	1282	Coinsurance and deductible may apply
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Aetna Medicare	HMO		26	26% of all negotiated rates	951	percent of total billed charges	951	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Alignment Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	643	percent of total billed charges	643	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Cigna	PPO		68	68% of all negotiated rates	411	percent of total billed charges	411	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Coalition	PPO		57	57% of all negotiated rates	553	percent of total billed charges	553	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Coventry	PPO		75	75% of all negotiated rates	321	percent of total billed charges	321	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	257	percent of total billed charges	257	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Humana-Commerical	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Multiplan	PPO		80	80% of all negotiated rates	257	percent of total billed charges	257	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	One Health	PPO		55	55% of all negotiated rates	578	percent of total billed charges	578	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Optum Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	P3	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Select Health	HMO		41	41% of all negotiated rates	758	percent of total billed charges	758	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	855	percent of total billed charges	855	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Sierra/HPN	HMO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Silversummit Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	835	percent of total billed charges	835	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Teachers Trust	PPO		65	65% of all negotiated rates	450	percent of total billed charges	450	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	TriWest	PPO		30	30% of all negotiated rates	900	percent of total billed charges	900	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	United Healthcare	PPO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Aetna	PPO		120	120% of Aetna market fee schedule	146	fee schedule	146	1224	Coinsurance and deductible may apply
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	1224	Coinsurance and deductible may apply
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	1224	Coinsurance and deductible may apply
US Soft Tissue Neck	76536	CPT	4087410	LOCAL	402	RC		outpatient			1285	1092	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	1224	Coinsurance and deductible may apply
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Aetna Medicare	HMO		26	26% of all negotiated rates	1725	percent of total billed charges	1725	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Alignment Medicare	HMO		39	39% of all negotiated rates	1422	percent of total billed charges	1422	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1166	percent of total billed charges	1166	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1422	percent of total billed charges	1422	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Cigna	PPO		68	68% of all negotiated rates	746	percent of total billed charges	746	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Coalition	PPO		57	57% of all negotiated rates	1002	percent of total billed charges	1002	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Coventry	PPO		75	75% of all negotiated rates	583	percent of total billed charges	583	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Humana-Commerical	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1422	percent of total billed charges	1422	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Multiplan	PPO		80	80% of all negotiated rates	466	percent of total billed charges	466	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	One Health	PPO		55	55% of all negotiated rates	1049	percent of total billed charges	1049	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Optum Medicare	HMO		39	39% of all negotiated rates	1422	percent of total billed charges	1422	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	P3	HMO		39	39% of all negotiated rates	1422	percent of total billed charges	1422	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Select Health	HMO		41	41% of all negotiated rates	1375	percent of total billed charges	1375	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1550	percent of total billed charges	1550	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Sierra/HPN	HMO		60	60% of all negotiated rates	932	percent of total billed charges	932	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Silversummit Medicare	HMO		39	39% of all negotiated rates	1422	percent of total billed charges	1422	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1515	percent of total billed charges	1515	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Teachers Trust	PPO		65	65% of all negotiated rates	816	percent of total billed charges	816	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	TriWest	PPO		30	30% of all negotiated rates	1632	percent of total billed charges	1632	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	699	percent of total billed charges	699	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	United Healthcare	PPO		60	60% of all negotiated rates	932	percent of total billed charges	932	2331	
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Aetna	PPO		120	120% of Aetna market fee schedule	118	fee schedule	118	2220	Coinsurance and deductible may apply
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	108	fee schedule	108	2220	Coinsurance and deductible may apply
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	108	fee schedule	108	2220	Coinsurance and deductible may apply
US Thoracentesis	32555	CPT	4085225	LOCAL	402	RC		outpatient			2331	1981	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	108	fee schedule	108	2220	Coinsurance and deductible may apply
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Aetna Medicare	HMO		26	26% of all negotiated rates	951	percent of total billed charges	951	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Alignment Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	643	percent of total billed charges	643	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Cigna	PPO		68	68% of all negotiated rates	411	percent of total billed charges	411	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Coalition	PPO		57	57% of all negotiated rates	553	percent of total billed charges	553	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Coventry	PPO		75	75% of all negotiated rates	321	percent of total billed charges	321	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	257	percent of total billed charges	257	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Humana-Commerical	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Multiplan	PPO		80	80% of all negotiated rates	257	percent of total billed charges	257	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	One Health	PPO		55	55% of all negotiated rates	578	percent of total billed charges	578	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Optum Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	P3	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Select Health	HMO		41	41% of all negotiated rates	758	percent of total billed charges	758	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	855	percent of total billed charges	855	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Sierra/HPN	HMO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Silversummit Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	835	percent of total billed charges	835	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Teachers Trust	PPO		65	65% of all negotiated rates	450	percent of total billed charges	450	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	TriWest	PPO		30	30% of all negotiated rates	900	percent of total billed charges	900	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	United Healthcare	PPO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Aetna	PPO		120	120% of Aetna market fee schedule	146	fee schedule	146	1224	Coinsurance and deductible may apply
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	1224	Coinsurance and deductible may apply
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	1224	Coinsurance and deductible may apply
US Thyroid	76536	CPT	4085354	LOCAL	402	RC		outpatient			1285	1092	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	1224	Coinsurance and deductible may apply
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Aetna Medicare	HMO		26	26% of all negotiated rates	951	percent of total billed charges	951	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Alignment Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	643	percent of total billed charges	643	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Cigna	PPO		68	68% of all negotiated rates	411	percent of total billed charges	411	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Coalition	PPO		57	57% of all negotiated rates	553	percent of total billed charges	553	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Coventry	PPO		75	75% of all negotiated rates	321	percent of total billed charges	321	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	257	percent of total billed charges	257	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Humana-Commerical	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Multiplan	PPO		80	80% of all negotiated rates	257	percent of total billed charges	257	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	One Health	PPO		55	55% of all negotiated rates	578	percent of total billed charges	578	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Optum Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	P3	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Select Health	HMO		41	41% of all negotiated rates	758	percent of total billed charges	758	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	855	percent of total billed charges	855	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Sierra/HPN	HMO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Silversummit Medicare	HMO		39	39% of all negotiated rates	784	percent of total billed charges	784	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	835	percent of total billed charges	835	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Teachers Trust	PPO		65	65% of all negotiated rates	450	percent of total billed charges	450	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	TriWest	PPO		30	30% of all negotiated rates	900	percent of total billed charges	900	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	386	percent of total billed charges	386	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	United Healthcare	PPO		60	60% of all negotiated rates	514	percent of total billed charges	514	1285	
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Aetna	PPO		120	120% of Aetna market fee schedule	89	fee schedule	89	1224	Coinsurance and deductible may apply
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1224	Coinsurance and deductible may apply
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1224	Coinsurance and deductible may apply
US Transvaginal	76830	CPT	4088301	LOCAL	402	RC		outpatient			1285	1092	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1224	Coinsurance and deductible may apply
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	137	fee schedule	137	1388	Coinsurance and deductible may apply
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	1388	Coinsurance and deductible may apply
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	1388	Coinsurance and deductible may apply
US UE Art Duplex Lt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	1388	Coinsurance and deductible may apply
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	137	fee schedule	137	1388	Coinsurance and deductible may apply
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	1388	Coinsurance and deductible may apply
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	1388	Coinsurance and deductible may apply
US UE Art Duplex Rt	93931	CPT	4089312	LOCAL	402	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	1388	Coinsurance and deductible may apply
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Aetna Medicare	HMO		26	26% of all negotiated rates	439	percent of total billed charges	439	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Alignment Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	297	percent of total billed charges	297	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Cigna	PPO		68	68% of all negotiated rates	190	percent of total billed charges	190	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Coalition	PPO		57	57% of all negotiated rates	255	percent of total billed charges	255	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Coventry	PPO		75	75% of all negotiated rates	148	percent of total billed charges	148	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Humana-Commerical	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Multiplan	PPO		80	80% of all negotiated rates	119	percent of total billed charges	119	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	One Health	PPO		55	55% of all negotiated rates	267	percent of total billed charges	267	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Optum Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	P3	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Select Health	HMO		41	41% of all negotiated rates	350	percent of total billed charges	350	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	395	percent of total billed charges	395	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Sierra/HPN	HMO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Silversummit Medicare	HMO		39	39% of all negotiated rates	362	percent of total billed charges	362	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	386	percent of total billed charges	386	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Teachers Trust	PPO		65	65% of all negotiated rates	208	percent of total billed charges	208	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	TriWest	PPO		30	30% of all negotiated rates	415	percent of total billed charges	415	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	178	percent of total billed charges	178	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	United Healthcare	PPO		60	60% of all negotiated rates	237	percent of total billed charges	237	593	
MA Diag Breast 3DTomo Bil.	77062	CPT	4097045	LOCAL	403	RC		outpatient			593	504	Aetna	PPO		120	120% of Aetna market fee schedule	150	fee schedule	150	565	Coinsurance and deductible may apply
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Aetna Medicare	HMO		26	26% of all negotiated rates	354	percent of total billed charges	354	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Alignment Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	239	percent of total billed charges	239	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Cigna	PPO		68	68% of all negotiated rates	153	percent of total billed charges	153	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Coalition	PPO		57	57% of all negotiated rates	206	percent of total billed charges	206	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	One Health	PPO		55	55% of all negotiated rates	215	percent of total billed charges	215	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Optum Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	P3	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Select Health	HMO		41	41% of all negotiated rates	282	percent of total billed charges	282	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	318	percent of total billed charges	318	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Silversummit Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	311	percent of total billed charges	311	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Teachers Trust	PPO		65	65% of all negotiated rates	168	percent of total billed charges	168	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	TriWest	PPO		30	30% of all negotiated rates	335	percent of total billed charges	335	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	United Healthcare	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Aetna	PPO		120	120% of Aetna market fee schedule	158	fee schedule	158	456	Coinsurance and deductible may apply
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Bil w/ Cad.	77067	CPT	4097147	LOCAL	403	RC		outpatient			479	407	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Aetna Medicare	HMO		26	26% of all negotiated rates	354	percent of total billed charges	354	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Alignment Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	239	percent of total billed charges	239	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Cigna	PPO		68	68% of all negotiated rates	153	percent of total billed charges	153	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Coalition	PPO		57	57% of all negotiated rates	206	percent of total billed charges	206	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	One Health	PPO		55	55% of all negotiated rates	215	percent of total billed charges	215	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Optum Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	P3	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Select Health	HMO		41	41% of all negotiated rates	282	percent of total billed charges	282	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	318	percent of total billed charges	318	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Silversummit Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	311	percent of total billed charges	311	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Teachers Trust	PPO		65	65% of all negotiated rates	168	percent of total billed charges	168	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	TriWest	PPO		30	30% of all negotiated rates	335	percent of total billed charges	335	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	United Healthcare	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Aetna	PPO		120	120% of Aetna market fee schedule	158	fee schedule	158	456	Coinsurance and deductible may apply
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Breast w/ Tomo Bil.	77067	CPT	4097149	LOCAL	403	RC		outpatient			479	407	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Aetna Medicare	HMO		26	26% of all negotiated rates	354	percent of total billed charges	354	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Alignment Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	239	percent of total billed charges	239	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Cigna	PPO		68	68% of all negotiated rates	153	percent of total billed charges	153	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Coalition	PPO		57	57% of all negotiated rates	206	percent of total billed charges	206	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	One Health	PPO		55	55% of all negotiated rates	215	percent of total billed charges	215	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Optum Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	P3	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Select Health	HMO		41	41% of all negotiated rates	282	percent of total billed charges	282	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	318	percent of total billed charges	318	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Silversummit Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	311	percent of total billed charges	311	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Teachers Trust	PPO		65	65% of all negotiated rates	168	percent of total billed charges	168	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	TriWest	PPO		30	30% of all negotiated rates	335	percent of total billed charges	335	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	United Healthcare	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Aetna	PPO		120	120% of Aetna market fee schedule	158	fee schedule	158	456	Coinsurance and deductible may apply
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Implant Bil.	77067	CPT	4097157	LOCAL	403	RC		outpatient			479	407	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Aetna Medicare	HMO		26	26% of all negotiated rates	354	percent of total billed charges	354	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Alignment Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	239	percent of total billed charges	239	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Cigna	PPO		68	68% of all negotiated rates	153	percent of total billed charges	153	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Optum Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	P3	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Select Health	HMO		41	41% of all negotiated rates	282	percent of total billed charges	282	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	318	percent of total billed charges	318	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Silversummit Medicare	HMO		39	39% of all negotiated rates	292	percent of total billed charges	292	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	311	percent of total billed charges	311	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Teachers Trust	PPO		65	65% of all negotiated rates	168	percent of total billed charges	168	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	TriWest	PPO		30	30% of all negotiated rates	335	percent of total billed charges	335	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	479	
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Aetna	PPO		120	120% of Aetna market fee schedule	158	fee schedule	158	456	Coinsurance and deductible may apply
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
MA Routine Screen Implant w/ Tomo Bil.	77067	CPT	4097161	LOCAL	403	RC		outpatient			479	407	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	141	fee schedule	141	456	Coinsurance and deductible may apply
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Aetna	PPO		38	38% of all negotiated rates	2250	percent of total billed charges	2250	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Aetna Medicare	HMO		26	26% of all negotiated rates	2685	percent of total billed charges	2685	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Alignment Medicare	HMO		39	39% of all negotiated rates	2214	percent of total billed charges	2214	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1452	percent of total billed charges	1452	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1814	percent of total billed charges	1814	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2214	percent of total billed charges	2214	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Cigna	PPO		68	68% of all negotiated rates	1161	percent of total billed charges	1161	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Coventry	PPO		75	75% of all negotiated rates	907	percent of total billed charges	907	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	726	percent of total billed charges	726	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Humana-Commerical	PPO		70	70% of all negotiated rates	1089	percent of total billed charges	1089	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2214	percent of total billed charges	2214	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Multiplan	PPO		80	80% of all negotiated rates	726	percent of total billed charges	726	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Optum Medicare	HMO		39	39% of all negotiated rates	2214	percent of total billed charges	2214	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	P3	HMO		39	39% of all negotiated rates	2214	percent of total billed charges	2214	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1089	percent of total billed charges	1089	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Select Health	HMO		41	41% of all negotiated rates	2141	percent of total billed charges	2141	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2413	percent of total billed charges	2413	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Sierra/HPN	HMO		60	60% of all negotiated rates	1452	percent of total billed charges	1452	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Silversummit Medicare	HMO		39	39% of all negotiated rates	2214	percent of total billed charges	2214	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2359	percent of total billed charges	2359	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Teachers Trust	PPO		65	65% of all negotiated rates	1270	percent of total billed charges	1270	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	TriWest	PPO		30	30% of all negotiated rates	2540	percent of total billed charges	2540	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1089	percent of total billed charges	1089	3629	
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	3456	Coinsurance and deductible may apply
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	3456	Coinsurance and deductible may apply
"COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE"	44389	CPT	49044389	LOCAL	409	RC		outpatient			3629	3084	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	3456	Coinsurance and deductible may apply
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Aetna	PPO		38	38% of all negotiated rates	402	percent of total billed charges	402	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Aetna Medicare	HMO		26	26% of all negotiated rates	479	percent of total billed charges	479	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Alignment Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	259	percent of total billed charges	259	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	324	percent of total billed charges	324	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Cigna	PPO		68	68% of all negotiated rates	207	percent of total billed charges	207	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Coalition	PPO		59	59% of all negotiated rates	266	percent of total billed charges	266	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Coventry	PPO		75	75% of all negotiated rates	162	percent of total billed charges	162	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	130	percent of total billed charges	130	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Humana-Commerical	PPO		70	70% of all negotiated rates	194	percent of total billed charges	194	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Multiplan	PPO		80	80% of all negotiated rates	130	percent of total billed charges	130	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	One Health	PPO		55	55% of all negotiated rates	292	percent of total billed charges	292	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Optum Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	P3	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	194	percent of total billed charges	194	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Select Health	HMO		41	41% of all negotiated rates	382	percent of total billed charges	382	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	431	percent of total billed charges	431	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Sierra/HPN	HMO		60	60% of all negotiated rates	259	percent of total billed charges	259	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Silversummit Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	421	percent of total billed charges	421	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Teachers Trust	PPO		65	65% of all negotiated rates	227	percent of total billed charges	227	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	TriWest	PPO		30	30% of all negotiated rates	453	percent of total billed charges	453	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	194	percent of total billed charges	194	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	United Healthcare	PPO		60	60% of all negotiated rates	259	percent of total billed charges	259	648	
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	40	fee schedule	40	617	Coinsurance and deductible may apply
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	40	fee schedule	40	617	Coinsurance and deductible may apply
"CONT.INHAL TX, FIRST HR."	94644	CPT	4176405	LOCAL	410	RC		outpatient			648	551	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	40	fee schedule	40	617	Coinsurance and deductible may apply
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Aetna	PPO		38	38% of all negotiated rates	425	percent of total billed charges	425	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Aetna Medicare	HMO		26	26% of all negotiated rates	507	percent of total billed charges	507	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Alignment Medicare	HMO		39	39% of all negotiated rates	418	percent of total billed charges	418	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	274	percent of total billed charges	274	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	343	percent of total billed charges	343	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	418	percent of total billed charges	418	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Cigna	PPO		68	68% of all negotiated rates	219	percent of total billed charges	219	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Coalition	PPO		59	59% of all negotiated rates	281	percent of total billed charges	281	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Coventry	PPO		75	75% of all negotiated rates	171	percent of total billed charges	171	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	418	percent of total billed charges	418	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Multiplan	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Optum Medicare	HMO		39	39% of all negotiated rates	418	percent of total billed charges	418	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	P3	HMO		39	39% of all negotiated rates	418	percent of total billed charges	418	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Select Health	HMO		41	41% of all negotiated rates	405	percent of total billed charges	405	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	456	percent of total billed charges	456	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Sierra/HPN	HMO		60	60% of all negotiated rates	274	percent of total billed charges	274	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Silversummit Medicare	HMO		39	39% of all negotiated rates	418	percent of total billed charges	418	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	446	percent of total billed charges	446	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Teachers Trust	PPO		65	65% of all negotiated rates	240	percent of total billed charges	240	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	TriWest	PPO		30	30% of all negotiated rates	480	percent of total billed charges	480	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	United Healthcare	PPO		60	60% of all negotiated rates	274	percent of total billed charges	274	686	
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	653	Coinsurance and deductible may apply
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	653	Coinsurance and deductible may apply
"CONT.INHAL.TX,EA.ADDL.HR."	94645	CPT	4176407	LOCAL	410	RC		outpatient			686	583	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	653	Coinsurance and deductible may apply
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Aetna	PPO		38	38% of all negotiated rates	1928	percent of total billed charges	1928	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Aetna Medicare	HMO		26	26% of all negotiated rates	2301	percent of total billed charges	2301	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Alignment Medicare	HMO		39	39% of all negotiated rates	1897	percent of total billed charges	1897	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1244	percent of total billed charges	1244	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1555	percent of total billed charges	1555	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1897	percent of total billed charges	1897	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Cigna	PPO		68	68% of all negotiated rates	995	percent of total billed charges	995	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Coalition	PPO		59	59% of all negotiated rates	1275	percent of total billed charges	1275	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Coventry	PPO		75	75% of all negotiated rates	778	percent of total billed charges	778	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	622	percent of total billed charges	622	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Humana-Commerical	PPO		70	70% of all negotiated rates	933	percent of total billed charges	933	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1897	percent of total billed charges	1897	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Multiplan	PPO		80	80% of all negotiated rates	622	percent of total billed charges	622	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	One Health	PPO		55	55% of all negotiated rates	1400	percent of total billed charges	1400	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Optum Medicare	HMO		39	39% of all negotiated rates	1897	percent of total billed charges	1897	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	P3	HMO		39	39% of all negotiated rates	1897	percent of total billed charges	1897	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	933	percent of total billed charges	933	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Select Health	HMO		41	41% of all negotiated rates	1835	percent of total billed charges	1835	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2068	percent of total billed charges	2068	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Sierra/HPN	HMO		60	60% of all negotiated rates	1244	percent of total billed charges	1244	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Silversummit Medicare	HMO		39	39% of all negotiated rates	1897	percent of total billed charges	1897	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2022	percent of total billed charges	2022	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Teachers Trust	PPO		65	65% of all negotiated rates	1089	percent of total billed charges	1089	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	TriWest	PPO		30	30% of all negotiated rates	2177	percent of total billed charges	2177	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	933	percent of total billed charges	933	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	United Healthcare	PPO		60	60% of all negotiated rates	1244	percent of total billed charges	1244	3110	
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	2962	Coinsurance and deductible may apply
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	2962	Coinsurance and deductible may apply
CPAP INT AND MGT	94660	CPT	4170001	LOCAL	410	RC		outpatient			3110	2644	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	2962	Coinsurance and deductible may apply
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Aetna	PPO		38	38% of all negotiated rates	278	percent of total billed charges	278	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Aetna Medicare	HMO		26	26% of all negotiated rates	332	percent of total billed charges	332	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Alignment Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	179	percent of total billed charges	179	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	224	percent of total billed charges	224	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Cigna	PPO		68	68% of all negotiated rates	143	percent of total billed charges	143	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Coalition	PPO		59	59% of all negotiated rates	184	percent of total billed charges	184	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Coventry	PPO		75	75% of all negotiated rates	112	percent of total billed charges	112	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Humana-Commerical	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Multiplan	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	One Health	PPO		55	55% of all negotiated rates	202	percent of total billed charges	202	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Optum Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	P3	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Select Health	HMO		41	41% of all negotiated rates	265	percent of total billed charges	265	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	298	percent of total billed charges	298	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Sierra/HPN	HMO		60	60% of all negotiated rates	179	percent of total billed charges	179	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Silversummit Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	291	percent of total billed charges	291	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Teachers Trust	PPO		65	65% of all negotiated rates	157	percent of total billed charges	157	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	TriWest	PPO		30	30% of all negotiated rates	314	percent of total billed charges	314	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	United Healthcare	PPO		60	60% of all negotiated rates	179	percent of total billed charges	179	448	
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	427	Coinsurance and deductible may apply
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	427	Coinsurance and deductible may apply
CPT INITIAL	94667	CPT	4176681	LOCAL	410	RC		outpatient			448	381	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	427	Coinsurance and deductible may apply
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Aetna	PPO		38	38% of all negotiated rates	304	percent of total billed charges	304	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Aetna Medicare	HMO		26	26% of all negotiated rates	363	percent of total billed charges	363	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Alignment Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	245	percent of total billed charges	245	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Cigna	PPO		68	68% of all negotiated rates	157	percent of total billed charges	157	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Coalition	PPO		59	59% of all negotiated rates	201	percent of total billed charges	201	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Coventry	PPO		75	75% of all negotiated rates	123	percent of total billed charges	123	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Humana-Commerical	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Multiplan	PPO		80	80% of all negotiated rates	98	percent of total billed charges	98	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	One Health	PPO		55	55% of all negotiated rates	221	percent of total billed charges	221	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Optum Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	P3	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Select Health	HMO		41	41% of all negotiated rates	289	percent of total billed charges	289	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	326	percent of total billed charges	326	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Sierra/HPN	HMO		60	60% of all negotiated rates	196	percent of total billed charges	196	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Silversummit Medicare	HMO		39	39% of all negotiated rates	299	percent of total billed charges	299	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	319	percent of total billed charges	319	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Teachers Trust	PPO		65	65% of all negotiated rates	172	percent of total billed charges	172	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	TriWest	PPO		30	30% of all negotiated rates	343	percent of total billed charges	343	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	147	percent of total billed charges	147	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	United Healthcare	PPO		60	60% of all negotiated rates	196	percent of total billed charges	196	490	
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	467	Coinsurance and deductible may apply
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	467	Coinsurance and deductible may apply
CPT SUBSEQUENT	94668	CPT	4171026	LOCAL	410	RC		outpatient			490	417	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	467	Coinsurance and deductible may apply
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Aetna	PPO		38	38% of all negotiated rates	208	percent of total billed charges	208	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Aetna Medicare	HMO		26	26% of all negotiated rates	249	percent of total billed charges	249	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Alignment Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	168	percent of total billed charges	168	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Cigna	PPO		68	68% of all negotiated rates	108	percent of total billed charges	108	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Coalition	PPO		59	59% of all negotiated rates	138	percent of total billed charges	138	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Coventry	PPO		75	75% of all negotiated rates	84	percent of total billed charges	84	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Humana-Commerical	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	One Health	PPO		55	55% of all negotiated rates	151	percent of total billed charges	151	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Optum Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	P3	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Select Health	HMO		41	41% of all negotiated rates	198	percent of total billed charges	198	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	223	percent of total billed charges	223	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Sierra/HPN	HMO		60	60% of all negotiated rates	134	percent of total billed charges	134	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Silversummit Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	218	percent of total billed charges	218	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Teachers Trust	PPO		65	65% of all negotiated rates	118	percent of total billed charges	118	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	TriWest	PPO		30	30% of all negotiated rates	235	percent of total billed charges	235	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	United Healthcare	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	336	
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	320	Coinsurance and deductible may apply
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	320	Coinsurance and deductible may apply
DEMO NEBULIZER/INHALER	94664	CPT	4176665	LOCAL	410	RC		outpatient			336	286	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	320	Coinsurance and deductible may apply
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Aetna	PPO		38	38% of all negotiated rates	68	percent of total billed charges	68	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Aetna Medicare	HMO		26	26% of all negotiated rates	82	percent of total billed charges	82	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Alignment Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	55	percent of total billed charges	55	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Cigna	PPO		68	68% of all negotiated rates	35	percent of total billed charges	35	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Coalition	PPO		59	59% of all negotiated rates	45	percent of total billed charges	45	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Coventry	PPO		75	75% of all negotiated rates	28	percent of total billed charges	28	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Humana-Commerical	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Multiplan	PPO		80	80% of all negotiated rates	22	percent of total billed charges	22	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	One Health	PPO		55	55% of all negotiated rates	50	percent of total billed charges	50	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Optum Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	P3	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Select Health	HMO		41	41% of all negotiated rates	65	percent of total billed charges	65	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	73	percent of total billed charges	73	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Sierra/HPN	HMO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Silversummit Medicare	HMO		39	39% of all negotiated rates	67	percent of total billed charges	67	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	72	percent of total billed charges	72	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Teachers Trust	PPO		65	65% of all negotiated rates	39	percent of total billed charges	39	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	TriWest	PPO		30	30% of all negotiated rates	77	percent of total billed charges	77	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	33	percent of total billed charges	33	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	United Healthcare	PPO		60	60% of all negotiated rates	44	percent of total billed charges	44	110	
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	105	Coinsurance and deductible may apply
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	105	Coinsurance and deductible may apply
INHALATION TREATMENT.	94640	CPT	4176400	LOCAL	410	RC		outpatient			110	94	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	105	Coinsurance and deductible may apply
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Aetna	PPO		38	38% of all negotiated rates	132	percent of total billed charges	132	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Aetna Medicare	HMO		26	26% of all negotiated rates	158	percent of total billed charges	158	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Alignment Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	107	percent of total billed charges	107	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Cigna	PPO		68	68% of all negotiated rates	68	percent of total billed charges	68	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Coalition	PPO		59	59% of all negotiated rates	87	percent of total billed charges	87	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Coventry	PPO		75	75% of all negotiated rates	53	percent of total billed charges	53	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Humana-Commerical	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Multiplan	PPO		80	80% of all negotiated rates	43	percent of total billed charges	43	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	One Health	PPO		55	55% of all negotiated rates	96	percent of total billed charges	96	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Optum Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	P3	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Select Health	HMO		41	41% of all negotiated rates	126	percent of total billed charges	126	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	142	percent of total billed charges	142	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Sierra/HPN	HMO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Silversummit Medicare	HMO		39	39% of all negotiated rates	130	percent of total billed charges	130	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	139	percent of total billed charges	139	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Teachers Trust	PPO		65	65% of all negotiated rates	75	percent of total billed charges	75	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	TriWest	PPO		30	30% of all negotiated rates	149	percent of total billed charges	149	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	64	percent of total billed charges	64	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	United Healthcare	PPO		60	60% of all negotiated rates	85	percent of total billed charges	85	213	
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	203	Coinsurance and deductible may apply
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	203	Coinsurance and deductible may apply
IPPB TREATMENT	94640	CPT	4176517	LOCAL	410	RC		outpatient			213	181	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	203	Coinsurance and deductible may apply
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Aetna	PPO		38	38% of all negotiated rates	267	percent of total billed charges	267	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Aetna Medicare	HMO		26	26% of all negotiated rates	319	percent of total billed charges	319	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Alignment Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	215	percent of total billed charges	215	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Cigna	PPO		68	68% of all negotiated rates	138	percent of total billed charges	138	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Coalition	PPO		59	59% of all negotiated rates	177	percent of total billed charges	177	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Coventry	PPO		75	75% of all negotiated rates	108	percent of total billed charges	108	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Humana-Commerical	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Multiplan	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	One Health	PPO		55	55% of all negotiated rates	194	percent of total billed charges	194	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Optum Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	P3	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Select Health	HMO		41	41% of all negotiated rates	254	percent of total billed charges	254	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	286	percent of total billed charges	286	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Sierra/HPN	HMO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Silversummit Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	280	percent of total billed charges	280	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Teachers Trust	PPO		65	65% of all negotiated rates	151	percent of total billed charges	151	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	TriWest	PPO		30	30% of all negotiated rates	301	percent of total billed charges	301	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	United Healthcare	PPO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	410	Coinsurance and deductible may apply
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	410	Coinsurance and deductible may apply
MDI INSTRUCT/XX	94664	CPT	4172024	LOCAL	410	RC		outpatient			431	366	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	410	Coinsurance and deductible may apply
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Aetna	PPO		38	38% of all negotiated rates	208	percent of total billed charges	208	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Aetna Medicare	HMO		26	26% of all negotiated rates	249	percent of total billed charges	249	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Alignment Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	168	percent of total billed charges	168	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Cigna	PPO		68	68% of all negotiated rates	108	percent of total billed charges	108	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Coalition	PPO		59	59% of all negotiated rates	138	percent of total billed charges	138	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Coventry	PPO		75	75% of all negotiated rates	84	percent of total billed charges	84	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Humana-Commerical	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Multiplan	PPO		80	80% of all negotiated rates	67	percent of total billed charges	67	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	One Health	PPO		55	55% of all negotiated rates	151	percent of total billed charges	151	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Optum Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	P3	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Select Health	HMO		41	41% of all negotiated rates	198	percent of total billed charges	198	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	223	percent of total billed charges	223	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Sierra/HPN	HMO		60	60% of all negotiated rates	134	percent of total billed charges	134	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Silversummit Medicare	HMO		39	39% of all negotiated rates	205	percent of total billed charges	205	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	218	percent of total billed charges	218	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Teachers Trust	PPO		65	65% of all negotiated rates	118	percent of total billed charges	118	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	TriWest	PPO		30	30% of all negotiated rates	235	percent of total billed charges	235	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	101	percent of total billed charges	101	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	United Healthcare	PPO		60	60% of all negotiated rates	134	percent of total billed charges	134	336	
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	320	Coinsurance and deductible may apply
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	320	Coinsurance and deductible may apply
SPUTUM INDUCED INITI	94664	CPT	4173503	LOCAL	410	RC		outpatient			336	286	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	320	Coinsurance and deductible may apply
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Aetna	PPO		38	38% of all negotiated rates	4177	percent of total billed charges	4177	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Aetna Medicare	HMO		26	26% of all negotiated rates	4986	percent of total billed charges	4986	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Alignment Medicare	HMO		39	39% of all negotiated rates	4110	percent of total billed charges	4110	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2695	percent of total billed charges	2695	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3369	percent of total billed charges	3369	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4110	percent of total billed charges	4110	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Cigna	PPO		68	68% of all negotiated rates	2156	percent of total billed charges	2156	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Coalition	PPO		59	59% of all negotiated rates	2763	percent of total billed charges	2763	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Coventry	PPO		75	75% of all negotiated rates	1684	percent of total billed charges	1684	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1348	percent of total billed charges	1348	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Humana-Commerical	PPO		70	70% of all negotiated rates	2021	percent of total billed charges	2021	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4110	percent of total billed charges	4110	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Multiplan	PPO		80	80% of all negotiated rates	1348	percent of total billed charges	1348	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	One Health	PPO		55	55% of all negotiated rates	3032	percent of total billed charges	3032	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Optum Medicare	HMO		39	39% of all negotiated rates	4110	percent of total billed charges	4110	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	P3	HMO		39	39% of all negotiated rates	4110	percent of total billed charges	4110	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2021	percent of total billed charges	2021	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Select Health	HMO		41	41% of all negotiated rates	3975	percent of total billed charges	3975	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4481	percent of total billed charges	4481	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Sierra/HPN	HMO		60	60% of all negotiated rates	2695	percent of total billed charges	2695	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Silversummit Medicare	HMO		39	39% of all negotiated rates	4110	percent of total billed charges	4110	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4380	percent of total billed charges	4380	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	Teachers Trust	PPO		65	65% of all negotiated rates	2358	percent of total billed charges	2358	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	TriWest	PPO		30	30% of all negotiated rates	4716	percent of total billed charges	4716	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2021	percent of total billed charges	2021	6738	
VENT SET UP	94002	CPT	4176566	LOCAL	410	RC		outpatient			6738	5727	United Healthcare	PPO		60	60% of all negotiated rates	2695	percent of total billed charges	2695	6738	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Aetna	PPO		38	38% of all negotiated rates	3855	percent of total billed charges	3855	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Aetna Medicare	HMO		26	26% of all negotiated rates	4601	percent of total billed charges	4601	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Alignment Medicare	HMO		39	39% of all negotiated rates	3793	percent of total billed charges	3793	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2487	percent of total billed charges	2487	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3109	percent of total billed charges	3109	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3793	percent of total billed charges	3793	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Cigna	PPO		68	68% of all negotiated rates	1990	percent of total billed charges	1990	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Coalition	PPO		59	59% of all negotiated rates	2549	percent of total billed charges	2549	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Coventry	PPO		75	75% of all negotiated rates	1555	percent of total billed charges	1555	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1244	percent of total billed charges	1244	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Humana-Commerical	PPO		70	70% of all negotiated rates	1865	percent of total billed charges	1865	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3793	percent of total billed charges	3793	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Multiplan	PPO		80	80% of all negotiated rates	1244	percent of total billed charges	1244	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	One Health	PPO		55	55% of all negotiated rates	2798	percent of total billed charges	2798	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Optum Medicare	HMO		39	39% of all negotiated rates	3793	percent of total billed charges	3793	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	P3	HMO		39	39% of all negotiated rates	3793	percent of total billed charges	3793	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1865	percent of total billed charges	1865	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Select Health	HMO		41	41% of all negotiated rates	3669	percent of total billed charges	3669	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4135	percent of total billed charges	4135	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Sierra/HPN	HMO		60	60% of all negotiated rates	2487	percent of total billed charges	2487	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Silversummit Medicare	HMO		39	39% of all negotiated rates	3793	percent of total billed charges	3793	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4042	percent of total billed charges	4042	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	Teachers Trust	PPO		65	65% of all negotiated rates	2176	percent of total billed charges	2176	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	TriWest	PPO		30	30% of all negotiated rates	4353	percent of total billed charges	4353	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1865	percent of total billed charges	1865	6218	
VENT SUBSEQUENT DAYS	94003	CPT	4176574	LOCAL	410	RC		outpatient			6218	5285	United Healthcare	PPO		60	60% of all negotiated rates	2487	percent of total billed charges	2487	6218	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Aetna	PPO		38	38% of all negotiated rates	267	percent of total billed charges	267	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Aetna Medicare	HMO		26	26% of all negotiated rates	319	percent of total billed charges	319	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Alignment Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	215	percent of total billed charges	215	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Cigna	PPO		68	68% of all negotiated rates	138	percent of total billed charges	138	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Coventry	PPO		75	75% of all negotiated rates	108	percent of total billed charges	108	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Humana-Commerical	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Multiplan	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Optum Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	P3	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Select Health	HMO		41	41% of all negotiated rates	254	percent of total billed charges	254	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	286	percent of total billed charges	286	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Sierra/HPN	HMO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Silversummit Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	280	percent of total billed charges	280	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Teachers Trust	PPO		65	65% of all negotiated rates	151	percent of total billed charges	151	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	TriWest	PPO		30	30% of all negotiated rates	301	percent of total billed charges	301	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	410	Coinsurance and deductible may apply
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	410	Coinsurance and deductible may apply
VENTILATOR INLINE TX	94640	CPT	4176558	LOCAL	410	RC		outpatient			431	366	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	410	Coinsurance and deductible may apply
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	45	fee schedule	45	99	Coinsurance and deductible may apply
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	99	Coinsurance and deductible may apply
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	99	Coinsurance and deductible may apply
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	99	Coinsurance and deductible may apply
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Aquatic Therapy Charges	97113	CPT	4506983	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	19	fee schedule	19	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Attended E-Stim Charges	97032	CPT	4550201	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	13	fee schedule	13	99	Coinsurance and deductible may apply
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Checkout for Prosth/Orth Use Charges	97035	CPT	4556961	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Aetna Medicare	HMO		26	26% of all negotiated rates	278	percent of total billed charges	278	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Alignment Medicare	HMO		39	39% of all negotiated rates	229	percent of total billed charges	229	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	150	percent of total billed charges	150	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	188	percent of total billed charges	188	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	229	percent of total billed charges	229	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Cigna	PPO		68	68% of all negotiated rates	120	percent of total billed charges	120	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Coventry	PPO		75	75% of all negotiated rates	94	percent of total billed charges	94	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Humana-Commerical	PPO		70	70% of all negotiated rates	113	percent of total billed charges	113	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	229	percent of total billed charges	229	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Multiplan	PPO		80	80% of all negotiated rates	75	percent of total billed charges	75	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Optum Medicare	HMO		39	39% of all negotiated rates	229	percent of total billed charges	229	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	P3	HMO		39	39% of all negotiated rates	229	percent of total billed charges	229	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	113	percent of total billed charges	113	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Select Health	HMO		41	41% of all negotiated rates	222	percent of total billed charges	222	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	250	percent of total billed charges	250	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Sierra/HPN	HMO		60	60% of all negotiated rates	150	percent of total billed charges	150	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Silversummit Medicare	HMO		39	39% of all negotiated rates	229	percent of total billed charges	229	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	244	percent of total billed charges	244	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	TriWest	PPO		30	30% of all negotiated rates	263	percent of total billed charges	263	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	113	percent of total billed charges	113	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	United Healthcare	PPO		60	60% of all negotiated rates	150	percent of total billed charges	150	376	
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Aetna	PPO		120	120% of Aetna market fee schedule	58	fee schedule	58	358	Coinsurance and deductible may apply
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	358	Coinsurance and deductible may apply
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Coalition	PPO	25		case rate	25	case rate	25	358	"25.00 per treatment, 199.00 max per diem"
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	358	Coinsurance and deductible may apply
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	358	Coinsurance and deductible may apply
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	One Health	PPO	200		case rate	200	case rate	200	358	200. cap on PT per visit
Dressing Debride Partial Burns Initial or Subseq SM	16020	CPT	4507041	LOCAL	420	RC		outpatient			376	320	Teachers Trust	PPO	103		case rate	103	case rate	103	358	103.00/treatment/163.00 max per day
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Aetna Medicare	HMO		26	26% of all negotiated rates	326	percent of total billed charges	326	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Alignment Medicare	HMO		39	39% of all negotiated rates	268	percent of total billed charges	268	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	176	percent of total billed charges	176	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	220	percent of total billed charges	220	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	268	percent of total billed charges	268	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Cigna	PPO		68	68% of all negotiated rates	141	percent of total billed charges	141	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Coventry	PPO		75	75% of all negotiated rates	110	percent of total billed charges	110	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	88	percent of total billed charges	88	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Humana-Commerical	PPO		70	70% of all negotiated rates	132	percent of total billed charges	132	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	268	percent of total billed charges	268	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Multiplan	PPO		80	80% of all negotiated rates	88	percent of total billed charges	88	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Optum Medicare	HMO		39	39% of all negotiated rates	268	percent of total billed charges	268	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	P3	HMO		39	39% of all negotiated rates	268	percent of total billed charges	268	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	132	percent of total billed charges	132	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Select Health	HMO		41	41% of all negotiated rates	260	percent of total billed charges	260	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	293	percent of total billed charges	293	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Sierra/HPN	HMO		60	60% of all negotiated rates	176	percent of total billed charges	176	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Silversummit Medicare	HMO		39	39% of all negotiated rates	268	percent of total billed charges	268	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	286	percent of total billed charges	286	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	TriWest	PPO		30	30% of all negotiated rates	308	percent of total billed charges	308	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	132	percent of total billed charges	132	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	United Healthcare	PPO		60	60% of all negotiated rates	176	percent of total billed charges	176	440	
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Aetna	PPO		120	120% of Aetna market fee schedule	119	fee schedule	119	419	Coinsurance and deductible may apply
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	419	Coinsurance and deductible may apply
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Coalition	PPO	25		case rate	25	case rate	25	419	"25.00 per treatment, 199.00 max per diem"
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	419	Coinsurance and deductible may apply
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	419	Coinsurance and deductible may apply
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	One Health	PPO	200		case rate	200	case rate	200	419	200. cap on PT per visit
Dressing Debridement Partial Burns Initial or Subsequent Med	16025	CPT	4507043	LOCAL	420	RC		outpatient			440	374	Teachers Trust	PPO	103		case rate	103	case rate	103	419	103.00/treatment/163.00 max per day
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Aetna Medicare	HMO		26	26% of all negotiated rates	355	percent of total billed charges	355	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Alignment Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	240	percent of total billed charges	240	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Cigna	PPO		68	68% of all negotiated rates	154	percent of total billed charges	154	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Optum Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	P3	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Select Health	HMO		41	41% of all negotiated rates	283	percent of total billed charges	283	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	319	percent of total billed charges	319	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Silversummit Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	312	percent of total billed charges	312	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	TriWest	PPO		30	30% of all negotiated rates	336	percent of total billed charges	336	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	United Healthcare	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Aetna	PPO		120	120% of Aetna market fee schedule	142	fee schedule	142	457	Coinsurance and deductible may apply
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	457	Coinsurance and deductible may apply
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Coalition	PPO	25		case rate	25	case rate	25	457	"25.00 per treatment, 199.00 max per diem"
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	457	Coinsurance and deductible may apply
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	457	Coinsurance and deductible may apply
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	One Health	PPO	200		case rate	200	case rate	200	457	200. cap on PT per visit
DRESSING DEBRIDEMENT PARTIAL THICKNESS BURNS INITIAL OR SUBS	16030	CPT	4507045	LOCAL	420	RC		outpatient			480	408	Teachers Trust	PPO	103		case rate	103	case rate	103	457	103.00/treatment/163.00 max per day
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	99	Coinsurance and deductible may apply
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	99	Coinsurance and deductible may apply
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	99	Coinsurance and deductible may apply
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Gait Training Charges	97116	CPT	4506977	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	18	fee schedule	18	99	Coinsurance and deductible may apply
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	99	Coinsurance and deductible may apply
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	99	Coinsurance and deductible may apply
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	99	Coinsurance and deductible may apply
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Group Therapy Charge	97150	CPT	4506972	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Iontophoresis Charges	97033	CPT	4550205	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Manual Therapy Charge Units	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Massage Charge Units	97124	CPT	4500102	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	16	fee schedule	16	195	Coinsurance and deductible may apply
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	195	Coinsurance and deductible may apply
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	195	Coinsurance and deductible may apply
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	195	Coinsurance and deductible may apply
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Mechanical Traction Charge	97012	CPT	4506978	LOCAL	420	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Mobilization	97140	CPT	4506988	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Orthotic Mgmt and Training Charges	97760	CPT	4507039	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Prosthetic Training Charges	97761	CPT	4500107	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	43	fee schedule	43	99	Coinsurance and deductible may apply
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
PT Canalith Repositioning Charge	95992	CPT	4500500	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	57	fee schedule	57	99	Coinsurance and deductible may apply
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
PT Orthotic Mgmt/Train Establish Rehab Units	97763	CPT	4507101	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	12	fee schedule	12	99	Coinsurance and deductible may apply
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
PT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	387	Coinsurance and deductible may apply
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	387	Coinsurance and deductible may apply
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	387	Coinsurance and deductible may apply
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	387	Coinsurance and deductible may apply
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
PT Wound VAC >50 Charge:Yes	97606	CPT	4500108	LOCAL	420	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	13	fee schedule	13	99	Coinsurance and deductible may apply
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Selective Debridement Addition Charge	97598	CPT	4500105	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	28	fee schedule	28	195	Coinsurance and deductible may apply
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
"Selective Debridement Charge:Yes, total wound surface area,"	97597	CPT	4500106	LOCAL	420	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	36	fee schedule	36	99	Coinsurance and deductible may apply
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Therapeutic Activities Charge	97530	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Therapeutic Exercise Charges	97110	CPT	4556959	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	13	fee schedule	13	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Ultrasound Charges	97035	CPT	4506994	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Unattended Electrical Therapy Charge	97014	CPT	4500103	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	20	fee schedule	20	195	Coinsurance and deductible may apply
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	195	Coinsurance and deductible may apply
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	195	Coinsurance and deductible may apply
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	195	Coinsurance and deductible may apply
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Vasopneumatic Device Charge	97016	CPT	4556961	LOCAL	420	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Wheelchair Management Charges	97542	CPT	4506938	LOCAL	420	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	25	fee schedule	25	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Whirlpool Full Body Charge	97022	CPT	4506980	LOCAL	420	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Aetna Medicare	HMO		26	26% of all negotiated rates	227	percent of total billed charges	227	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Alignment Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	153	percent of total billed charges	153	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Optum Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	P3	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Select Health	HMO		41	41% of all negotiated rates	181	percent of total billed charges	181	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	204	percent of total billed charges	204	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Silversummit Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	199	percent of total billed charges	199	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Aetna	PPO		120	120% of Aetna market fee schedule	31	fee schedule	31	292	Coinsurance and deductible may apply
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	292	Coinsurance and deductible may apply
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Coalition	PPO	25		case rate	25	case rate	25	292	"25.00 per treatment, 199.00 max per diem"
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	292	Coinsurance and deductible may apply
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	292	Coinsurance and deductible may apply
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	One Health	PPO	200		case rate	200	case rate	200	292	200. cap on PT per visit
Wound Vac Charge	97605	CPT	4500109	LOCAL	420	RC		outpatient			307	261	Teachers Trust	PPO	103		case rate	103	case rate	103	292	103.00/treatment/163.00 max per day
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	82	fee schedule	82	387	Coinsurance and deductible may apply
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
PT High Complex Units	97163	CPT	4500317	LOCAL	424	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	82	fee schedule	82	387	Coinsurance and deductible may apply
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
PT Low Complex Units	97161	CPT	4500315	LOCAL	424	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	82	fee schedule	82	387	Coinsurance and deductible may apply
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	387	Coinsurance and deductible may apply
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
PT Moderate Complex Units	97162	CPT	4500316	LOCAL	424	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	56	fee schedule	56	195	Coinsurance and deductible may apply
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	195	Coinsurance and deductible may apply
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	195	Coinsurance and deductible may apply
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	195	Coinsurance and deductible may apply
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Reevaluation Charge	97164	CPT	4507037	LOCAL	424	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	99	Coinsurance and deductible may apply
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
ADL Training Charges	97535	CPT	4556953	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	19	fee schedule	19	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	99	Coinsurance and deductible may apply
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Attended E-Stim Charges	97032	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Cognitive Skills Development Charges	97127	CPT	4556954	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Cognitive Skills Development Charges	97532	CPT	4557132	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Community/Work Reintegration Charges	97537	CPT	4550201	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	18	fee schedule	18	99	Coinsurance and deductible may apply
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Contrast Bath Charges	97034	CPT	4556960	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Contrast baths	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	18	fee schedule	18	99	Coinsurance and deductible may apply
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	99	Coinsurance and deductible may apply
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	99	Coinsurance and deductible may apply
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	15	fee schedule	15	99	Coinsurance and deductible may apply
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Group therapy	97150	CPT	4556964	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Iontophoresis Charges	97033	CPT	4506979	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Joint Mobilization Charges	97140	CPT	4556966	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	99	Coinsurance and deductible may apply
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Manual Therapy Charge Units	97140	CPT	4557118	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Massage Charge Units	97124	CPT	4550206	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Neuromuscular Reeducation Charges	97112	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	57	fee schedule	57	99	Coinsurance and deductible may apply
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Orthotic Fitting/Training/Manag Details	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	39	fee schedule	39	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Orthotic Mgmt and Training Charges	97760	CPT	4557134	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OT BU: OT Massage Charge Units	97124	CPT	4557124	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	99	Coinsurance and deductible may apply
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OT BU: OT Neuromuscular Reeducation Charges	97112	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
"OT Cog Ther Intervent, Addl 15 Min Asst"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
"OT Cog Ther Intervent, Addl 15 Min Units"	97130	CPT	4553320	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	24	fee schedule	24	99	Coinsurance and deductible may apply
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
"OT Cog Ther Intervent, First 15 Min Asst"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	24	fee schedule	24	99	Coinsurance and deductible may apply
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
"OT Cog Ther Intervent,First 15 Min Units"	97129	CPT	4553310	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	57	fee schedule	57	99	Coinsurance and deductible may apply
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	99	Coinsurance and deductible may apply
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OT Orthotic Mgmt/Train Establish Charge	97763	CPT	4557202	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	12	fee schedule	12	99	Coinsurance and deductible may apply
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	99	Coinsurance and deductible may apply
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OT Paraffin Bath Charge	97018	CPT	4556959	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	35	fee schedule	35	99	Coinsurance and deductible may apply
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OTBU: OT ADL Training Charges	97535	CPT	4557112	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	99	Coinsurance and deductible may apply
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OTBU: OT Therapeutic Exercise Charges	97110	CPT	4557108	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
OTBU: OT Wheelchair Charge	97542	CPT	4557120	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	34	fee schedule	34	99	Coinsurance and deductible may apply
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	99	Coinsurance and deductible may apply
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Prosthetic Charge	97761	CPT	4557130	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
PT Contrast Bath Charges	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	36	fee schedule	36	99	Coinsurance and deductible may apply
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Therapeutic Activities Charges	97530	CPT	4557110	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	32	fee schedule	32	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	99	Coinsurance and deductible may apply
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Therapeutic Exercise Charges	97110	CPT	4506984	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	13	fee schedule	13	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	99	Coinsurance and deductible may apply
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Ultrasound Charges	97035	CPT	4556961	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	16	fee schedule	16	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	14	fee schedule	14	99	Coinsurance and deductible may apply
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Unattended Electrical Therapy Charge	97014	CPT	4550204	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	31	fee schedule	31	99	Coinsurance and deductible may apply
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	99	Coinsurance and deductible may apply
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Wheelchair Charge	97542	CPT	4556950	LOCAL	430	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	25	fee schedule	25	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	21	fee schedule	21	195	Coinsurance and deductible may apply
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Whirlpool Full Body Charge	97022	CPT	4550211	LOCAL	430	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	79	fee schedule	79	387	Coinsurance and deductible may apply
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
Occupational Therapy Eval and Treatment	97166	CPT	4557100	LOCAL	434	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	79	fee schedule	79	387	Coinsurance and deductible may apply
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
Occupational Therapy Evaluation and Treatment LTC	97166	CPT	4557102	LOCAL	434	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	79	fee schedule	79	387	Coinsurance and deductible may apply
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
OT High Complex Units	97167	CPT	4550217	LOCAL	434	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	79	fee schedule	79	387	Coinsurance and deductible may apply
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
OT Low Complex Units	97165	CPT	4557106	LOCAL	434	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	79	fee schedule	79	387	Coinsurance and deductible may apply
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
OT Moderate Complex Units	97166	CPT	4550216	LOCAL	434	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	52	fee schedule	52	195	Coinsurance and deductible may apply
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	45	fee schedule	45	195	Coinsurance and deductible may apply
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	45	fee schedule	45	195	Coinsurance and deductible may apply
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	45	fee schedule	45	195	Coinsurance and deductible may apply
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
OT ReEval Units	97168	CPT	4557122	LOCAL	434	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
Cognitive Skills Development Charges	97127	CPT	4514070	LOCAL	440	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	23	fee schedule	23	99	Coinsurance and deductible may apply
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
"SLP Cog Ther Intervent, Addl 15Min Units"	97130	CPT	4512220	LOCAL	440	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Aetna Medicare	HMO		26	26% of all negotiated rates	77	percent of total billed charges	77	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Alignment Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	52	percent of total billed charges	52	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Cigna	PPO		68	68% of all negotiated rates	33	percent of total billed charges	33	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Coventry	PPO		75	75% of all negotiated rates	26	percent of total billed charges	26	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Humana-Commerical	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Multiplan	PPO		80	80% of all negotiated rates	21	percent of total billed charges	21	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Optum Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	P3	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Select Health	HMO		41	41% of all negotiated rates	61	percent of total billed charges	61	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	69	percent of total billed charges	69	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Sierra/HPN	HMO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Silversummit Medicare	HMO		39	39% of all negotiated rates	63	percent of total billed charges	63	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	68	percent of total billed charges	68	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	TriWest	PPO		30	30% of all negotiated rates	73	percent of total billed charges	73	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	31	percent of total billed charges	31	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	United Healthcare	PPO		60	60% of all negotiated rates	42	percent of total billed charges	42	104	
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Aetna	PPO		120	120% of Aetna market fee schedule	24	fee schedule	24	99	Coinsurance and deductible may apply
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Coalition	PPO	25		case rate	25	case rate	25	99	"25.00 per treatment, 199.00 max per diem"
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	One Health	PPO	200		case rate	200	case rate	200	99	200. cap on PT per visit
"SLP Cog Ther Intervent,First 15Min Units"	97129	CPT	4512210	LOCAL	440	RC		outpatient			104	88	Teachers Trust	PPO	103		case rate	103	case rate	103	99	103.00/treatment/163.00 max per day
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	75	fee schedule	75	195	Coinsurance and deductible may apply
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Speech/Language/Voice/Auditory Charge	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	91	fee schedule	91	195	Coinsurance and deductible may apply
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
STBU: ST TX Swallow Dysfunction	92526	CPT	4517094	LOCAL	440	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	91	fee schedule	91	195	Coinsurance and deductible may apply
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Treatment of Swallowing Dysfunction Charge	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	91	fee schedule	91	195	Coinsurance and deductible may apply
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	77	fee schedule	77	195	Coinsurance and deductible may apply
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
TREATMENT SWALLOW DYSFUNCTION	92526	CPT	4513715	LOCAL	440	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	75	fee schedule	75	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Tx of Speech/Lang/Voice/Comm/Auditory Chg	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	75	fee schedule	75	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	195	Coinsurance and deductible may apply
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	92507	CPT	4515014	LOCAL	440	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Aetna Medicare	HMO		26	26% of all negotiated rates	436	percent of total billed charges	436	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	236	percent of total billed charges	236	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	295	percent of total billed charges	295	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Humana-Commerical	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Select Health	HMO		41	41% of all negotiated rates	348	percent of total billed charges	348	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	392	percent of total billed charges	392	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Sierra/HPN	HMO		60	60% of all negotiated rates	236	percent of total billed charges	236	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	383	percent of total billed charges	383	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	United Healthcare	PPO		60	60% of all negotiated rates	236	percent of total billed charges	236	589	
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Aetna	PPO		120	120% of Aetna market fee schedule	78	fee schedule	78	561	Coinsurance and deductible may apply
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	64	fee schedule	64	561	Coinsurance and deductible may apply
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Coalition	PPO	25		case rate	25	case rate	25	561	"25.00 per treatment, 199.00 max per diem"
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	64	fee schedule	64	561	Coinsurance and deductible may apply
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	64	fee schedule	64	561	Coinsurance and deductible may apply
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	One Health	PPO	200		case rate	200	case rate	200	561	200. cap on PT per visit
92610 EVAL ORAL SWALLOW FUNCT CHARGE	92610	CPT	3025010	LOCAL	444	RC		outpatient			589	501	Teachers Trust	PPO	103		case rate	103	case rate	103	561	103.00/treatment/163.00 max per day
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Aetna Medicare	HMO		26	26% of all negotiated rates	227	percent of total billed charges	227	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Alignment Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	153	percent of total billed charges	153	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Optum Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	P3	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Select Health	HMO		41	41% of all negotiated rates	181	percent of total billed charges	181	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	204	percent of total billed charges	204	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Silversummit Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	199	percent of total billed charges	199	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Aetna	PPO		120	120% of Aetna market fee schedule	120	fee schedule	120	292	Coinsurance and deductible may apply
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	100	fee schedule	100	292	Coinsurance and deductible may apply
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Coalition	PPO	25		case rate	25	case rate	25	292	"25.00 per treatment, 199.00 max per diem"
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	100	fee schedule	100	292	Coinsurance and deductible may apply
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	100	fee schedule	100	292	Coinsurance and deductible may apply
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	One Health	PPO	200		case rate	200	case rate	200	292	200. cap on PT per visit
Speech Fluency Eval Charge	92521	CPT	4514052	LOCAL	444	RC		outpatient			307	261	Teachers Trust	PPO	103		case rate	103	case rate	103	292	103.00/treatment/163.00 max per day
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	57	fee schedule	57	195	Coinsurance and deductible may apply
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	47	fee schedule	47	195	Coinsurance and deductible may apply
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	47	fee schedule	47	195	Coinsurance and deductible may apply
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	47	fee schedule	47	195	Coinsurance and deductible may apply
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Speech Generating Device Eval Additional 30 Min	92608	CPT	4513719	LOCAL	444	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Aetna	PPO		120	120% of Aetna market fee schedule	141	fee schedule	141	387	Coinsurance and deductible may apply
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	114	fee schedule	114	387	Coinsurance and deductible may apply
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Coalition	PPO	25		case rate	25	case rate	25	387	"25.00 per treatment, 199.00 max per diem"
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	114	fee schedule	114	387	Coinsurance and deductible may apply
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	114	fee schedule	114	387	Coinsurance and deductible may apply
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
Speech Generating Device Evaluation Charge	92607	CPT	4513717	LOCAL	444	RC		outpatient			406	345	Teachers Trust	PPO	103		case rate	103	case rate	103	387	103.00/treatment/163.00 max per day
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	202	fee schedule	202	195	Coinsurance and deductible may apply
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	168	fee schedule	168	195	Coinsurance and deductible may apply
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	168	fee schedule	168	195	Coinsurance and deductible may apply
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	168	fee schedule	168	195	Coinsurance and deductible may apply
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Speech Sound Prod w/ Language Charge	92523	CPT	4514050	LOCAL	444	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Aetna Medicare	HMO		26	26% of all negotiated rates	227	percent of total billed charges	227	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Alignment Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	153	percent of total billed charges	153	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Optum Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	P3	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Select Health	HMO		41	41% of all negotiated rates	181	percent of total billed charges	181	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	204	percent of total billed charges	204	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Silversummit Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	199	percent of total billed charges	199	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Aetna	PPO		120	120% of Aetna market fee schedule	97	fee schedule	97	292	Coinsurance and deductible may apply
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	81	fee schedule	81	292	Coinsurance and deductible may apply
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Coalition	PPO	25		case rate	25	case rate	25	292	"25.00 per treatment, 199.00 max per diem"
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	81	fee schedule	81	292	Coinsurance and deductible may apply
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	81	fee schedule	81	292	Coinsurance and deductible may apply
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	One Health	PPO	200		case rate	200	case rate	200	292	200. cap on PT per visit
Speech Sound Production Eval Charge	92522	CPT	4514054	LOCAL	444	RC		outpatient			307	261	Teachers Trust	PPO	103		case rate	103	case rate	103	292	103.00/treatment/163.00 max per day
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Aetna Medicare	HMO		26	26% of all negotiated rates	227	percent of total billed charges	227	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Alignment Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	153	percent of total billed charges	153	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Optum Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	P3	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Select Health	HMO		41	41% of all negotiated rates	181	percent of total billed charges	181	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	204	percent of total billed charges	204	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Sierra/HPN	HMO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Silversummit Medicare	HMO		39	39% of all negotiated rates	187	percent of total billed charges	187	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	199	percent of total billed charges	199	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	TriWest	PPO		30	30% of all negotiated rates	215	percent of total billed charges	215	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	United Healthcare	PPO		60	60% of all negotiated rates	123	percent of total billed charges	123	307	
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Aetna	PPO		120	120% of Aetna market fee schedule	127	fee schedule	127	292	Coinsurance and deductible may apply
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Coalition	PPO	25		case rate	25	case rate	25	292	"25.00 per treatment, 199.00 max per diem"
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	One Health	PPO	200		case rate	200	case rate	200	292	200. cap on PT per visit
Standard Cognitive Eval charge	96125	CPT	2161211	LOCAL	444	RC		outpatient			307	261	Teachers Trust	PPO	103		case rate	103	case rate	103	292	103.00/treatment/163.00 max per day
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Aetna Medicare	HMO		26	26% of all negotiated rates	436	percent of total billed charges	436	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	236	percent of total billed charges	236	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	295	percent of total billed charges	295	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Humana-Commerical	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Select Health	HMO		41	41% of all negotiated rates	348	percent of total billed charges	348	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	392	percent of total billed charges	392	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Sierra/HPN	HMO		60	60% of all negotiated rates	236	percent of total billed charges	236	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	383	percent of total billed charges	383	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	United Healthcare	PPO		60	60% of all negotiated rates	236	percent of total billed charges	236	589	
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Aetna	PPO		120	120% of Aetna market fee schedule	78	fee schedule	78	561	Coinsurance and deductible may apply
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	64	fee schedule	64	561	Coinsurance and deductible may apply
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Coalition	PPO	25		case rate	25	case rate	25	561	"25.00 per treatment, 199.00 max per diem"
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	64	fee schedule	64	561	Coinsurance and deductible may apply
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	64	fee schedule	64	561	Coinsurance and deductible may apply
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	One Health	PPO	200		case rate	200	case rate	200	561	200. cap on PT per visit
Swallow Evaluation Charge	92610	CPT	4514072	LOCAL	444	RC		outpatient			589	501	Teachers Trust	PPO	103		case rate	103	case rate	103	561	103.00/treatment/163.00 max per day
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Aetna Medicare	HMO		26	26% of all negotiated rates	152	percent of total billed charges	152	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Alignment Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	102	percent of total billed charges	102	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Cigna	PPO		68	68% of all negotiated rates	66	percent of total billed charges	66	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Optum Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	P3	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Select Health	HMO		41	41% of all negotiated rates	121	percent of total billed charges	121	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	136	percent of total billed charges	136	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Sierra/HPN	HMO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Silversummit Medicare	HMO		39	39% of all negotiated rates	125	percent of total billed charges	125	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	133	percent of total billed charges	133	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	TriWest	PPO		30	30% of all negotiated rates	143	percent of total billed charges	143	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	United Healthcare	PPO		60	60% of all negotiated rates	82	percent of total billed charges	82	205	
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Aetna	PPO		120	120% of Aetna market fee schedule	103	fee schedule	103	195	Coinsurance and deductible may apply
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	80	fee schedule	80	195	Coinsurance and deductible may apply
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Coalition	PPO	25		case rate	25	case rate	25	195	"25.00 per treatment, 199.00 max per diem"
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	80	fee schedule	80	195	Coinsurance and deductible may apply
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	80	fee schedule	80	195	Coinsurance and deductible may apply
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	One Health	PPO	200		case rate	200	case rate	200	195	200. cap on PT per visit
Video Swallow Eval Charge (Motion)	92611	CPT	4513711	LOCAL	444	RC		outpatient			205	174	Teachers Trust	PPO	103		case rate	103	case rate	103	195	103.00/treatment/163.00 max per day
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Aetna Medicare	HMO		26	26% of all negotiated rates	604	percent of total billed charges	604	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Alignment Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	326	percent of total billed charges	326	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	408	percent of total billed charges	408	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Cigna	PPO		68	68% of all negotiated rates	261	percent of total billed charges	261	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Coalition	PPO		59	59% of all negotiated rates	334	percent of total billed charges	334	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Coventry	PPO		75	75% of all negotiated rates	204	percent of total billed charges	204	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	163	percent of total billed charges	163	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Humana-Commerical	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Multiplan	PPO		80	80% of all negotiated rates	163	percent of total billed charges	163	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	One Health	PPO		55	55% of all negotiated rates	367	percent of total billed charges	367	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Optum Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	P3	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Select Health	HMO		41	41% of all negotiated rates	481	percent of total billed charges	481	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	543	percent of total billed charges	543	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Sierra/HPN	HMO		60	60% of all negotiated rates	326	percent of total billed charges	326	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Silversummit Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	530	percent of total billed charges	530	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Teachers Trust	PPO		68	68% of all negotiated rates	261	percent of total billed charges	261	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	TriWest	PPO		30	30% of all negotiated rates	571	percent of total billed charges	571	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	United Healthcare	PPO		60	60% of all negotiated rates	326	percent of total billed charges	326	816	
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	777	Coinsurance and deductible may apply
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	777	Coinsurance and deductible may apply
10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE	10060	CPT	3230606	LOCAL	450	RC		outpatient			816	693	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	777	Coinsurance and deductible may apply
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Aetna Medicare	HMO		26	26% of all negotiated rates	500	percent of total billed charges	500	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Alignment Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	338	percent of total billed charges	338	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Cigna	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Coalition	PPO		59	59% of all negotiated rates	277	percent of total billed charges	277	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Coventry	PPO		75	75% of all negotiated rates	169	percent of total billed charges	169	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Humana-Commerical	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Multiplan	PPO		80	80% of all negotiated rates	135	percent of total billed charges	135	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	One Health	PPO		55	55% of all negotiated rates	304	percent of total billed charges	304	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Optum Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	P3	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Select Health	HMO		41	41% of all negotiated rates	398	percent of total billed charges	398	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	449	percent of total billed charges	449	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Sierra/HPN	HMO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Silversummit Medicare	HMO		39	39% of all negotiated rates	412	percent of total billed charges	412	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	439	percent of total billed charges	439	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Teachers Trust	PPO		68	68% of all negotiated rates	216	percent of total billed charges	216	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	TriWest	PPO		30	30% of all negotiated rates	473	percent of total billed charges	473	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	203	percent of total billed charges	203	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	United Healthcare	PPO		60	60% of all negotiated rates	270	percent of total billed charges	270	675	
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	169	fee schedule	169	643	Coinsurance and deductible may apply
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	169	fee schedule	169	643	Coinsurance and deductible may apply
"10061 ED I  D ABSCESS, COMPL CHARGE"	10061	CPT	3230005	LOCAL	450	RC		outpatient			675	574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	169	fee schedule	169	643	Coinsurance and deductible may apply
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Aetna Medicare	HMO		26	26% of all negotiated rates	630	percent of total billed charges	630	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Alignment Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	426	percent of total billed charges	426	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Coalition	PPO		59	59% of all negotiated rates	349	percent of total billed charges	349	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Coventry	PPO		75	75% of all negotiated rates	213	percent of total billed charges	213	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	One Health	PPO		55	55% of all negotiated rates	383	percent of total billed charges	383	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Optum Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	P3	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Select Health	HMO		41	41% of all negotiated rates	502	percent of total billed charges	502	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	566	percent of total billed charges	566	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Sierra/HPN	HMO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Silversummit Medicare	HMO		39	39% of all negotiated rates	519	percent of total billed charges	519	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	554	percent of total billed charges	554	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Teachers Trust	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	TriWest	PPO		30	30% of all negotiated rates	596	percent of total billed charges	596	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	United Healthcare	PPO		60	60% of all negotiated rates	341	percent of total billed charges	341	852	
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	811	Coinsurance and deductible may apply
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	811	Coinsurance and deductible may apply
10080 ED ID PILONIDAL CYST SIMPLE CHARGE	10080	CPT	3238001	LOCAL	450	RC		outpatient			852	724	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	811	Coinsurance and deductible may apply
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Aetna Medicare	HMO		26	26% of all negotiated rates	888	percent of total billed charges	888	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Alignment Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	480	percent of total billed charges	480	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	600	percent of total billed charges	600	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Cigna	PPO		68	68% of all negotiated rates	384	percent of total billed charges	384	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Coalition	PPO		59	59% of all negotiated rates	492	percent of total billed charges	492	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Coventry	PPO		75	75% of all negotiated rates	300	percent of total billed charges	300	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	240	percent of total billed charges	240	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Humana-Commerical	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Multiplan	PPO		80	80% of all negotiated rates	240	percent of total billed charges	240	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	One Health	PPO		55	55% of all negotiated rates	540	percent of total billed charges	540	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Optum Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	P3	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Select Health	HMO		41	41% of all negotiated rates	708	percent of total billed charges	708	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	798	percent of total billed charges	798	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Sierra/HPN	HMO		60	60% of all negotiated rates	480	percent of total billed charges	480	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Silversummit Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	780	percent of total billed charges	780	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Teachers Trust	PPO		68	68% of all negotiated rates	384	percent of total billed charges	384	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	TriWest	PPO		30	30% of all negotiated rates	840	percent of total billed charges	840	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	United Healthcare	PPO		60	60% of all negotiated rates	480	percent of total billed charges	480	1200	
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1143	Coinsurance and deductible may apply
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1143	Coinsurance and deductible may apply
"10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE"	10120	CPT	3231204	LOCAL	450	RC		outpatient			1200	1020	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1143	Coinsurance and deductible may apply
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Aetna Medicare	HMO		26	26% of all negotiated rates	4636	percent of total billed charges	4636	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Alignment Medicare	HMO		39	39% of all negotiated rates	3821	percent of total billed charges	3821	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2506	percent of total billed charges	2506	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3132	percent of total billed charges	3132	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3821	percent of total billed charges	3821	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Cigna	PPO		68	68% of all negotiated rates	2005	percent of total billed charges	2005	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Coalition	PPO		59	59% of all negotiated rates	2568	percent of total billed charges	2568	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Coventry	PPO		75	75% of all negotiated rates	1566	percent of total billed charges	1566	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1253	percent of total billed charges	1253	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Humana-Commerical	PPO		70	70% of all negotiated rates	1879	percent of total billed charges	1879	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3821	percent of total billed charges	3821	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Multiplan	PPO		80	80% of all negotiated rates	1253	percent of total billed charges	1253	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	One Health	PPO		55	55% of all negotiated rates	2819	percent of total billed charges	2819	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Optum Medicare	HMO		39	39% of all negotiated rates	3821	percent of total billed charges	3821	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	P3	HMO		39	39% of all negotiated rates	3821	percent of total billed charges	3821	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1879	percent of total billed charges	1879	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Select Health	HMO		41	41% of all negotiated rates	3696	percent of total billed charges	3696	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4166	percent of total billed charges	4166	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Sierra/HPN	HMO		60	60% of all negotiated rates	2506	percent of total billed charges	2506	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Silversummit Medicare	HMO		39	39% of all negotiated rates	3821	percent of total billed charges	3821	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4072	percent of total billed charges	4072	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Teachers Trust	PPO		68	68% of all negotiated rates	2005	percent of total billed charges	2005	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	TriWest	PPO		30	30% of all negotiated rates	4385	percent of total billed charges	4385	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1879	percent of total billed charges	1879	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	United Healthcare	PPO		60	60% of all negotiated rates	2506	percent of total billed charges	2506	6264	
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	5966	Coinsurance and deductible may apply
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	5966	Coinsurance and deductible may apply
10140 ED DRAINAGE OF HEMATOMA CHARGE	10140	CPT	3237410	LOCAL	450	RC		outpatient			6264	5325	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	112	fee schedule	112	5966	Coinsurance and deductible may apply
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Aetna Medicare	HMO		26	26% of all negotiated rates	612	percent of total billed charges	612	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Alignment Medicare	HMO		39	39% of all negotiated rates	505	percent of total billed charges	505	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	331	percent of total billed charges	331	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	414	percent of total billed charges	414	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	505	percent of total billed charges	505	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Cigna	PPO		68	68% of all negotiated rates	265	percent of total billed charges	265	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Coalition	PPO		59	59% of all negotiated rates	339	percent of total billed charges	339	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Coventry	PPO		75	75% of all negotiated rates	207	percent of total billed charges	207	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	165	percent of total billed charges	165	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Humana-Commerical	PPO		70	70% of all negotiated rates	248	percent of total billed charges	248	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	505	percent of total billed charges	505	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Multiplan	PPO		80	80% of all negotiated rates	165	percent of total billed charges	165	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	One Health	PPO		55	55% of all negotiated rates	372	percent of total billed charges	372	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Optum Medicare	HMO		39	39% of all negotiated rates	505	percent of total billed charges	505	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	P3	HMO		39	39% of all negotiated rates	505	percent of total billed charges	505	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	248	percent of total billed charges	248	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Select Health	HMO		41	41% of all negotiated rates	488	percent of total billed charges	488	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	550	percent of total billed charges	550	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Sierra/HPN	HMO		60	60% of all negotiated rates	331	percent of total billed charges	331	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Silversummit Medicare	HMO		39	39% of all negotiated rates	505	percent of total billed charges	505	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	538	percent of total billed charges	538	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Teachers Trust	PPO		68	68% of all negotiated rates	265	percent of total billed charges	265	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	TriWest	PPO		30	30% of all negotiated rates	579	percent of total billed charges	579	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	248	percent of total billed charges	248	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	United Healthcare	PPO		60	60% of all negotiated rates	331	percent of total billed charges	331	827	
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	788	Coinsurance and deductible may apply
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	788	Coinsurance and deductible may apply
10160 ED PUNCTURE ASPIRATION (ABSCESS/HEMTOMA/CYS) CHARGE	10160	CPT	3230412	LOCAL	450	RC		outpatient			827	703	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	91	fee schedule	91	788	Coinsurance and deductible may apply
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Aetna Medicare	HMO		26	26% of all negotiated rates	1258	percent of total billed charges	1258	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Alignment Medicare	HMO		39	39% of all negotiated rates	1037	percent of total billed charges	1037	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	680	percent of total billed charges	680	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	850	percent of total billed charges	850	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1037	percent of total billed charges	1037	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Cigna	PPO		68	68% of all negotiated rates	544	percent of total billed charges	544	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Coalition	PPO		59	59% of all negotiated rates	697	percent of total billed charges	697	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Coventry	PPO		75	75% of all negotiated rates	425	percent of total billed charges	425	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	340	percent of total billed charges	340	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Humana-Commerical	PPO		70	70% of all negotiated rates	510	percent of total billed charges	510	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1037	percent of total billed charges	1037	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Multiplan	PPO		80	80% of all negotiated rates	340	percent of total billed charges	340	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	One Health	PPO		55	55% of all negotiated rates	765	percent of total billed charges	765	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Optum Medicare	HMO		39	39% of all negotiated rates	1037	percent of total billed charges	1037	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	P3	HMO		39	39% of all negotiated rates	1037	percent of total billed charges	1037	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	510	percent of total billed charges	510	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Select Health	HMO		41	41% of all negotiated rates	1003	percent of total billed charges	1003	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1130	percent of total billed charges	1130	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Sierra/HPN	HMO		60	60% of all negotiated rates	680	percent of total billed charges	680	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Silversummit Medicare	HMO		39	39% of all negotiated rates	1037	percent of total billed charges	1037	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1105	percent of total billed charges	1105	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Teachers Trust	PPO		68	68% of all negotiated rates	544	percent of total billed charges	544	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	TriWest	PPO		30	30% of all negotiated rates	1190	percent of total billed charges	1190	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	510	percent of total billed charges	510	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	United Healthcare	PPO		60	60% of all negotiated rates	680	percent of total billed charges	680	1700	
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	1619	Coinsurance and deductible may apply
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	1619	Coinsurance and deductible may apply
11000 DEBRIDE INFECTED SKIN	11000	CPT	3230007	LOCAL	450	RC		outpatient			1700	1445	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	1619	Coinsurance and deductible may apply
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Aetna Medicare	HMO		26	26% of all negotiated rates	764	percent of total billed charges	764	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Alignment Medicare	HMO		39	39% of all negotiated rates	630	percent of total billed charges	630	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	413	percent of total billed charges	413	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	516	percent of total billed charges	516	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	630	percent of total billed charges	630	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Cigna	PPO		68	68% of all negotiated rates	330	percent of total billed charges	330	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Coalition	PPO		59	59% of all negotiated rates	423	percent of total billed charges	423	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Coventry	PPO		75	75% of all negotiated rates	258	percent of total billed charges	258	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	206	percent of total billed charges	206	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Humana-Commerical	PPO		70	70% of all negotiated rates	310	percent of total billed charges	310	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	630	percent of total billed charges	630	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Multiplan	PPO		80	80% of all negotiated rates	206	percent of total billed charges	206	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	One Health	PPO		55	55% of all negotiated rates	464	percent of total billed charges	464	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Optum Medicare	HMO		39	39% of all negotiated rates	630	percent of total billed charges	630	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	P3	HMO		39	39% of all negotiated rates	630	percent of total billed charges	630	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	310	percent of total billed charges	310	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Select Health	HMO		41	41% of all negotiated rates	609	percent of total billed charges	609	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	686	percent of total billed charges	686	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Sierra/HPN	HMO		60	60% of all negotiated rates	413	percent of total billed charges	413	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Silversummit Medicare	HMO		39	39% of all negotiated rates	630	percent of total billed charges	630	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	671	percent of total billed charges	671	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Teachers Trust	PPO		68	68% of all negotiated rates	330	percent of total billed charges	330	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	TriWest	PPO		30	30% of all negotiated rates	723	percent of total billed charges	723	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	310	percent of total billed charges	310	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	United Healthcare	PPO		60	60% of all negotiated rates	413	percent of total billed charges	413	1032	
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	264	fee schedule	264	983	Coinsurance and deductible may apply
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	264	fee schedule	264	983	Coinsurance and deductible may apply
11010 ED DEBRIDE RMV FB W/FX SKIN CHARGE	11010	CPT	3230405	LOCAL	450	RC		outpatient			1032	877	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	264	fee schedule	264	983	Coinsurance and deductible may apply
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Aetna Medicare	HMO		26	26% of all negotiated rates	1738	percent of total billed charges	1738	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Alignment Medicare	HMO		39	39% of all negotiated rates	1433	percent of total billed charges	1433	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	940	percent of total billed charges	940	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1174	percent of total billed charges	1174	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1433	percent of total billed charges	1433	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Cigna	PPO		68	68% of all negotiated rates	752	percent of total billed charges	752	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Coalition	PPO		59	59% of all negotiated rates	963	percent of total billed charges	963	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Coventry	PPO		75	75% of all negotiated rates	587	percent of total billed charges	587	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	470	percent of total billed charges	470	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Humana-Commerical	PPO		70	70% of all negotiated rates	705	percent of total billed charges	705	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1433	percent of total billed charges	1433	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Multiplan	PPO		80	80% of all negotiated rates	470	percent of total billed charges	470	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	One Health	PPO		55	55% of all negotiated rates	1057	percent of total billed charges	1057	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Optum Medicare	HMO		39	39% of all negotiated rates	1433	percent of total billed charges	1433	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	P3	HMO		39	39% of all negotiated rates	1433	percent of total billed charges	1433	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	705	percent of total billed charges	705	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Select Health	HMO		41	41% of all negotiated rates	1386	percent of total billed charges	1386	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1562	percent of total billed charges	1562	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Sierra/HPN	HMO		60	60% of all negotiated rates	940	percent of total billed charges	940	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Silversummit Medicare	HMO		39	39% of all negotiated rates	1433	percent of total billed charges	1433	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1527	percent of total billed charges	1527	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Teachers Trust	PPO		68	68% of all negotiated rates	752	percent of total billed charges	752	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	TriWest	PPO		30	30% of all negotiated rates	1644	percent of total billed charges	1644	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	705	percent of total billed charges	705	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	United Healthcare	PPO		60	60% of all negotiated rates	940	percent of total billed charges	940	2349	
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	2237	Coinsurance and deductible may apply
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	2237	Coinsurance and deductible may apply
11011 DEBRIDE SKIN/MUS FX O/DIS	11011	CPT	3232129	LOCAL	450	RC		outpatient			2349	1997	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	2237	Coinsurance and deductible may apply
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Aetna Medicare	HMO		26	26% of all negotiated rates	1016	percent of total billed charges	1016	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Alignment Medicare	HMO		39	39% of all negotiated rates	837	percent of total billed charges	837	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	549	percent of total billed charges	549	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	686	percent of total billed charges	686	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	837	percent of total billed charges	837	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Cigna	PPO		68	68% of all negotiated rates	439	percent of total billed charges	439	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Coalition	PPO		59	59% of all negotiated rates	563	percent of total billed charges	563	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Coventry	PPO		75	75% of all negotiated rates	343	percent of total billed charges	343	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	274	percent of total billed charges	274	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Humana-Commerical	PPO		70	70% of all negotiated rates	412	percent of total billed charges	412	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	837	percent of total billed charges	837	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Multiplan	PPO		80	80% of all negotiated rates	274	percent of total billed charges	274	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	One Health	PPO		55	55% of all negotiated rates	618	percent of total billed charges	618	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Optum Medicare	HMO		39	39% of all negotiated rates	837	percent of total billed charges	837	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	P3	HMO		39	39% of all negotiated rates	837	percent of total billed charges	837	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	412	percent of total billed charges	412	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Select Health	HMO		41	41% of all negotiated rates	810	percent of total billed charges	810	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	913	percent of total billed charges	913	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Sierra/HPN	HMO		60	60% of all negotiated rates	549	percent of total billed charges	549	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Silversummit Medicare	HMO		39	39% of all negotiated rates	837	percent of total billed charges	837	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	892	percent of total billed charges	892	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Teachers Trust	PPO		68	68% of all negotiated rates	439	percent of total billed charges	439	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	TriWest	PPO		30	30% of all negotiated rates	961	percent of total billed charges	961	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	412	percent of total billed charges	412	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	United Healthcare	PPO		60	60% of all negotiated rates	549	percent of total billed charges	549	1372	
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	404	fee schedule	404	1307	Coinsurance and deductible may apply
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	404	fee schedule	404	1307	Coinsurance and deductible may apply
11012 DEB REMOV F MAT SKIN/TISS/BONE ED CHARGE	11012	CPT	3235203	LOCAL	450	RC		outpatient			1372	1166	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	404	fee schedule	404	1307	Coinsurance and deductible may apply
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Aetna Medicare	HMO		26	26% of all negotiated rates	805	percent of total billed charges	805	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Alignment Medicare	HMO		39	39% of all negotiated rates	664	percent of total billed charges	664	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	435	percent of total billed charges	435	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	544	percent of total billed charges	544	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	664	percent of total billed charges	664	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Cigna	PPO		68	68% of all negotiated rates	348	percent of total billed charges	348	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Coalition	PPO		59	59% of all negotiated rates	446	percent of total billed charges	446	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Coventry	PPO		75	75% of all negotiated rates	272	percent of total billed charges	272	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	218	percent of total billed charges	218	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Humana-Commerical	PPO		70	70% of all negotiated rates	326	percent of total billed charges	326	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	664	percent of total billed charges	664	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Multiplan	PPO		80	80% of all negotiated rates	218	percent of total billed charges	218	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	One Health	PPO		55	55% of all negotiated rates	490	percent of total billed charges	490	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Optum Medicare	HMO		39	39% of all negotiated rates	664	percent of total billed charges	664	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	P3	HMO		39	39% of all negotiated rates	664	percent of total billed charges	664	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	326	percent of total billed charges	326	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Select Health	HMO		41	41% of all negotiated rates	642	percent of total billed charges	642	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	723	percent of total billed charges	723	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Sierra/HPN	HMO		60	60% of all negotiated rates	435	percent of total billed charges	435	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Silversummit Medicare	HMO		39	39% of all negotiated rates	664	percent of total billed charges	664	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	707	percent of total billed charges	707	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Teachers Trust	PPO		68	68% of all negotiated rates	348	percent of total billed charges	348	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	TriWest	PPO		30	30% of all negotiated rates	761	percent of total billed charges	761	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	326	percent of total billed charges	326	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	United Healthcare	PPO		60	60% of all negotiated rates	435	percent of total billed charges	435	1088	
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	58	fee schedule	58	1036	Coinsurance and deductible may apply
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	58	fee schedule	58	1036	Coinsurance and deductible may apply
11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE	11042	CPT	3230410	LOCAL	450	RC		outpatient			1088	925	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	58	fee schedule	58	1036	Coinsurance and deductible may apply
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Aetna Medicare	HMO		26	26% of all negotiated rates	695	percent of total billed charges	695	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Alignment Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	375	percent of total billed charges	375	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	469	percent of total billed charges	469	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Cigna	PPO		68	68% of all negotiated rates	300	percent of total billed charges	300	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Coalition	PPO		59	59% of all negotiated rates	385	percent of total billed charges	385	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Coventry	PPO		75	75% of all negotiated rates	235	percent of total billed charges	235	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	188	percent of total billed charges	188	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Humana-Commerical	PPO		70	70% of all negotiated rates	282	percent of total billed charges	282	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Multiplan	PPO		80	80% of all negotiated rates	188	percent of total billed charges	188	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	One Health	PPO		55	55% of all negotiated rates	422	percent of total billed charges	422	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Optum Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	P3	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	282	percent of total billed charges	282	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Select Health	HMO		41	41% of all negotiated rates	554	percent of total billed charges	554	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	624	percent of total billed charges	624	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Sierra/HPN	HMO		60	60% of all negotiated rates	375	percent of total billed charges	375	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Silversummit Medicare	HMO		39	39% of all negotiated rates	573	percent of total billed charges	573	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	610	percent of total billed charges	610	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Teachers Trust	PPO		68	68% of all negotiated rates	300	percent of total billed charges	300	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	TriWest	PPO		30	30% of all negotiated rates	657	percent of total billed charges	657	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	282	percent of total billed charges	282	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	United Healthcare	PPO		60	60% of all negotiated rates	375	percent of total billed charges	375	939	
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	894	Coinsurance and deductible may apply
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	894	Coinsurance and deductible may apply
11730 AVULSION OF NAIL PLATE ED CHARGE	11730	CPT	3237309	LOCAL	450	RC		outpatient			939	798	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	894	Coinsurance and deductible may apply
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Aetna Medicare	HMO		26	26% of all negotiated rates	242	percent of total billed charges	242	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Alignment Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	164	percent of total billed charges	164	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Cigna	PPO		68	68% of all negotiated rates	105	percent of total billed charges	105	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Coalition	PPO		59	59% of all negotiated rates	134	percent of total billed charges	134	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Coventry	PPO		75	75% of all negotiated rates	82	percent of total billed charges	82	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	66	percent of total billed charges	66	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Humana-Commerical	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Multiplan	PPO		80	80% of all negotiated rates	66	percent of total billed charges	66	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	One Health	PPO		55	55% of all negotiated rates	147	percent of total billed charges	147	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Optum Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	P3	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Select Health	HMO		41	41% of all negotiated rates	193	percent of total billed charges	193	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	218	percent of total billed charges	218	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Sierra/HPN	HMO		60	60% of all negotiated rates	131	percent of total billed charges	131	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Silversummit Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	213	percent of total billed charges	213	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Teachers Trust	PPO		68	68% of all negotiated rates	105	percent of total billed charges	105	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	TriWest	PPO		30	30% of all negotiated rates	229	percent of total billed charges	229	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	United Healthcare	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	328	
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	312	Coinsurance and deductible may apply
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	312	Coinsurance and deductible may apply
11732 EA. ADDL NAIL AVULSION CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	312	Coinsurance and deductible may apply
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Aetna Medicare	HMO		26	26% of all negotiated rates	242	percent of total billed charges	242	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Alignment Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	164	percent of total billed charges	164	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Cigna	PPO		68	68% of all negotiated rates	105	percent of total billed charges	105	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Coalition	PPO		59	59% of all negotiated rates	134	percent of total billed charges	134	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Coventry	PPO		75	75% of all negotiated rates	82	percent of total billed charges	82	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	66	percent of total billed charges	66	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Humana-Commerical	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Multiplan	PPO		80	80% of all negotiated rates	66	percent of total billed charges	66	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	One Health	PPO		55	55% of all negotiated rates	147	percent of total billed charges	147	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Optum Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	P3	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Select Health	HMO		41	41% of all negotiated rates	193	percent of total billed charges	193	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	218	percent of total billed charges	218	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Sierra/HPN	HMO		60	60% of all negotiated rates	131	percent of total billed charges	131	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Silversummit Medicare	HMO		39	39% of all negotiated rates	200	percent of total billed charges	200	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	213	percent of total billed charges	213	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Teachers Trust	PPO		68	68% of all negotiated rates	105	percent of total billed charges	105	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	TriWest	PPO		30	30% of all negotiated rates	229	percent of total billed charges	229	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	98	percent of total billed charges	98	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	United Healthcare	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	328	
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	312	Coinsurance and deductible may apply
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	312	Coinsurance and deductible may apply
11732 ED AVULSION OF NAIL PLATE PARTIAL/COMPLETE EACH ADD CHARGE	11732	CPT	3416115	LOCAL	450	RC		outpatient			328	278	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	312	Coinsurance and deductible may apply
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Aetna Medicare	HMO		26	26% of all negotiated rates	313	percent of total billed charges	313	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Alignment Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	212	percent of total billed charges	212	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Cigna	PPO		68	68% of all negotiated rates	135	percent of total billed charges	135	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Coalition	PPO		59	59% of all negotiated rates	173	percent of total billed charges	173	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Coventry	PPO		75	75% of all negotiated rates	106	percent of total billed charges	106	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Humana-Commerical	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Multiplan	PPO		80	80% of all negotiated rates	85	percent of total billed charges	85	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	One Health	PPO		55	55% of all negotiated rates	190	percent of total billed charges	190	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Optum Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	P3	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Select Health	HMO		41	41% of all negotiated rates	250	percent of total billed charges	250	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	281	percent of total billed charges	281	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Sierra/HPN	HMO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Silversummit Medicare	HMO		39	39% of all negotiated rates	258	percent of total billed charges	258	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	275	percent of total billed charges	275	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Teachers Trust	PPO		68	68% of all negotiated rates	135	percent of total billed charges	135	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	TriWest	PPO		30	30% of all negotiated rates	296	percent of total billed charges	296	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	127	percent of total billed charges	127	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	United Healthcare	PPO		60	60% of all negotiated rates	169	percent of total billed charges	169	423	
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	403	Coinsurance and deductible may apply
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	403	Coinsurance and deductible may apply
11740 ED EVACUATION OF SUBUNGUAL HEMATOMA CHARGE	11740	CPT	3237408	LOCAL	450	RC		outpatient			423	360	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	403	Coinsurance and deductible may apply
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Aetna Medicare	HMO		26	26% of all negotiated rates	1437	percent of total billed charges	1437	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Alignment Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	777	percent of total billed charges	777	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	971	percent of total billed charges	971	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Cigna	PPO		68	68% of all negotiated rates	622	percent of total billed charges	622	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Coalition	PPO		59	59% of all negotiated rates	796	percent of total billed charges	796	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Coventry	PPO		75	75% of all negotiated rates	486	percent of total billed charges	486	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	389	percent of total billed charges	389	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Humana-Commerical	PPO		70	70% of all negotiated rates	583	percent of total billed charges	583	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Multiplan	PPO		80	80% of all negotiated rates	389	percent of total billed charges	389	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	One Health	PPO		55	55% of all negotiated rates	874	percent of total billed charges	874	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Optum Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	P3	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	583	percent of total billed charges	583	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Select Health	HMO		41	41% of all negotiated rates	1146	percent of total billed charges	1146	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1292	percent of total billed charges	1292	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Sierra/HPN	HMO		60	60% of all negotiated rates	777	percent of total billed charges	777	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Silversummit Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1263	percent of total billed charges	1263	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Teachers Trust	PPO		68	68% of all negotiated rates	622	percent of total billed charges	622	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	TriWest	PPO		30	30% of all negotiated rates	1360	percent of total billed charges	1360	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	583	percent of total billed charges	583	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	United Healthcare	PPO		60	60% of all negotiated rates	777	percent of total billed charges	777	1943	
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	164	fee schedule	164	1850	Coinsurance and deductible may apply
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	164	fee schedule	164	1850	Coinsurance and deductible may apply
11750 ED EXC NAIL/MATRIX CHARGE	11750	CPT	3237507	LOCAL	450	RC		outpatient			1943	1651	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	164	fee schedule	164	1850	Coinsurance and deductible may apply
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Aetna Medicare	HMO		26	26% of all negotiated rates	459	percent of total billed charges	459	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Alignment Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	248	percent of total billed charges	248	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	310	percent of total billed charges	310	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Cigna	PPO		68	68% of all negotiated rates	199	percent of total billed charges	199	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Coalition	PPO		59	59% of all negotiated rates	254	percent of total billed charges	254	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Coventry	PPO		75	75% of all negotiated rates	155	percent of total billed charges	155	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	124	percent of total billed charges	124	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Humana-Commerical	PPO		70	70% of all negotiated rates	186	percent of total billed charges	186	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Multiplan	PPO		80	80% of all negotiated rates	124	percent of total billed charges	124	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	One Health	PPO		55	55% of all negotiated rates	279	percent of total billed charges	279	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Optum Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	P3	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	186	percent of total billed charges	186	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Select Health	HMO		41	41% of all negotiated rates	366	percent of total billed charges	366	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	413	percent of total billed charges	413	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Sierra/HPN	HMO		60	60% of all negotiated rates	248	percent of total billed charges	248	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Silversummit Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	403	percent of total billed charges	403	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Teachers Trust	PPO		68	68% of all negotiated rates	199	percent of total billed charges	199	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	TriWest	PPO		30	30% of all negotiated rates	434	percent of total billed charges	434	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	186	percent of total billed charges	186	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	United Healthcare	PPO		60	60% of all negotiated rates	248	percent of total billed charges	248	621	
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	591	Coinsurance and deductible may apply
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	591	Coinsurance and deductible may apply
11760 ED REPAIR OF NAIL BED CHARGE	11760	CPT	3230112	LOCAL	450	RC		outpatient			621	527	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	591	Coinsurance and deductible may apply
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Aetna Medicare	HMO		26	26% of all negotiated rates	1228	percent of total billed charges	1228	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Alignment Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	664	percent of total billed charges	664	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	830	percent of total billed charges	830	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Cigna	PPO		68	68% of all negotiated rates	531	percent of total billed charges	531	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Coalition	PPO		59	59% of all negotiated rates	681	percent of total billed charges	681	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Coventry	PPO		75	75% of all negotiated rates	415	percent of total billed charges	415	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	332	percent of total billed charges	332	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Humana-Commerical	PPO		70	70% of all negotiated rates	498	percent of total billed charges	498	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Multiplan	PPO		80	80% of all negotiated rates	332	percent of total billed charges	332	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	One Health	PPO		55	55% of all negotiated rates	747	percent of total billed charges	747	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Optum Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	P3	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	498	percent of total billed charges	498	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Select Health	HMO		41	41% of all negotiated rates	979	percent of total billed charges	979	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1104	percent of total billed charges	1104	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Sierra/HPN	HMO		60	60% of all negotiated rates	664	percent of total billed charges	664	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Silversummit Medicare	HMO		39	39% of all negotiated rates	1013	percent of total billed charges	1013	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1079	percent of total billed charges	1079	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Teachers Trust	PPO		68	68% of all negotiated rates	531	percent of total billed charges	531	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	TriWest	PPO		30	30% of all negotiated rates	1162	percent of total billed charges	1162	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	498	percent of total billed charges	498	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	United Healthcare	PPO		60	60% of all negotiated rates	664	percent of total billed charges	664	1660	
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	1581	Coinsurance and deductible may apply
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	1581	Coinsurance and deductible may apply
11765 ED WEDGE EXCISION SKIN OF NAIL FOLD CHARGE	11765	CPT	3237510	LOCAL	450	RC		outpatient			1660	1411	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	1581	Coinsurance and deductible may apply
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	560	Coinsurance and deductible may apply
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	560	Coinsurance and deductible may apply
12001  SIMP REPR <2.5CM ED Charge	12001	CPT	3230014	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	560	Coinsurance and deductible may apply
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	560	Coinsurance and deductible may apply
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	560	Coinsurance and deductible may apply
12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE	12002	CPT	3230022	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	560	Coinsurance and deductible may apply
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	560	Coinsurance and deductible may apply
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	560	Coinsurance and deductible may apply
12004  SIMP RPR 7.6-12.5CM ED Charge	12004	CPT	3230048	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	70	fee schedule	70	560	Coinsurance and deductible may apply
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	95	fee schedule	95	560	Coinsurance and deductible may apply
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	95	fee schedule	95	560	Coinsurance and deductible may apply
12005 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 12.6 TO 20.0CM CHARGE	12005	CPT	3230055	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	95	fee schedule	95	560	Coinsurance and deductible may apply
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	560	Coinsurance and deductible may apply
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	560	Coinsurance and deductible may apply
12006 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 20.1 TO 30.0CM CHARGE	12006	CPT	3230059	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	560	Coinsurance and deductible may apply
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Aetna Medicare	HMO		26	26% of all negotiated rates	456	percent of total billed charges	456	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Alignment Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	308	percent of total billed charges	308	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Cigna	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	One Health	PPO		55	55% of all negotiated rates	277	percent of total billed charges	277	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Optum Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	P3	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	410	percent of total billed charges	410	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Silversummit Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Teachers Trust	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	TriWest	PPO		30	30% of all negotiated rates	431	percent of total billed charges	431	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12007 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT OVER 30.0CM CHARGE	12007	CPT	3230062	LOCAL	450	RC		outpatient			616	524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	53	fee schedule	53	560	Coinsurance and deductible may apply
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	53	fee schedule	53	560	Coinsurance and deductible may apply
12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE	12011	CPT	3230113	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	53	fee schedule	53	560	Coinsurance and deductible may apply
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	59	fee schedule	59	560	Coinsurance and deductible may apply
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	59	fee schedule	59	560	Coinsurance and deductible may apply
12013 ED REPAIR SMPL WOUNDS FACE-MM 2.6 TO 5.0CM CHARGE	12013	CPT	3230139	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	59	fee schedule	59	560	Coinsurance and deductible may apply
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	560	Coinsurance and deductible may apply
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	560	Coinsurance and deductible may apply
12014 ED REPAIR SMPL WOUNDS FACE-MM 5.1 TO 7.5CM CHARGE	12014	CPT	3230147	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	560	Coinsurance and deductible may apply
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	560	Coinsurance and deductible may apply
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	560	Coinsurance and deductible may apply
12015 ED REPAIR SMPL WOUNDS FACE-MM 7.6 TO 12.5CM CHARGE	12015	CPT	3230063	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	560	Coinsurance and deductible may apply
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Aetna Medicare	HMO		26	26% of all negotiated rates	456	percent of total billed charges	456	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Alignment Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	308	percent of total billed charges	308	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Cigna	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	One Health	PPO		55	55% of all negotiated rates	277	percent of total billed charges	277	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Optum Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	P3	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	410	percent of total billed charges	410	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Silversummit Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Teachers Trust	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	TriWest	PPO		30	30% of all negotiated rates	431	percent of total billed charges	431	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12017 ED REPAIR SMPL WOUNDS FACE-MM 20.1 TO 30.0CM CHARGE	12017	CPT	3230065	LOCAL	450	RC		outpatient			616	524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Aetna Medicare	HMO		26	26% of all negotiated rates	456	percent of total billed charges	456	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Alignment Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	308	percent of total billed charges	308	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Cigna	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	One Health	PPO		55	55% of all negotiated rates	277	percent of total billed charges	277	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Optum Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	P3	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	410	percent of total billed charges	410	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Silversummit Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Teachers Trust	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	TriWest	PPO		30	30% of all negotiated rates	431	percent of total billed charges	431	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12018 S LAC OVER 30.1 cm	12018	CPT	3230066	LOCAL	450	RC		outpatient			616	524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	587	Coinsurance and deductible may apply
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Aetna Medicare	HMO		26	26% of all negotiated rates	2134	percent of total billed charges	2134	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Alignment Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1442	percent of total billed charges	1442	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Cigna	PPO		68	68% of all negotiated rates	923	percent of total billed charges	923	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Coalition	PPO		59	59% of all negotiated rates	1183	percent of total billed charges	1183	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Coventry	PPO		75	75% of all negotiated rates	721	percent of total billed charges	721	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	577	percent of total billed charges	577	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Humana-Commerical	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Multiplan	PPO		80	80% of all negotiated rates	577	percent of total billed charges	577	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	One Health	PPO		55	55% of all negotiated rates	1298	percent of total billed charges	1298	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Optum Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	P3	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Select Health	HMO		41	41% of all negotiated rates	1702	percent of total billed charges	1702	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1918	percent of total billed charges	1918	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Sierra/HPN	HMO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Silversummit Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1875	percent of total billed charges	1875	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Teachers Trust	PPO		68	68% of all negotiated rates	923	percent of total billed charges	923	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	TriWest	PPO		30	30% of all negotiated rates	2019	percent of total billed charges	2019	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	United Healthcare	PPO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	181	fee schedule	181	2747	Coinsurance and deductible may apply
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	181	fee schedule	181	2747	Coinsurance and deductible may apply
12020 CLOSURE OF SPLIT WOUND ED CHARGE	12020	CPT	3230086	LOCAL	450	RC		outpatient			2884	2452	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	181	fee schedule	181	2747	Coinsurance and deductible may apply
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	134	fee schedule	134	1389	Coinsurance and deductible may apply
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	134	fee schedule	134	1389	Coinsurance and deductible may apply
12021 ED WOUND DEHISCENCE/PACKING CHARGE	12021	CPT	3230071	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	134	fee schedule	134	1389	Coinsurance and deductible may apply
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Aetna Medicare	HMO		26	26% of all negotiated rates	456	percent of total billed charges	456	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Alignment Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	308	percent of total billed charges	308	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Cigna	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	One Health	PPO		55	55% of all negotiated rates	277	percent of total billed charges	277	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Optum Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	P3	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	410	percent of total billed charges	410	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Silversummit Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Teachers Trust	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	TriWest	PPO		30	30% of all negotiated rates	431	percent of total billed charges	431	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	145	fee schedule	145	587	Coinsurance and deductible may apply
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	145	fee schedule	145	587	Coinsurance and deductible may apply
12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE	12031	CPT	3230015	LOCAL	450	RC		outpatient			616	524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	145	fee schedule	145	587	Coinsurance and deductible may apply
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Aetna Medicare	HMO		26	26% of all negotiated rates	1028	percent of total billed charges	1028	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Alignment Medicare	HMO		39	39% of all negotiated rates	847	percent of total billed charges	847	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	556	percent of total billed charges	556	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	695	percent of total billed charges	695	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	847	percent of total billed charges	847	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Cigna	PPO		68	68% of all negotiated rates	445	percent of total billed charges	445	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Coalition	PPO		59	59% of all negotiated rates	570	percent of total billed charges	570	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Coventry	PPO		75	75% of all negotiated rates	347	percent of total billed charges	347	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	278	percent of total billed charges	278	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Humana-Commerical	PPO		70	70% of all negotiated rates	417	percent of total billed charges	417	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	847	percent of total billed charges	847	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Multiplan	PPO		80	80% of all negotiated rates	278	percent of total billed charges	278	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	One Health	PPO		55	55% of all negotiated rates	625	percent of total billed charges	625	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Optum Medicare	HMO		39	39% of all negotiated rates	847	percent of total billed charges	847	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	P3	HMO		39	39% of all negotiated rates	847	percent of total billed charges	847	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	417	percent of total billed charges	417	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Select Health	HMO		41	41% of all negotiated rates	820	percent of total billed charges	820	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	924	percent of total billed charges	924	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Sierra/HPN	HMO		60	60% of all negotiated rates	556	percent of total billed charges	556	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Silversummit Medicare	HMO		39	39% of all negotiated rates	847	percent of total billed charges	847	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	903	percent of total billed charges	903	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Teachers Trust	PPO		68	68% of all negotiated rates	445	percent of total billed charges	445	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	TriWest	PPO		30	30% of all negotiated rates	972	percent of total billed charges	972	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	417	percent of total billed charges	417	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	United Healthcare	PPO		60	60% of all negotiated rates	556	percent of total billed charges	556	1389	
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1323	Coinsurance and deductible may apply
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1323	Coinsurance and deductible may apply
12032 I LAC 2.6 cm TO 7.5	12032	CPT	3230016	LOCAL	450	RC		outpatient			1389	1181	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1323	Coinsurance and deductible may apply
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	196	fee schedule	196	560	Coinsurance and deductible may apply
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	196	fee schedule	196	560	Coinsurance and deductible may apply
12034 ED INTERMEDIATE CLOSURE WOUNDS 7.6 TO 12.5CM CHARGE	12034	CPT	3230017	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	196	fee schedule	196	560	Coinsurance and deductible may apply
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	230	fee schedule	230	560	Coinsurance and deductible may apply
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	230	fee schedule	230	560	Coinsurance and deductible may apply
12035 ED INTERMEDIATE CLOSURE WOUNDS 12.6 TO 20.0CM CHARGE	12035	CPT	3230067	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	230	fee schedule	230	560	Coinsurance and deductible may apply
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	267	fee schedule	267	1389	Coinsurance and deductible may apply
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	267	fee schedule	267	1389	Coinsurance and deductible may apply
12036 ED INTERMEDIATE CLOSURE WOUNDS 20.1 TO 30.0CM CHARGE	12036	CPT	3230073	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	267	fee schedule	267	1389	Coinsurance and deductible may apply
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	312	fee schedule	312	1389	Coinsurance and deductible may apply
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	312	fee schedule	312	1389	Coinsurance and deductible may apply
12037 ED INTERMEDIATE CLOSURE WOUNDS OVER 30.0CM CHARGE	12037	CPT	3230072	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	312	fee schedule	312	1389	Coinsurance and deductible may apply
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	148	fee schedule	148	560	Coinsurance and deductible may apply
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	148	fee schedule	148	560	Coinsurance and deductible may apply
12041 ED LAYERED CLOSURE OF WOUNDS <2.5CM CHARGE	12041	CPT	3230018	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	148	fee schedule	148	560	Coinsurance and deductible may apply
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Alignment Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Coalition	PPO		59	59% of all negotiated rates	348	percent of total billed charges	348	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Coventry	PPO		75	75% of all negotiated rates	212	percent of total billed charges	212	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	One Health	PPO		55	55% of all negotiated rates	382	percent of total billed charges	382	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Optum Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	P3	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Select Health	HMO		41	41% of all negotiated rates	501	percent of total billed charges	501	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	565	percent of total billed charges	565	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Silversummit Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	552	percent of total billed charges	552	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Teachers Trust	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	849	
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	809	Coinsurance and deductible may apply
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	809	Coinsurance and deductible may apply
12042 ED LAYERED CLOSURE OF WOUNDS 2.6 TO 7.5CM CHARGE	12042	CPT	3230019	LOCAL	450	RC		outpatient			849	722	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	189	fee schedule	189	809	Coinsurance and deductible may apply
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Aetna Medicare	HMO		26	26% of all negotiated rates	456	percent of total billed charges	456	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Alignment Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	308	percent of total billed charges	308	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Cigna	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	One Health	PPO		55	55% of all negotiated rates	277	percent of total billed charges	277	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Optum Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	P3	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	410	percent of total billed charges	410	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Silversummit Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Teachers Trust	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	TriWest	PPO		30	30% of all negotiated rates	431	percent of total billed charges	431	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	587	Coinsurance and deductible may apply
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	587	Coinsurance and deductible may apply
12044 ED LAYERED CLOSURE OF WOUNDS 7.6 TO 12.5CM CHARGE	12044	CPT	3230023	LOCAL	450	RC		outpatient			616	524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	587	Coinsurance and deductible may apply
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	256	fee schedule	256	1389	Coinsurance and deductible may apply
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	256	fee schedule	256	1389	Coinsurance and deductible may apply
12045 ED LAYERED CLOSURE OF WOUNDS 12.6 TO 20.0CM CHARGE	12045	CPT	3230074	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	256	fee schedule	256	1389	Coinsurance and deductible may apply
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	291	fee schedule	291	1389	Coinsurance and deductible may apply
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	291	fee schedule	291	1389	Coinsurance and deductible may apply
12046 I LAC 20.1 cm TO 30.0	12046	CPT	3230075	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	291	fee schedule	291	1389	Coinsurance and deductible may apply
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	1389	Coinsurance and deductible may apply
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	1389	Coinsurance and deductible may apply
12047 I LAC OVER 30.0 cm	12047	CPT	3230076	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	324	fee schedule	324	1389	Coinsurance and deductible may apply
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Aetna Medicare	HMO		26	26% of all negotiated rates	1134	percent of total billed charges	1134	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Alignment Medicare	HMO		39	39% of all negotiated rates	935	percent of total billed charges	935	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	613	percent of total billed charges	613	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	767	percent of total billed charges	767	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	935	percent of total billed charges	935	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Cigna	PPO		68	68% of all negotiated rates	491	percent of total billed charges	491	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Coalition	PPO		59	59% of all negotiated rates	629	percent of total billed charges	629	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Coventry	PPO		75	75% of all negotiated rates	383	percent of total billed charges	383	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	307	percent of total billed charges	307	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Humana-Commerical	PPO		70	70% of all negotiated rates	460	percent of total billed charges	460	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	935	percent of total billed charges	935	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Multiplan	PPO		80	80% of all negotiated rates	307	percent of total billed charges	307	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	One Health	PPO		55	55% of all negotiated rates	690	percent of total billed charges	690	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Optum Medicare	HMO		39	39% of all negotiated rates	935	percent of total billed charges	935	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	P3	HMO		39	39% of all negotiated rates	935	percent of total billed charges	935	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	460	percent of total billed charges	460	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Select Health	HMO		41	41% of all negotiated rates	904	percent of total billed charges	904	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1019	percent of total billed charges	1019	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Sierra/HPN	HMO		60	60% of all negotiated rates	613	percent of total billed charges	613	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Silversummit Medicare	HMO		39	39% of all negotiated rates	935	percent of total billed charges	935	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	996	percent of total billed charges	996	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Teachers Trust	PPO		68	68% of all negotiated rates	491	percent of total billed charges	491	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	TriWest	PPO		30	30% of all negotiated rates	1073	percent of total billed charges	1073	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	460	percent of total billed charges	460	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	United Healthcare	PPO		60	60% of all negotiated rates	613	percent of total billed charges	613	1533	
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	162	fee schedule	162	1460	Coinsurance and deductible may apply
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	162	fee schedule	162	1460	Coinsurance and deductible may apply
12051 ED LAYERED CLOSURE OF WOUNDS OF FACE <2.5CM CHARGE	12051	CPT	3230024	LOCAL	450	RC		outpatient			1533	1303	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	162	fee schedule	162	1460	Coinsurance and deductible may apply
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	192	fee schedule	192	560	Coinsurance and deductible may apply
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	192	fee schedule	192	560	Coinsurance and deductible may apply
12052 ED LAYERED CLOSURE OF WOUNDS OF FACE 2.6 TO 5.0CM CHARGE	12052	CPT	3230025	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	192	fee schedule	192	560	Coinsurance and deductible may apply
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	206	fee schedule	206	560	Coinsurance and deductible may apply
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	206	fee schedule	206	560	Coinsurance and deductible may apply
12053 ED LAYERED CLOSURE OF WOUNDS OF FACE 5.1 TO 7.5CM CHARGE	12053	CPT	3230026	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	206	fee schedule	206	560	Coinsurance and deductible may apply
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Aetna Medicare	HMO		26	26% of all negotiated rates	435	percent of total billed charges	435	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Alignment Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	294	percent of total billed charges	294	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Cigna	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Coalition	PPO		59	59% of all negotiated rates	241	percent of total billed charges	241	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Coventry	PPO		75	75% of all negotiated rates	147	percent of total billed charges	147	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Humana-Commerical	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Multiplan	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	One Health	PPO		55	55% of all negotiated rates	265	percent of total billed charges	265	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Optum Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	P3	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Select Health	HMO		41	41% of all negotiated rates	347	percent of total billed charges	347	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	391	percent of total billed charges	391	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Sierra/HPN	HMO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Silversummit Medicare	HMO		39	39% of all negotiated rates	359	percent of total billed charges	359	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	382	percent of total billed charges	382	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Teachers Trust	PPO		68	68% of all negotiated rates	188	percent of total billed charges	188	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	TriWest	PPO		30	30% of all negotiated rates	412	percent of total billed charges	412	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	176	percent of total billed charges	176	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	United Healthcare	PPO		60	60% of all negotiated rates	235	percent of total billed charges	235	588	
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	217	fee schedule	217	560	Coinsurance and deductible may apply
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	217	fee schedule	217	560	Coinsurance and deductible may apply
12054 ED LAYERED CLOSURE OF WOUNDS OF FACE 7.6 TO 12.5CM CHARGE	12054	CPT	3230068	LOCAL	450	RC		outpatient			588	500	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	217	fee schedule	217	560	Coinsurance and deductible may apply
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Aetna Medicare	HMO		26	26% of all negotiated rates	1312	percent of total billed charges	1312	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Alignment Medicare	HMO		39	39% of all negotiated rates	1081	percent of total billed charges	1081	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	709	percent of total billed charges	709	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	886	percent of total billed charges	886	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1081	percent of total billed charges	1081	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Cigna	PPO		68	68% of all negotiated rates	567	percent of total billed charges	567	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Coalition	PPO		59	59% of all negotiated rates	727	percent of total billed charges	727	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Coventry	PPO		75	75% of all negotiated rates	443	percent of total billed charges	443	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	354	percent of total billed charges	354	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Humana-Commerical	PPO		70	70% of all negotiated rates	532	percent of total billed charges	532	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1081	percent of total billed charges	1081	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Multiplan	PPO		80	80% of all negotiated rates	354	percent of total billed charges	354	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	One Health	PPO		55	55% of all negotiated rates	798	percent of total billed charges	798	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Optum Medicare	HMO		39	39% of all negotiated rates	1081	percent of total billed charges	1081	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	P3	HMO		39	39% of all negotiated rates	1081	percent of total billed charges	1081	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	532	percent of total billed charges	532	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Select Health	HMO		41	41% of all negotiated rates	1046	percent of total billed charges	1046	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1179	percent of total billed charges	1179	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Sierra/HPN	HMO		60	60% of all negotiated rates	709	percent of total billed charges	709	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Silversummit Medicare	HMO		39	39% of all negotiated rates	1081	percent of total billed charges	1081	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1152	percent of total billed charges	1152	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Teachers Trust	PPO		68	68% of all negotiated rates	567	percent of total billed charges	567	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	TriWest	PPO		30	30% of all negotiated rates	1241	percent of total billed charges	1241	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	532	percent of total billed charges	532	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	United Healthcare	PPO		60	60% of all negotiated rates	709	percent of total billed charges	709	1772	
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	1688	Coinsurance and deductible may apply
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	1688	Coinsurance and deductible may apply
12055 I LAC 12.6 cm TO 20.0	12055	CPT	3230077	LOCAL	450	RC		outpatient			1772	1507	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	1688	Coinsurance and deductible may apply
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	1389	Coinsurance and deductible may apply
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	1389	Coinsurance and deductible may apply
12056 I LAC 20.1 cm TO 30.0	12056	CPT	3230078	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	1389	Coinsurance and deductible may apply
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	360	fee schedule	360	1389	Coinsurance and deductible may apply
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	360	fee schedule	360	1389	Coinsurance and deductible may apply
12057 INTERM OVER 30.0 CM ED Charge	12057	CPT	3230079	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	360	fee schedule	360	1389	Coinsurance and deductible may apply
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Aetna Medicare	HMO		26	26% of all negotiated rates	2134	percent of total billed charges	2134	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Alignment Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1442	percent of total billed charges	1442	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Cigna	PPO		68	68% of all negotiated rates	923	percent of total billed charges	923	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Coalition	PPO		59	59% of all negotiated rates	1183	percent of total billed charges	1183	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Coventry	PPO		75	75% of all negotiated rates	721	percent of total billed charges	721	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	577	percent of total billed charges	577	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Humana-Commerical	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Multiplan	PPO		80	80% of all negotiated rates	577	percent of total billed charges	577	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	One Health	PPO		55	55% of all negotiated rates	1298	percent of total billed charges	1298	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Optum Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	P3	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Select Health	HMO		41	41% of all negotiated rates	1702	percent of total billed charges	1702	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1918	percent of total billed charges	1918	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Sierra/HPN	HMO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Silversummit Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1875	percent of total billed charges	1875	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Teachers Trust	PPO		68	68% of all negotiated rates	923	percent of total billed charges	923	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	TriWest	PPO		30	30% of all negotiated rates	2019	percent of total billed charges	2019	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	United Healthcare	PPO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	195	fee schedule	195	2747	Coinsurance and deductible may apply
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	195	fee schedule	195	2747	Coinsurance and deductible may apply
13100 ED CMPLX REPAIR 1.1-2.5 CM CHARGE	13100	CPT	3230087	LOCAL	450	RC		outpatient			2884	2452	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	195	fee schedule	195	2747	Coinsurance and deductible may apply
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Aetna Medicare	HMO		26	26% of all negotiated rates	2134	percent of total billed charges	2134	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Alignment Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1442	percent of total billed charges	1442	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Cigna	PPO		68	68% of all negotiated rates	923	percent of total billed charges	923	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Coalition	PPO		59	59% of all negotiated rates	1183	percent of total billed charges	1183	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Coventry	PPO		75	75% of all negotiated rates	721	percent of total billed charges	721	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	577	percent of total billed charges	577	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Humana-Commerical	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Multiplan	PPO		80	80% of all negotiated rates	577	percent of total billed charges	577	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	One Health	PPO		55	55% of all negotiated rates	1298	percent of total billed charges	1298	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Optum Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	P3	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Select Health	HMO		41	41% of all negotiated rates	1702	percent of total billed charges	1702	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1918	percent of total billed charges	1918	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Sierra/HPN	HMO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Silversummit Medicare	HMO		39	39% of all negotiated rates	1759	percent of total billed charges	1759	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1875	percent of total billed charges	1875	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Teachers Trust	PPO		68	68% of all negotiated rates	923	percent of total billed charges	923	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	TriWest	PPO		30	30% of all negotiated rates	2019	percent of total billed charges	2019	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	865	percent of total billed charges	865	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	United Healthcare	PPO		60	60% of all negotiated rates	1154	percent of total billed charges	1154	2884	
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	240	fee schedule	240	2747	Coinsurance and deductible may apply
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	240	fee schedule	240	2747	Coinsurance and deductible may apply
"13101 ED REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM CHARGE"	13101	CPT	3230088	LOCAL	450	RC		outpatient			2884	2452	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	240	fee schedule	240	2747	Coinsurance and deductible may apply
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Aetna Medicare	HMO		26	26% of all negotiated rates	1583	percent of total billed charges	1583	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Alignment Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1069	percent of total billed charges	1069	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Cigna	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Coalition	PPO		59	59% of all negotiated rates	877	percent of total billed charges	877	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Coventry	PPO		75	75% of all negotiated rates	535	percent of total billed charges	535	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Humana-Commerical	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Multiplan	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	One Health	PPO		55	55% of all negotiated rates	962	percent of total billed charges	962	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Optum Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	P3	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Select Health	HMO		41	41% of all negotiated rates	1262	percent of total billed charges	1262	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1422	percent of total billed charges	1422	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Sierra/HPN	HMO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Silversummit Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1390	percent of total billed charges	1390	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Teachers Trust	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	TriWest	PPO		30	30% of all negotiated rates	1497	percent of total billed charges	1497	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	United Healthcare	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	2037	Coinsurance and deductible may apply
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	2037	Coinsurance and deductible may apply
13102 ED CMPLX REPAIR EA ADD 5 CM CHARGE	13102	CPT	3230089	LOCAL	450	RC		outpatient			2139	1818	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	71	fee schedule	71	2037	Coinsurance and deductible may apply
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Aetna Medicare	HMO		26	26% of all negotiated rates	1455	percent of total billed charges	1455	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Alignment Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	786	percent of total billed charges	786	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	983	percent of total billed charges	983	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Cigna	PPO		68	68% of all negotiated rates	629	percent of total billed charges	629	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Coalition	PPO		59	59% of all negotiated rates	806	percent of total billed charges	806	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Coventry	PPO		75	75% of all negotiated rates	491	percent of total billed charges	491	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	393	percent of total billed charges	393	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Humana-Commerical	PPO		70	70% of all negotiated rates	590	percent of total billed charges	590	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Multiplan	PPO		80	80% of all negotiated rates	393	percent of total billed charges	393	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	One Health	PPO		55	55% of all negotiated rates	885	percent of total billed charges	885	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Optum Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	P3	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	590	percent of total billed charges	590	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Select Health	HMO		41	41% of all negotiated rates	1160	percent of total billed charges	1160	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1307	percent of total billed charges	1307	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Sierra/HPN	HMO		60	60% of all negotiated rates	786	percent of total billed charges	786	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Silversummit Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1278	percent of total billed charges	1278	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Teachers Trust	PPO		68	68% of all negotiated rates	629	percent of total billed charges	629	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	TriWest	PPO		30	30% of all negotiated rates	1376	percent of total billed charges	1376	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	590	percent of total billed charges	590	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	United Healthcare	PPO		60	60% of all negotiated rates	786	percent of total billed charges	786	1966	
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	224	fee schedule	224	1872	Coinsurance and deductible may apply
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	224	fee schedule	224	1872	Coinsurance and deductible may apply
13120 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 1.1 TO 2.5CM CHARGE	13120	CPT	3230081	LOCAL	450	RC		outpatient			1966	1671	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	224	fee schedule	224	1872	Coinsurance and deductible may apply
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Aetna Medicare	HMO		26	26% of all negotiated rates	1455	percent of total billed charges	1455	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Alignment Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	786	percent of total billed charges	786	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	983	percent of total billed charges	983	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Cigna	PPO		68	68% of all negotiated rates	629	percent of total billed charges	629	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Coalition	PPO		59	59% of all negotiated rates	806	percent of total billed charges	806	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Coventry	PPO		75	75% of all negotiated rates	491	percent of total billed charges	491	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	393	percent of total billed charges	393	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Humana-Commerical	PPO		70	70% of all negotiated rates	590	percent of total billed charges	590	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Multiplan	PPO		80	80% of all negotiated rates	393	percent of total billed charges	393	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	One Health	PPO		55	55% of all negotiated rates	885	percent of total billed charges	885	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Optum Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	P3	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	590	percent of total billed charges	590	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Select Health	HMO		41	41% of all negotiated rates	1160	percent of total billed charges	1160	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1307	percent of total billed charges	1307	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Sierra/HPN	HMO		60	60% of all negotiated rates	786	percent of total billed charges	786	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Silversummit Medicare	HMO		39	39% of all negotiated rates	1199	percent of total billed charges	1199	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1278	percent of total billed charges	1278	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Teachers Trust	PPO		68	68% of all negotiated rates	629	percent of total billed charges	629	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	TriWest	PPO		30	30% of all negotiated rates	1376	percent of total billed charges	1376	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	590	percent of total billed charges	590	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	United Healthcare	PPO		60	60% of all negotiated rates	786	percent of total billed charges	786	1966	
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	253	fee schedule	253	1872	Coinsurance and deductible may apply
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	253	fee schedule	253	1872	Coinsurance and deductible may apply
13121 ED COMPLEX REPAIR WOUNDS SCLP/ARMS/LEGS 2.6 TO 7.5CM CHARGE	13121	CPT	3230082	LOCAL	450	RC		outpatient			1966	1671	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	253	fee schedule	253	1872	Coinsurance and deductible may apply
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Aetna Medicare	HMO		26	26% of all negotiated rates	456	percent of total billed charges	456	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Alignment Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	308	percent of total billed charges	308	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Cigna	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	One Health	PPO		55	55% of all negotiated rates	277	percent of total billed charges	277	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Optum Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	P3	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	410	percent of total billed charges	410	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Silversummit Medicare	HMO		39	39% of all negotiated rates	376	percent of total billed charges	376	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Teachers Trust	PPO		68	68% of all negotiated rates	197	percent of total billed charges	197	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	TriWest	PPO		30	30% of all negotiated rates	431	percent of total billed charges	431	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	616	
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	587	Coinsurance and deductible may apply
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	587	Coinsurance and deductible may apply
13122 ED REPAIR COMPLEX WOUND EA  ADD'L 5 CM CHARGE	13122	CPT	3230069	LOCAL	450	RC		outpatient			616	524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	587	Coinsurance and deductible may apply
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	1389	Coinsurance and deductible may apply
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	1389	Coinsurance and deductible may apply
13131 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 1.1 TO 2.5CM CHARGE	13131	CPT	3230083	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	1389	Coinsurance and deductible may apply
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Aetna Medicare	HMO		26	26% of all negotiated rates	2197	percent of total billed charges	2197	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Alignment Medicare	HMO		39	39% of all negotiated rates	1811	percent of total billed charges	1811	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1485	percent of total billed charges	1485	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1811	percent of total billed charges	1811	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Cigna	PPO		68	68% of all negotiated rates	950	percent of total billed charges	950	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Coalition	PPO		59	59% of all negotiated rates	1217	percent of total billed charges	1217	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Coventry	PPO		75	75% of all negotiated rates	742	percent of total billed charges	742	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	594	percent of total billed charges	594	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Humana-Commerical	PPO		70	70% of all negotiated rates	891	percent of total billed charges	891	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1811	percent of total billed charges	1811	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Multiplan	PPO		80	80% of all negotiated rates	594	percent of total billed charges	594	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	One Health	PPO		55	55% of all negotiated rates	1336	percent of total billed charges	1336	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Optum Medicare	HMO		39	39% of all negotiated rates	1811	percent of total billed charges	1811	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	P3	HMO		39	39% of all negotiated rates	1811	percent of total billed charges	1811	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	891	percent of total billed charges	891	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Select Health	HMO		41	41% of all negotiated rates	1752	percent of total billed charges	1752	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1975	percent of total billed charges	1975	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Sierra/HPN	HMO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Silversummit Medicare	HMO		39	39% of all negotiated rates	1811	percent of total billed charges	1811	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1930	percent of total billed charges	1930	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Teachers Trust	PPO		68	68% of all negotiated rates	950	percent of total billed charges	950	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	TriWest	PPO		30	30% of all negotiated rates	2079	percent of total billed charges	2079	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	891	percent of total billed charges	891	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	United Healthcare	PPO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2969	
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	2828	Coinsurance and deductible may apply
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	2828	Coinsurance and deductible may apply
13132 ED COMPLEX REPAIR WOUNDS FACE/NECK/HANDS/FEET 2.6 TO 7.5CM CHARGE	13132	CPT	3230027	LOCAL	450	RC		outpatient			2969	2524	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	2828	Coinsurance and deductible may apply
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	125	fee schedule	125	1389	Coinsurance and deductible may apply
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	125	fee schedule	125	1389	Coinsurance and deductible may apply
"13133 ED REPAIR COMPLEX FOREHEAD/CHEEK/MOUTH/NECK,AXILLAE,GENITALIA,HANDS AND/OR"	13133	CPT	3230084	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	125	fee schedule	125	1389	Coinsurance and deductible may apply
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Aetna Medicare	HMO		26	26% of all negotiated rates	1583	percent of total billed charges	1583	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Alignment Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1069	percent of total billed charges	1069	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Cigna	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Coalition	PPO		59	59% of all negotiated rates	877	percent of total billed charges	877	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Coventry	PPO		75	75% of all negotiated rates	535	percent of total billed charges	535	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Humana-Commerical	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Multiplan	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	One Health	PPO		55	55% of all negotiated rates	962	percent of total billed charges	962	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Optum Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	P3	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Select Health	HMO		41	41% of all negotiated rates	1262	percent of total billed charges	1262	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1422	percent of total billed charges	1422	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Sierra/HPN	HMO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Silversummit Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1390	percent of total billed charges	1390	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Teachers Trust	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	TriWest	PPO		30	30% of all negotiated rates	1497	percent of total billed charges	1497	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	United Healthcare	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	2037	Coinsurance and deductible may apply
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	2037	Coinsurance and deductible may apply
13150 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP <1.0CM CHARGE	13150	CPT	3230090	LOCAL	450	RC		outpatient			2139	1818	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	2037	Coinsurance and deductible may apply
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Aetna Medicare	HMO		26	26% of all negotiated rates	1583	percent of total billed charges	1583	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Alignment Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1069	percent of total billed charges	1069	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Cigna	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Coalition	PPO		59	59% of all negotiated rates	877	percent of total billed charges	877	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Coventry	PPO		75	75% of all negotiated rates	535	percent of total billed charges	535	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Humana-Commerical	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Multiplan	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	One Health	PPO		55	55% of all negotiated rates	962	percent of total billed charges	962	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Optum Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	P3	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Select Health	HMO		41	41% of all negotiated rates	1262	percent of total billed charges	1262	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1422	percent of total billed charges	1422	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Sierra/HPN	HMO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Silversummit Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1390	percent of total billed charges	1390	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Teachers Trust	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	TriWest	PPO		30	30% of all negotiated rates	1497	percent of total billed charges	1497	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	United Healthcare	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	2037	Coinsurance and deductible may apply
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	2037	Coinsurance and deductible may apply
13151 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 1.1 TO 2.5CM CHARGE	13151	CPT	3230091	LOCAL	450	RC		outpatient			2139	1818	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	2037	Coinsurance and deductible may apply
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Aetna Medicare	HMO		26	26% of all negotiated rates	1583	percent of total billed charges	1583	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Alignment Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1069	percent of total billed charges	1069	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Cigna	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Coalition	PPO		59	59% of all negotiated rates	877	percent of total billed charges	877	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Coventry	PPO		75	75% of all negotiated rates	535	percent of total billed charges	535	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Humana-Commerical	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Multiplan	PPO		80	80% of all negotiated rates	428	percent of total billed charges	428	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	One Health	PPO		55	55% of all negotiated rates	962	percent of total billed charges	962	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Optum Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	P3	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Select Health	HMO		41	41% of all negotiated rates	1262	percent of total billed charges	1262	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1422	percent of total billed charges	1422	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Sierra/HPN	HMO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Silversummit Medicare	HMO		39	39% of all negotiated rates	1305	percent of total billed charges	1305	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1390	percent of total billed charges	1390	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Teachers Trust	PPO		68	68% of all negotiated rates	684	percent of total billed charges	684	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	TriWest	PPO		30	30% of all negotiated rates	1497	percent of total billed charges	1497	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	642	percent of total billed charges	642	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	United Healthcare	PPO		60	60% of all negotiated rates	856	percent of total billed charges	856	2139	
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	330	fee schedule	330	2037	Coinsurance and deductible may apply
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	330	fee schedule	330	2037	Coinsurance and deductible may apply
13152 ED COMPLEX REPAIR WOUNDS EYELID/NOSE/EAR/LIP 2.6 TO 7.5CM CHARGE	13152	CPT	3230092	LOCAL	450	RC		outpatient			2139	1818	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	330	fee schedule	330	2037	Coinsurance and deductible may apply
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Aetna Medicare	HMO		26	26% of all negotiated rates	1079	percent of total billed charges	1079	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Alignment Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Cigna	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Coalition	PPO		59	59% of all negotiated rates	598	percent of total billed charges	598	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Coventry	PPO		75	75% of all negotiated rates	365	percent of total billed charges	365	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Humana-Commerical	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Multiplan	PPO		80	80% of all negotiated rates	292	percent of total billed charges	292	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Optum Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	P3	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	970	percent of total billed charges	970	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Silversummit Medicare	HMO		39	39% of all negotiated rates	890	percent of total billed charges	890	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	948	percent of total billed charges	948	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Teachers Trust	PPO		68	68% of all negotiated rates	467	percent of total billed charges	467	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	TriWest	PPO		30	30% of all negotiated rates	1021	percent of total billed charges	1021	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	438	percent of total billed charges	438	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1458	
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	135	fee schedule	135	1389	Coinsurance and deductible may apply
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	135	fee schedule	135	1389	Coinsurance and deductible may apply
"13153 ED REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM"	13153	CPT	3230085	LOCAL	450	RC		outpatient			1458	1240	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	135	fee schedule	135	1389	Coinsurance and deductible may apply
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Aetna Medicare	HMO		26	26% of all negotiated rates	319	percent of total billed charges	319	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Alignment Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	215	percent of total billed charges	215	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Cigna	PPO		68	68% of all negotiated rates	138	percent of total billed charges	138	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Coalition	PPO		59	59% of all negotiated rates	177	percent of total billed charges	177	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Coventry	PPO		75	75% of all negotiated rates	108	percent of total billed charges	108	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Humana-Commerical	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Multiplan	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	One Health	PPO		55	55% of all negotiated rates	194	percent of total billed charges	194	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Optum Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	P3	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Select Health	HMO		41	41% of all negotiated rates	254	percent of total billed charges	254	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	286	percent of total billed charges	286	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Sierra/HPN	HMO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Silversummit Medicare	HMO		39	39% of all negotiated rates	263	percent of total billed charges	263	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	280	percent of total billed charges	280	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Teachers Trust	PPO		68	68% of all negotiated rates	138	percent of total billed charges	138	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	TriWest	PPO		30	30% of all negotiated rates	301	percent of total billed charges	301	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	United Healthcare	PPO		60	60% of all negotiated rates	172	percent of total billed charges	172	431	
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	44	fee schedule	44	410	Coinsurance and deductible may apply
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	44	fee schedule	44	410	Coinsurance and deductible may apply
16000 ED INITIAL TREATMENT BURN 1ST DEG CHARGE	16000	CPT	3230009	LOCAL	450	RC		outpatient			431	366	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	44	fee schedule	44	410	Coinsurance and deductible may apply
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Aetna Medicare	HMO		26	26% of all negotiated rates	674	percent of total billed charges	674	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Alignment Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	364	percent of total billed charges	364	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	455	percent of total billed charges	455	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Cigna	PPO		68	68% of all negotiated rates	291	percent of total billed charges	291	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Coalition	PPO		59	59% of all negotiated rates	373	percent of total billed charges	373	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Coventry	PPO		75	75% of all negotiated rates	228	percent of total billed charges	228	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	182	percent of total billed charges	182	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Humana-Commerical	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Multiplan	PPO		80	80% of all negotiated rates	182	percent of total billed charges	182	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	One Health	PPO		55	55% of all negotiated rates	410	percent of total billed charges	410	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Optum Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	P3	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Select Health	HMO		41	41% of all negotiated rates	537	percent of total billed charges	537	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	605	percent of total billed charges	605	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Sierra/HPN	HMO		60	60% of all negotiated rates	364	percent of total billed charges	364	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Silversummit Medicare	HMO		39	39% of all negotiated rates	555	percent of total billed charges	555	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	592	percent of total billed charges	592	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Teachers Trust	PPO		68	68% of all negotiated rates	291	percent of total billed charges	291	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	TriWest	PPO		30	30% of all negotiated rates	637	percent of total billed charges	637	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	United Healthcare	PPO		60	60% of all negotiated rates	364	percent of total billed charges	364	910	
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	867	Coinsurance and deductible may apply
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	867	Coinsurance and deductible may apply
16020 BURN SMALL 1-2 DEGREE ED CHARGE	16020	CPT	3230028	LOCAL	450	RC		outpatient			910	774	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	867	Coinsurance and deductible may apply
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Aetna Medicare	HMO		26	26% of all negotiated rates	674	percent of total billed charges	674	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Alignment Medicare	HMO		39	39% of all negotiated rates	556	percent of total billed charges	556	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	365	percent of total billed charges	365	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	456	percent of total billed charges	456	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	556	percent of total billed charges	556	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Cigna	PPO		68	68% of all negotiated rates	292	percent of total billed charges	292	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Coalition	PPO		59	59% of all negotiated rates	374	percent of total billed charges	374	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Coventry	PPO		75	75% of all negotiated rates	228	percent of total billed charges	228	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	182	percent of total billed charges	182	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Humana-Commerical	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	556	percent of total billed charges	556	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Multiplan	PPO		80	80% of all negotiated rates	182	percent of total billed charges	182	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	One Health	PPO		55	55% of all negotiated rates	410	percent of total billed charges	410	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Optum Medicare	HMO		39	39% of all negotiated rates	556	percent of total billed charges	556	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	P3	HMO		39	39% of all negotiated rates	556	percent of total billed charges	556	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Select Health	HMO		41	41% of all negotiated rates	538	percent of total billed charges	538	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	606	percent of total billed charges	606	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Sierra/HPN	HMO		60	60% of all negotiated rates	365	percent of total billed charges	365	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Silversummit Medicare	HMO		39	39% of all negotiated rates	556	percent of total billed charges	556	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	592	percent of total billed charges	592	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Teachers Trust	PPO		68	68% of all negotiated rates	292	percent of total billed charges	292	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	TriWest	PPO		30	30% of all negotiated rates	638	percent of total billed charges	638	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	273	percent of total billed charges	273	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	United Healthcare	PPO		60	60% of all negotiated rates	365	percent of total billed charges	365	911	
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	868	Coinsurance and deductible may apply
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	868	Coinsurance and deductible may apply
16025 BURN MEDIUM 1-2 DEGREE ED CHARGE	16025	CPT	3230029	LOCAL	450	RC		outpatient			911	775	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	868	Coinsurance and deductible may apply
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Aetna Medicare	HMO		26	26% of all negotiated rates	513	percent of total billed charges	513	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Alignment Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	277	percent of total billed charges	277	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	347	percent of total billed charges	347	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Cigna	PPO		68	68% of all negotiated rates	222	percent of total billed charges	222	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Coalition	PPO		59	59% of all negotiated rates	284	percent of total billed charges	284	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Coventry	PPO		75	75% of all negotiated rates	173	percent of total billed charges	173	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	139	percent of total billed charges	139	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Humana-Commerical	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Multiplan	PPO		80	80% of all negotiated rates	139	percent of total billed charges	139	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	One Health	PPO		55	55% of all negotiated rates	312	percent of total billed charges	312	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Optum Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	P3	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Select Health	HMO		41	41% of all negotiated rates	409	percent of total billed charges	409	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	461	percent of total billed charges	461	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Sierra/HPN	HMO		60	60% of all negotiated rates	277	percent of total billed charges	277	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Silversummit Medicare	HMO		39	39% of all negotiated rates	423	percent of total billed charges	423	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	450	percent of total billed charges	450	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Teachers Trust	PPO		68	68% of all negotiated rates	222	percent of total billed charges	222	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	TriWest	PPO		30	30% of all negotiated rates	485	percent of total billed charges	485	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	United Healthcare	PPO		60	60% of all negotiated rates	277	percent of total billed charges	277	693	
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	660	Coinsurance and deductible may apply
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	660	Coinsurance and deductible may apply
16030 BURN LARGE ED CHARGE	16030	CPT	3230031	LOCAL	450	RC		outpatient			693	589	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	129	fee schedule	129	660	Coinsurance and deductible may apply
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Aetna Medicare	HMO		26	26% of all negotiated rates	522	percent of total billed charges	522	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Alignment Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	282	percent of total billed charges	282	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	353	percent of total billed charges	353	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Cigna	PPO		68	68% of all negotiated rates	226	percent of total billed charges	226	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Coalition	PPO		59	59% of all negotiated rates	289	percent of total billed charges	289	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Coventry	PPO		75	75% of all negotiated rates	176	percent of total billed charges	176	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	141	percent of total billed charges	141	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Humana-Commerical	PPO		70	70% of all negotiated rates	212	percent of total billed charges	212	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Multiplan	PPO		80	80% of all negotiated rates	141	percent of total billed charges	141	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	One Health	PPO		55	55% of all negotiated rates	318	percent of total billed charges	318	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Optum Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	P3	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	212	percent of total billed charges	212	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Select Health	HMO		41	41% of all negotiated rates	416	percent of total billed charges	416	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	469	percent of total billed charges	469	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Sierra/HPN	HMO		60	60% of all negotiated rates	282	percent of total billed charges	282	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Silversummit Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	459	percent of total billed charges	459	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Teachers Trust	PPO		68	68% of all negotiated rates	226	percent of total billed charges	226	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	TriWest	PPO		30	30% of all negotiated rates	494	percent of total billed charges	494	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	212	percent of total billed charges	212	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	United Healthcare	PPO		60	60% of all negotiated rates	282	percent of total billed charges	282	706	
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	672	Coinsurance and deductible may apply
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	672	Coinsurance and deductible may apply
17250 CHEM CAUTERIZATION/GRAN TISSUE ED CHARGE	17250	CPT	3230492	LOCAL	450	RC		outpatient			706	600	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	672	Coinsurance and deductible may apply
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Aetna Medicare	HMO		26	26% of all negotiated rates	1397	percent of total billed charges	1397	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Alignment Medicare	HMO		39	39% of all negotiated rates	1152	percent of total billed charges	1152	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	755	percent of total billed charges	755	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	944	percent of total billed charges	944	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1152	percent of total billed charges	1152	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Cigna	PPO		68	68% of all negotiated rates	604	percent of total billed charges	604	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Coalition	PPO		59	59% of all negotiated rates	774	percent of total billed charges	774	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Coventry	PPO		75	75% of all negotiated rates	472	percent of total billed charges	472	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	378	percent of total billed charges	378	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Humana-Commerical	PPO		70	70% of all negotiated rates	566	percent of total billed charges	566	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1152	percent of total billed charges	1152	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Multiplan	PPO		80	80% of all negotiated rates	378	percent of total billed charges	378	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	One Health	PPO		55	55% of all negotiated rates	850	percent of total billed charges	850	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Optum Medicare	HMO		39	39% of all negotiated rates	1152	percent of total billed charges	1152	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	P3	HMO		39	39% of all negotiated rates	1152	percent of total billed charges	1152	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	566	percent of total billed charges	566	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Select Health	HMO		41	41% of all negotiated rates	1114	percent of total billed charges	1114	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1255	percent of total billed charges	1255	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Sierra/HPN	HMO		60	60% of all negotiated rates	755	percent of total billed charges	755	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Silversummit Medicare	HMO		39	39% of all negotiated rates	1152	percent of total billed charges	1152	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1227	percent of total billed charges	1227	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Teachers Trust	PPO		68	68% of all negotiated rates	604	percent of total billed charges	604	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	TriWest	PPO		30	30% of all negotiated rates	1322	percent of total billed charges	1322	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	566	percent of total billed charges	566	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	United Healthcare	PPO		60	60% of all negotiated rates	755	percent of total billed charges	755	1888	
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	1798	Coinsurance and deductible may apply
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	1798	Coinsurance and deductible may apply
19000 ED BREAST ASPIRATION PUNCTURE CHARGE	19000	CPT	3236025	LOCAL	450	RC		outpatient			1888	1605	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	1798	Coinsurance and deductible may apply
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Aetna Medicare	HMO		26	26% of all negotiated rates	2666	percent of total billed charges	2666	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Alignment Medicare	HMO		39	39% of all negotiated rates	2198	percent of total billed charges	2198	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1441	percent of total billed charges	1441	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1801	percent of total billed charges	1801	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2198	percent of total billed charges	2198	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Cigna	PPO		68	68% of all negotiated rates	1153	percent of total billed charges	1153	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Coalition	PPO		59	59% of all negotiated rates	1477	percent of total billed charges	1477	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Coventry	PPO		75	75% of all negotiated rates	901	percent of total billed charges	901	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	721	percent of total billed charges	721	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Humana-Commerical	PPO		70	70% of all negotiated rates	1081	percent of total billed charges	1081	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2198	percent of total billed charges	2198	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Multiplan	PPO		80	80% of all negotiated rates	721	percent of total billed charges	721	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	One Health	PPO		55	55% of all negotiated rates	1621	percent of total billed charges	1621	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Optum Medicare	HMO		39	39% of all negotiated rates	2198	percent of total billed charges	2198	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	P3	HMO		39	39% of all negotiated rates	2198	percent of total billed charges	2198	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1081	percent of total billed charges	1081	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Select Health	HMO		41	41% of all negotiated rates	2126	percent of total billed charges	2126	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2396	percent of total billed charges	2396	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Sierra/HPN	HMO		60	60% of all negotiated rates	1441	percent of total billed charges	1441	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Silversummit Medicare	HMO		39	39% of all negotiated rates	2198	percent of total billed charges	2198	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2342	percent of total billed charges	2342	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Teachers Trust	PPO		68	68% of all negotiated rates	1153	percent of total billed charges	1153	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	TriWest	PPO		30	30% of all negotiated rates	2522	percent of total billed charges	2522	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1081	percent of total billed charges	1081	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	United Healthcare	PPO		60	60% of all negotiated rates	1441	percent of total billed charges	1441	3603	
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	3431	Coinsurance and deductible may apply
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	3431	Coinsurance and deductible may apply
"19020 INCISION OF BREAST LESION, DEEP"	19020	CPT	45019020	LOCAL	450	RC		outpatient			3603	3062	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	3431	Coinsurance and deductible may apply
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Aetna Medicare	HMO		26	26% of all negotiated rates	932	percent of total billed charges	932	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Alignment Medicare	HMO		39	39% of all negotiated rates	768	percent of total billed charges	768	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	504	percent of total billed charges	504	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	629	percent of total billed charges	629	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	768	percent of total billed charges	768	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Cigna	PPO		68	68% of all negotiated rates	403	percent of total billed charges	403	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Coalition	PPO		59	59% of all negotiated rates	516	percent of total billed charges	516	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Coventry	PPO		75	75% of all negotiated rates	315	percent of total billed charges	315	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	252	percent of total billed charges	252	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Humana-Commerical	PPO		70	70% of all negotiated rates	378	percent of total billed charges	378	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	768	percent of total billed charges	768	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Multiplan	PPO		80	80% of all negotiated rates	252	percent of total billed charges	252	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	One Health	PPO		55	55% of all negotiated rates	567	percent of total billed charges	567	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Optum Medicare	HMO		39	39% of all negotiated rates	768	percent of total billed charges	768	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	P3	HMO		39	39% of all negotiated rates	768	percent of total billed charges	768	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	378	percent of total billed charges	378	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Select Health	HMO		41	41% of all negotiated rates	743	percent of total billed charges	743	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	837	percent of total billed charges	837	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Sierra/HPN	HMO		60	60% of all negotiated rates	504	percent of total billed charges	504	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Silversummit Medicare	HMO		39	39% of all negotiated rates	768	percent of total billed charges	768	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	818	percent of total billed charges	818	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Teachers Trust	PPO		68	68% of all negotiated rates	403	percent of total billed charges	403	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	TriWest	PPO		30	30% of all negotiated rates	881	percent of total billed charges	881	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	378	percent of total billed charges	378	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	United Healthcare	PPO		60	60% of all negotiated rates	504	percent of total billed charges	504	1259	
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	1199	Coinsurance and deductible may apply
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	1199	Coinsurance and deductible may apply
20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE	20552	CPT	3232945	LOCAL	450	RC		outpatient			1259	1070	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	1199	Coinsurance and deductible may apply
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Aetna Medicare	HMO		26	26% of all negotiated rates	1021	percent of total billed charges	1021	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Alignment Medicare	HMO		39	39% of all negotiated rates	842	percent of total billed charges	842	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	552	percent of total billed charges	552	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	690	percent of total billed charges	690	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	842	percent of total billed charges	842	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Cigna	PPO		68	68% of all negotiated rates	442	percent of total billed charges	442	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Coalition	PPO		59	59% of all negotiated rates	566	percent of total billed charges	566	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Coventry	PPO		75	75% of all negotiated rates	345	percent of total billed charges	345	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	276	percent of total billed charges	276	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Humana-Commerical	PPO		70	70% of all negotiated rates	414	percent of total billed charges	414	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	842	percent of total billed charges	842	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Multiplan	PPO		80	80% of all negotiated rates	276	percent of total billed charges	276	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	One Health	PPO		55	55% of all negotiated rates	621	percent of total billed charges	621	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Optum Medicare	HMO		39	39% of all negotiated rates	842	percent of total billed charges	842	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	P3	HMO		39	39% of all negotiated rates	842	percent of total billed charges	842	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	414	percent of total billed charges	414	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Select Health	HMO		41	41% of all negotiated rates	814	percent of total billed charges	814	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	918	percent of total billed charges	918	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Sierra/HPN	HMO		60	60% of all negotiated rates	552	percent of total billed charges	552	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Silversummit Medicare	HMO		39	39% of all negotiated rates	842	percent of total billed charges	842	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	897	percent of total billed charges	897	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Teachers Trust	PPO		68	68% of all negotiated rates	442	percent of total billed charges	442	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	TriWest	PPO		30	30% of all negotiated rates	966	percent of total billed charges	966	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	414	percent of total billed charges	414	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	United Healthcare	PPO		60	60% of all negotiated rates	552	percent of total billed charges	552	1380	
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	1314	Coinsurance and deductible may apply
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	1314	Coinsurance and deductible may apply
20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE	20600	CPT	3233410	LOCAL	450	RC		outpatient			1380	1173	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	1314	Coinsurance and deductible may apply
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Aetna Medicare	HMO		26	26% of all negotiated rates	2006	percent of total billed charges	2006	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Alignment Medicare	HMO		39	39% of all negotiated rates	1654	percent of total billed charges	1654	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1084	percent of total billed charges	1084	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1356	percent of total billed charges	1356	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1654	percent of total billed charges	1654	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Cigna	PPO		68	68% of all negotiated rates	868	percent of total billed charges	868	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Coalition	PPO		59	59% of all negotiated rates	1112	percent of total billed charges	1112	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Coventry	PPO		75	75% of all negotiated rates	678	percent of total billed charges	678	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	542	percent of total billed charges	542	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Humana-Commerical	PPO		70	70% of all negotiated rates	813	percent of total billed charges	813	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1654	percent of total billed charges	1654	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Multiplan	PPO		80	80% of all negotiated rates	542	percent of total billed charges	542	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	One Health	PPO		55	55% of all negotiated rates	1220	percent of total billed charges	1220	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Optum Medicare	HMO		39	39% of all negotiated rates	1654	percent of total billed charges	1654	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	P3	HMO		39	39% of all negotiated rates	1654	percent of total billed charges	1654	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	813	percent of total billed charges	813	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Select Health	HMO		41	41% of all negotiated rates	1600	percent of total billed charges	1600	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1803	percent of total billed charges	1803	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Sierra/HPN	HMO		60	60% of all negotiated rates	1084	percent of total billed charges	1084	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Silversummit Medicare	HMO		39	39% of all negotiated rates	1654	percent of total billed charges	1654	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1762	percent of total billed charges	1762	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Teachers Trust	PPO		68	68% of all negotiated rates	868	percent of total billed charges	868	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	TriWest	PPO		30	30% of all negotiated rates	1898	percent of total billed charges	1898	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	813	percent of total billed charges	813	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	United Healthcare	PPO		60	60% of all negotiated rates	1084	percent of total billed charges	1084	2711	
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	2582	Coinsurance and deductible may apply
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	2582	Coinsurance and deductible may apply
20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	20605	CPT	3230411	LOCAL	450	RC		outpatient			2711	2304	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	2582	Coinsurance and deductible may apply
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Aetna Medicare	HMO		26	26% of all negotiated rates	867	percent of total billed charges	867	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Alignment Medicare	HMO		39	39% of all negotiated rates	715	percent of total billed charges	715	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	469	percent of total billed charges	469	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	586	percent of total billed charges	586	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	715	percent of total billed charges	715	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Cigna	PPO		68	68% of all negotiated rates	375	percent of total billed charges	375	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Coalition	PPO		59	59% of all negotiated rates	480	percent of total billed charges	480	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Coventry	PPO		75	75% of all negotiated rates	293	percent of total billed charges	293	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	234	percent of total billed charges	234	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Humana-Commerical	PPO		70	70% of all negotiated rates	352	percent of total billed charges	352	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	715	percent of total billed charges	715	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Multiplan	PPO		80	80% of all negotiated rates	234	percent of total billed charges	234	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	One Health	PPO		55	55% of all negotiated rates	527	percent of total billed charges	527	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Optum Medicare	HMO		39	39% of all negotiated rates	715	percent of total billed charges	715	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	P3	HMO		39	39% of all negotiated rates	715	percent of total billed charges	715	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	352	percent of total billed charges	352	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Select Health	HMO		41	41% of all negotiated rates	691	percent of total billed charges	691	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	779	percent of total billed charges	779	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Sierra/HPN	HMO		60	60% of all negotiated rates	469	percent of total billed charges	469	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Silversummit Medicare	HMO		39	39% of all negotiated rates	715	percent of total billed charges	715	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	762	percent of total billed charges	762	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Teachers Trust	PPO		68	68% of all negotiated rates	375	percent of total billed charges	375	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	TriWest	PPO		30	30% of all negotiated rates	820	percent of total billed charges	820	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	352	percent of total billed charges	352	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	United Healthcare	PPO		60	60% of all negotiated rates	469	percent of total billed charges	469	1172	
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	44	fee schedule	44	1116	Coinsurance and deductible may apply
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	44	fee schedule	44	1116	Coinsurance and deductible may apply
20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	20610	CPT	3233402	LOCAL	450	RC		outpatient			1172	996	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	44	fee schedule	44	1116	Coinsurance and deductible may apply
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Aetna Medicare	HMO		26	26% of all negotiated rates	385	percent of total billed charges	385	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Alignment Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	208	percent of total billed charges	208	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	260	percent of total billed charges	260	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Cigna	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Coalition	PPO		59	59% of all negotiated rates	214	percent of total billed charges	214	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Coventry	PPO		75	75% of all negotiated rates	130	percent of total billed charges	130	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Humana-Commerical	PPO		70	70% of all negotiated rates	156	percent of total billed charges	156	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Multiplan	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	One Health	PPO		55	55% of all negotiated rates	234	percent of total billed charges	234	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Optum Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	P3	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	156	percent of total billed charges	156	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Select Health	HMO		41	41% of all negotiated rates	307	percent of total billed charges	307	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	346	percent of total billed charges	346	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Sierra/HPN	HMO		60	60% of all negotiated rates	208	percent of total billed charges	208	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Silversummit Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	339	percent of total billed charges	339	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	Teachers Trust	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	TriWest	PPO		30	30% of all negotiated rates	365	percent of total billed charges	365	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	156	percent of total billed charges	156	521	
21315 CLSD TMT NASL BONE FX W/O STAB ED CHARGE	21310	CPT	3230520	LOCAL	450	RC		outpatient			521	443	United Healthcare	PPO		60	60% of all negotiated rates	208	percent of total billed charges	208	521	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Aetna Medicare	HMO		26	26% of all negotiated rates	2591	percent of total billed charges	2591	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Alignment Medicare	HMO		39	39% of all negotiated rates	2135	percent of total billed charges	2135	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1400	percent of total billed charges	1400	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1750	percent of total billed charges	1750	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2135	percent of total billed charges	2135	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Cigna	PPO		68	68% of all negotiated rates	1120	percent of total billed charges	1120	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Coalition	PPO		59	59% of all negotiated rates	1435	percent of total billed charges	1435	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Coventry	PPO		75	75% of all negotiated rates	875	percent of total billed charges	875	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	700	percent of total billed charges	700	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Humana-Commerical	PPO		70	70% of all negotiated rates	1050	percent of total billed charges	1050	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2135	percent of total billed charges	2135	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Multiplan	PPO		80	80% of all negotiated rates	700	percent of total billed charges	700	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	One Health	PPO		55	55% of all negotiated rates	1575	percent of total billed charges	1575	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Optum Medicare	HMO		39	39% of all negotiated rates	2135	percent of total billed charges	2135	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	P3	HMO		39	39% of all negotiated rates	2135	percent of total billed charges	2135	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1050	percent of total billed charges	1050	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Select Health	HMO		41	41% of all negotiated rates	2065	percent of total billed charges	2065	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2328	percent of total billed charges	2328	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Sierra/HPN	HMO		60	60% of all negotiated rates	1400	percent of total billed charges	1400	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Silversummit Medicare	HMO		39	39% of all negotiated rates	2135	percent of total billed charges	2135	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2275	percent of total billed charges	2275	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Teachers Trust	PPO		68	68% of all negotiated rates	1120	percent of total billed charges	1120	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	TriWest	PPO		30	30% of all negotiated rates	2450	percent of total billed charges	2450	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1050	percent of total billed charges	1050	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	United Healthcare	PPO		60	60% of all negotiated rates	1400	percent of total billed charges	1400	3501	
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	473	fee schedule	473	3334	Coinsurance and deductible may apply
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	473	fee schedule	473	3334	Coinsurance and deductible may apply
21450 RED DISL MANDIB WO MANIP ED Charge	21450	CPT	3230595	LOCAL	450	RC		outpatient			3501	2976	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	473	fee schedule	473	3334	Coinsurance and deductible may apply
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Aetna Medicare	HMO		26	26% of all negotiated rates	394	percent of total billed charges	394	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Alignment Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	213	percent of total billed charges	213	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	266	percent of total billed charges	266	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Cigna	PPO		68	68% of all negotiated rates	170	percent of total billed charges	170	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Coalition	PPO		59	59% of all negotiated rates	218	percent of total billed charges	218	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Coventry	PPO		75	75% of all negotiated rates	133	percent of total billed charges	133	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Humana-Commerical	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Multiplan	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	One Health	PPO		55	55% of all negotiated rates	240	percent of total billed charges	240	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Optum Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	P3	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Select Health	HMO		41	41% of all negotiated rates	314	percent of total billed charges	314	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	354	percent of total billed charges	354	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Sierra/HPN	HMO		60	60% of all negotiated rates	213	percent of total billed charges	213	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Silversummit Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	346	percent of total billed charges	346	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Teachers Trust	PPO		68	68% of all negotiated rates	170	percent of total billed charges	170	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	TriWest	PPO		30	30% of all negotiated rates	373	percent of total billed charges	373	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	United Healthcare	PPO		60	60% of all negotiated rates	213	percent of total billed charges	213	532	
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	507	Coinsurance and deductible may apply
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	507	Coinsurance and deductible may apply
21480 TEMPORAMANDIBULAR DISLOCATION ED CHARGE	21480	CPT	3234809	LOCAL	450	RC		outpatient			532	452	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	30	fee schedule	30	507	Coinsurance and deductible may apply
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	211	fee schedule	211	655	Coinsurance and deductible may apply
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	211	fee schedule	211	655	Coinsurance and deductible may apply
23500 CLO TX CLAV FX  WO MANIP	23500	CPT	3230505	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	211	fee schedule	211	655	Coinsurance and deductible may apply
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Aetna Medicare	HMO		26	26% of all negotiated rates	468	percent of total billed charges	468	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Alignment Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	316	percent of total billed charges	316	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Cigna	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Coalition	PPO		59	59% of all negotiated rates	259	percent of total billed charges	259	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Humana-Commerical	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Multiplan	PPO		80	80% of all negotiated rates	126	percent of total billed charges	126	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	One Health	PPO		55	55% of all negotiated rates	284	percent of total billed charges	284	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Optum Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	P3	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Select Health	HMO		41	41% of all negotiated rates	373	percent of total billed charges	373	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	420	percent of total billed charges	420	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Sierra/HPN	HMO		60	60% of all negotiated rates	253	percent of total billed charges	253	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Silversummit Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	411	percent of total billed charges	411	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Teachers Trust	PPO		68	68% of all negotiated rates	202	percent of total billed charges	202	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	TriWest	PPO		30	30% of all negotiated rates	442	percent of total billed charges	442	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	United Healthcare	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	632	
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	216	fee schedule	216	602	Coinsurance and deductible may apply
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	216	fee schedule	216	602	Coinsurance and deductible may apply
23540 ED CLSD TRT AC DISLOCATION CHARGE	23540	CPT	3230500	LOCAL	450	RC		outpatient			632	537	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	216	fee schedule	216	602	Coinsurance and deductible may apply
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Aetna Medicare	HMO		26	26% of all negotiated rates	1744	percent of total billed charges	1744	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Alignment Medicare	HMO		39	39% of all negotiated rates	1437	percent of total billed charges	1437	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	942	percent of total billed charges	942	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1178	percent of total billed charges	1178	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1437	percent of total billed charges	1437	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Cigna	PPO		68	68% of all negotiated rates	754	percent of total billed charges	754	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Coalition	PPO		59	59% of all negotiated rates	966	percent of total billed charges	966	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Coventry	PPO		75	75% of all negotiated rates	589	percent of total billed charges	589	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	471	percent of total billed charges	471	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Humana-Commerical	PPO		70	70% of all negotiated rates	707	percent of total billed charges	707	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1437	percent of total billed charges	1437	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Multiplan	PPO		80	80% of all negotiated rates	471	percent of total billed charges	471	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	One Health	PPO		55	55% of all negotiated rates	1060	percent of total billed charges	1060	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Optum Medicare	HMO		39	39% of all negotiated rates	1437	percent of total billed charges	1437	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	P3	HMO		39	39% of all negotiated rates	1437	percent of total billed charges	1437	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	707	percent of total billed charges	707	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Select Health	HMO		41	41% of all negotiated rates	1390	percent of total billed charges	1390	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1567	percent of total billed charges	1567	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Sierra/HPN	HMO		60	60% of all negotiated rates	942	percent of total billed charges	942	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Silversummit Medicare	HMO		39	39% of all negotiated rates	1437	percent of total billed charges	1437	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1532	percent of total billed charges	1532	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Teachers Trust	PPO		68	68% of all negotiated rates	754	percent of total billed charges	754	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	TriWest	PPO		30	30% of all negotiated rates	1649	percent of total billed charges	1649	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	707	percent of total billed charges	707	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	United Healthcare	PPO		60	60% of all negotiated rates	942	percent of total billed charges	942	2356	
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	226	fee schedule	226	2244	Coinsurance and deductible may apply
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	226	fee schedule	226	2244	Coinsurance and deductible may apply
23570 CLSD TX SCAPULAR FX W/O M	23570	CPT	3231510	LOCAL	450	RC		outpatient			2356	2003	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	226	fee schedule	226	2244	Coinsurance and deductible may apply
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	292	fee schedule	292	655	Coinsurance and deductible may apply
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	292	fee schedule	292	655	Coinsurance and deductible may apply
23600 CLSD TX PROX HUMER FX W/O	23600	CPT	3230531	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	292	fee schedule	292	655	Coinsurance and deductible may apply
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Aetna Medicare	HMO		26	26% of all negotiated rates	1267	percent of total billed charges	1267	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Alignment Medicare	HMO		39	39% of all negotiated rates	1044	percent of total billed charges	1044	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	685	percent of total billed charges	685	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	856	percent of total billed charges	856	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1044	percent of total billed charges	1044	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Cigna	PPO		68	68% of all negotiated rates	548	percent of total billed charges	548	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Coalition	PPO		59	59% of all negotiated rates	702	percent of total billed charges	702	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Coventry	PPO		75	75% of all negotiated rates	428	percent of total billed charges	428	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	342	percent of total billed charges	342	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Humana-Commerical	PPO		70	70% of all negotiated rates	513	percent of total billed charges	513	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1044	percent of total billed charges	1044	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Multiplan	PPO		80	80% of all negotiated rates	342	percent of total billed charges	342	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	One Health	PPO		55	55% of all negotiated rates	770	percent of total billed charges	770	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Optum Medicare	HMO		39	39% of all negotiated rates	1044	percent of total billed charges	1044	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	P3	HMO		39	39% of all negotiated rates	1044	percent of total billed charges	1044	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	513	percent of total billed charges	513	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Select Health	HMO		41	41% of all negotiated rates	1010	percent of total billed charges	1010	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1138	percent of total billed charges	1138	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Sierra/HPN	HMO		60	60% of all negotiated rates	685	percent of total billed charges	685	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Silversummit Medicare	HMO		39	39% of all negotiated rates	1044	percent of total billed charges	1044	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1112	percent of total billed charges	1112	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Teachers Trust	PPO		68	68% of all negotiated rates	548	percent of total billed charges	548	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	TriWest	PPO		30	30% of all negotiated rates	1198	percent of total billed charges	1198	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	513	percent of total billed charges	513	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	United Healthcare	PPO		60	60% of all negotiated rates	685	percent of total billed charges	685	1712	
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	1630	Coinsurance and deductible may apply
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	1630	Coinsurance and deductible may apply
23620 CLSD TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	23620	CPT	3230543	LOCAL	450	RC		outpatient			1712	1455	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	1630	Coinsurance and deductible may apply
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Aetna Medicare	HMO		26	26% of all negotiated rates	800	percent of total billed charges	800	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Alignment Medicare	HMO		39	39% of all negotiated rates	660	percent of total billed charges	660	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	433	percent of total billed charges	433	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	541	percent of total billed charges	541	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	660	percent of total billed charges	660	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Cigna	PPO		68	68% of all negotiated rates	346	percent of total billed charges	346	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Coalition	PPO		59	59% of all negotiated rates	443	percent of total billed charges	443	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Coventry	PPO		75	75% of all negotiated rates	270	percent of total billed charges	270	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	216	percent of total billed charges	216	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Humana-Commerical	PPO		70	70% of all negotiated rates	324	percent of total billed charges	324	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	660	percent of total billed charges	660	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Multiplan	PPO		80	80% of all negotiated rates	216	percent of total billed charges	216	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	One Health	PPO		55	55% of all negotiated rates	487	percent of total billed charges	487	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Optum Medicare	HMO		39	39% of all negotiated rates	660	percent of total billed charges	660	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	P3	HMO		39	39% of all negotiated rates	660	percent of total billed charges	660	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	324	percent of total billed charges	324	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Select Health	HMO		41	41% of all negotiated rates	638	percent of total billed charges	638	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	719	percent of total billed charges	719	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Sierra/HPN	HMO		60	60% of all negotiated rates	433	percent of total billed charges	433	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Silversummit Medicare	HMO		39	39% of all negotiated rates	660	percent of total billed charges	660	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	703	percent of total billed charges	703	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Teachers Trust	PPO		68	68% of all negotiated rates	346	percent of total billed charges	346	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	TriWest	PPO		30	30% of all negotiated rates	757	percent of total billed charges	757	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	324	percent of total billed charges	324	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	United Healthcare	PPO		60	60% of all negotiated rates	433	percent of total billed charges	433	1082	
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	1030	Coinsurance and deductible may apply
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	1030	Coinsurance and deductible may apply
23650 CLO TX SHLDR DISLC W/MANI	23650	CPT	3230509	LOCAL	450	RC		outpatient			1082	919	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	1030	Coinsurance and deductible may apply
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Aetna Medicare	HMO		26	26% of all negotiated rates	1007	percent of total billed charges	1007	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Alignment Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	544	percent of total billed charges	544	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	680	percent of total billed charges	680	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Cigna	PPO		68	68% of all negotiated rates	435	percent of total billed charges	435	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Coalition	PPO		59	59% of all negotiated rates	558	percent of total billed charges	558	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Coventry	PPO		75	75% of all negotiated rates	340	percent of total billed charges	340	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	272	percent of total billed charges	272	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Humana-Commerical	PPO		70	70% of all negotiated rates	408	percent of total billed charges	408	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Multiplan	PPO		80	80% of all negotiated rates	272	percent of total billed charges	272	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	One Health	PPO		55	55% of all negotiated rates	612	percent of total billed charges	612	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Optum Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	P3	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	408	percent of total billed charges	408	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Select Health	HMO		41	41% of all negotiated rates	803	percent of total billed charges	803	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	905	percent of total billed charges	905	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Sierra/HPN	HMO		60	60% of all negotiated rates	544	percent of total billed charges	544	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Silversummit Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	885	percent of total billed charges	885	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Teachers Trust	PPO		68	68% of all negotiated rates	435	percent of total billed charges	435	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	TriWest	PPO		30	30% of all negotiated rates	953	percent of total billed charges	953	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	408	percent of total billed charges	408	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	United Healthcare	PPO		60	60% of all negotiated rates	544	percent of total billed charges	544	1361	
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	474	fee schedule	474	1296	Coinsurance and deductible may apply
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	474	fee schedule	474	1296	Coinsurance and deductible may apply
23675 CLSD TRMT SHLDR DISLOC W/MANIP ED CHARGE	23675	CPT	3230495	LOCAL	450	RC		outpatient			1361	1157	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	474	fee schedule	474	1296	Coinsurance and deductible may apply
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	308	fee schedule	308	655	Coinsurance and deductible may apply
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	308	fee schedule	308	655	Coinsurance and deductible may apply
24500 ED CLOSED TRTMT OF HUMERAL SHAFT FX W/O MANIP CHARGE	24500	CPT	3230508	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	308	fee schedule	308	655	Coinsurance and deductible may apply
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Aetna Medicare	HMO		26	26% of all negotiated rates	727	percent of total billed charges	727	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Alignment Medicare	HMO		39	39% of all negotiated rates	600	percent of total billed charges	600	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	393	percent of total billed charges	393	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	491	percent of total billed charges	491	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	600	percent of total billed charges	600	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Cigna	PPO		68	68% of all negotiated rates	314	percent of total billed charges	314	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Coalition	PPO		59	59% of all negotiated rates	403	percent of total billed charges	403	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Coventry	PPO		75	75% of all negotiated rates	246	percent of total billed charges	246	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	197	percent of total billed charges	197	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Humana-Commerical	PPO		70	70% of all negotiated rates	295	percent of total billed charges	295	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	600	percent of total billed charges	600	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Multiplan	PPO		80	80% of all negotiated rates	197	percent of total billed charges	197	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	One Health	PPO		55	55% of all negotiated rates	442	percent of total billed charges	442	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Optum Medicare	HMO		39	39% of all negotiated rates	600	percent of total billed charges	600	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	P3	HMO		39	39% of all negotiated rates	600	percent of total billed charges	600	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	295	percent of total billed charges	295	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Select Health	HMO		41	41% of all negotiated rates	580	percent of total billed charges	580	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	654	percent of total billed charges	654	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Sierra/HPN	HMO		60	60% of all negotiated rates	393	percent of total billed charges	393	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Silversummit Medicare	HMO		39	39% of all negotiated rates	600	percent of total billed charges	600	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	639	percent of total billed charges	639	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Teachers Trust	PPO		68	68% of all negotiated rates	314	percent of total billed charges	314	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	TriWest	PPO		30	30% of all negotiated rates	688	percent of total billed charges	688	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	295	percent of total billed charges	295	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	United Healthcare	PPO		60	60% of all negotiated rates	393	percent of total billed charges	393	983	
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	325	fee schedule	325	936	Coinsurance and deductible may apply
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	325	fee schedule	325	936	Coinsurance and deductible may apply
24530 TREAT HUMERUS FX W/O MANI	24530	CPT	3230580	LOCAL	450	RC		outpatient			983	835	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	325	fee schedule	325	936	Coinsurance and deductible may apply
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Aetna Medicare	HMO		26	26% of all negotiated rates	887	percent of total billed charges	887	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Alignment Medicare	HMO		39	39% of all negotiated rates	731	percent of total billed charges	731	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	480	percent of total billed charges	480	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	600	percent of total billed charges	600	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	731	percent of total billed charges	731	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Cigna	PPO		68	68% of all negotiated rates	384	percent of total billed charges	384	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Coalition	PPO		59	59% of all negotiated rates	492	percent of total billed charges	492	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Coventry	PPO		75	75% of all negotiated rates	300	percent of total billed charges	300	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	240	percent of total billed charges	240	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Humana-Commerical	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	731	percent of total billed charges	731	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Multiplan	PPO		80	80% of all negotiated rates	240	percent of total billed charges	240	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	One Health	PPO		55	55% of all negotiated rates	540	percent of total billed charges	540	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Optum Medicare	HMO		39	39% of all negotiated rates	731	percent of total billed charges	731	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	P3	HMO		39	39% of all negotiated rates	731	percent of total billed charges	731	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Select Health	HMO		41	41% of all negotiated rates	707	percent of total billed charges	707	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	797	percent of total billed charges	797	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Sierra/HPN	HMO		60	60% of all negotiated rates	480	percent of total billed charges	480	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Silversummit Medicare	HMO		39	39% of all negotiated rates	731	percent of total billed charges	731	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	779	percent of total billed charges	779	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Teachers Trust	PPO		68	68% of all negotiated rates	384	percent of total billed charges	384	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	TriWest	PPO		30	30% of all negotiated rates	839	percent of total billed charges	839	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	United Healthcare	PPO		60	60% of all negotiated rates	480	percent of total billed charges	480	1199	
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	273	fee schedule	273	1142	Coinsurance and deductible may apply
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	273	fee schedule	273	1142	Coinsurance and deductible may apply
24560 ED CLOSED TRTMT OF HUMERAL EPICONDYLAR FX W/O MANIP CHARGE	24560	CPT	3230537	LOCAL	450	RC		outpatient			1199	1019	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	273	fee schedule	273	1142	Coinsurance and deductible may apply
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Aetna Medicare	HMO		26	26% of all negotiated rates	1042	percent of total billed charges	1042	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Alignment Medicare	HMO		39	39% of all negotiated rates	859	percent of total billed charges	859	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	563	percent of total billed charges	563	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	704	percent of total billed charges	704	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	859	percent of total billed charges	859	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Cigna	PPO		68	68% of all negotiated rates	451	percent of total billed charges	451	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Coalition	PPO		59	59% of all negotiated rates	577	percent of total billed charges	577	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Coventry	PPO		75	75% of all negotiated rates	352	percent of total billed charges	352	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	282	percent of total billed charges	282	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Humana-Commerical	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	859	percent of total billed charges	859	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Multiplan	PPO		80	80% of all negotiated rates	282	percent of total billed charges	282	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	One Health	PPO		55	55% of all negotiated rates	634	percent of total billed charges	634	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Optum Medicare	HMO		39	39% of all negotiated rates	859	percent of total billed charges	859	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	P3	HMO		39	39% of all negotiated rates	859	percent of total billed charges	859	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Select Health	HMO		41	41% of all negotiated rates	831	percent of total billed charges	831	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	936	percent of total billed charges	936	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Sierra/HPN	HMO		60	60% of all negotiated rates	563	percent of total billed charges	563	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Silversummit Medicare	HMO		39	39% of all negotiated rates	859	percent of total billed charges	859	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	915	percent of total billed charges	915	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Teachers Trust	PPO		68	68% of all negotiated rates	451	percent of total billed charges	451	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	TriWest	PPO		30	30% of all negotiated rates	986	percent of total billed charges	986	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	422	percent of total billed charges	422	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	United Healthcare	PPO		60	60% of all negotiated rates	563	percent of total billed charges	563	1408	
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	463	fee schedule	463	1341	Coinsurance and deductible may apply
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	463	fee schedule	463	1341	Coinsurance and deductible may apply
24565 CLOSED TX HUMERAL EPICONDYLAR FX W/MANIP	24565	CPT	3230534	LOCAL	450	RC		outpatient			1408	1197	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	463	fee schedule	463	1341	Coinsurance and deductible may apply
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Aetna Medicare	HMO		26	26% of all negotiated rates	566	percent of total billed charges	566	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Alignment Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	306	percent of total billed charges	306	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	382	percent of total billed charges	382	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Cigna	PPO		68	68% of all negotiated rates	245	percent of total billed charges	245	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Coalition	PPO		59	59% of all negotiated rates	313	percent of total billed charges	313	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Coventry	PPO		75	75% of all negotiated rates	191	percent of total billed charges	191	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	153	percent of total billed charges	153	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Humana-Commerical	PPO		70	70% of all negotiated rates	229	percent of total billed charges	229	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Multiplan	PPO		80	80% of all negotiated rates	153	percent of total billed charges	153	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	One Health	PPO		55	55% of all negotiated rates	344	percent of total billed charges	344	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Optum Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	P3	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	229	percent of total billed charges	229	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Select Health	HMO		41	41% of all negotiated rates	451	percent of total billed charges	451	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	508	percent of total billed charges	508	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Sierra/HPN	HMO		60	60% of all negotiated rates	306	percent of total billed charges	306	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Silversummit Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	497	percent of total billed charges	497	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Teachers Trust	PPO		68	68% of all negotiated rates	245	percent of total billed charges	245	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	TriWest	PPO		30	30% of all negotiated rates	535	percent of total billed charges	535	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	229	percent of total billed charges	229	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	United Healthcare	PPO		60	60% of all negotiated rates	306	percent of total billed charges	306	764	
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	317	fee schedule	317	728	Coinsurance and deductible may apply
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	317	fee schedule	317	728	Coinsurance and deductible may apply
24600 ELBOW DISLOCATION	24600	CPT	3230310	LOCAL	450	RC		outpatient			764	650	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	317	fee schedule	317	728	Coinsurance and deductible may apply
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Aetna Medicare	HMO		26	26% of all negotiated rates	4687	percent of total billed charges	4687	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Alignment Medicare	HMO		39	39% of all negotiated rates	3863	percent of total billed charges	3863	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2533	percent of total billed charges	2533	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3167	percent of total billed charges	3167	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3863	percent of total billed charges	3863	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Cigna	PPO		68	68% of all negotiated rates	2027	percent of total billed charges	2027	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Coalition	PPO		59	59% of all negotiated rates	2597	percent of total billed charges	2597	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Coventry	PPO		75	75% of all negotiated rates	1583	percent of total billed charges	1583	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1267	percent of total billed charges	1267	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Humana-Commerical	PPO		70	70% of all negotiated rates	1900	percent of total billed charges	1900	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3863	percent of total billed charges	3863	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Multiplan	PPO		80	80% of all negotiated rates	1267	percent of total billed charges	1267	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	One Health	PPO		55	55% of all negotiated rates	2850	percent of total billed charges	2850	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Optum Medicare	HMO		39	39% of all negotiated rates	3863	percent of total billed charges	3863	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	P3	HMO		39	39% of all negotiated rates	3863	percent of total billed charges	3863	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1900	percent of total billed charges	1900	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Select Health	HMO		41	41% of all negotiated rates	3737	percent of total billed charges	3737	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4212	percent of total billed charges	4212	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Sierra/HPN	HMO		60	60% of all negotiated rates	2533	percent of total billed charges	2533	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Silversummit Medicare	HMO		39	39% of all negotiated rates	3863	percent of total billed charges	3863	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4117	percent of total billed charges	4117	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Teachers Trust	PPO		68	68% of all negotiated rates	2027	percent of total billed charges	2027	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	TriWest	PPO		30	30% of all negotiated rates	4434	percent of total billed charges	4434	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1900	percent of total billed charges	1900	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	United Healthcare	PPO		60	60% of all negotiated rates	2533	percent of total billed charges	2533	6334	
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	445	fee schedule	445	6032	Coinsurance and deductible may apply
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	445	fee schedule	445	6032	Coinsurance and deductible may apply
24605 Clsd Elbw Dslctn w/Anes	24605	CPT	3236405	LOCAL	450	RC		outpatient			6334	5384	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	445	fee schedule	445	6032	Coinsurance and deductible may apply
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Aetna Medicare	HMO		26	26% of all negotiated rates	539	percent of total billed charges	539	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Alignment Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	291	percent of total billed charges	291	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	364	percent of total billed charges	364	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Cigna	PPO		68	68% of all negotiated rates	233	percent of total billed charges	233	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Coalition	PPO		59	59% of all negotiated rates	299	percent of total billed charges	299	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Coventry	PPO		75	75% of all negotiated rates	182	percent of total billed charges	182	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	146	percent of total billed charges	146	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Humana-Commerical	PPO		70	70% of all negotiated rates	219	percent of total billed charges	219	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Multiplan	PPO		80	80% of all negotiated rates	146	percent of total billed charges	146	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	One Health	PPO		55	55% of all negotiated rates	328	percent of total billed charges	328	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Optum Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	P3	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	219	percent of total billed charges	219	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Select Health	HMO		41	41% of all negotiated rates	430	percent of total billed charges	430	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	485	percent of total billed charges	485	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Sierra/HPN	HMO		60	60% of all negotiated rates	291	percent of total billed charges	291	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Silversummit Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	474	percent of total billed charges	474	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Teachers Trust	PPO		68	68% of all negotiated rates	233	percent of total billed charges	233	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	TriWest	PPO		30	30% of all negotiated rates	510	percent of total billed charges	510	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	219	percent of total billed charges	219	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	United Healthcare	PPO		60	60% of all negotiated rates	291	percent of total billed charges	291	729	
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	90	fee schedule	90	694	Coinsurance and deductible may apply
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	90	fee schedule	90	694	Coinsurance and deductible may apply
24640 CLO TX ELBOW- CHILD	24640	CPT	3233428	LOCAL	450	RC		outpatient			729	619	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	90	fee schedule	90	694	Coinsurance and deductible may apply
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Aetna Medicare	HMO		26	26% of all negotiated rates	605	percent of total billed charges	605	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Alignment Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	327	percent of total billed charges	327	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	408	percent of total billed charges	408	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Cigna	PPO		68	68% of all negotiated rates	261	percent of total billed charges	261	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Coalition	PPO		59	59% of all negotiated rates	335	percent of total billed charges	335	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Coventry	PPO		75	75% of all negotiated rates	204	percent of total billed charges	204	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	163	percent of total billed charges	163	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Humana-Commerical	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Multiplan	PPO		80	80% of all negotiated rates	163	percent of total billed charges	163	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	One Health	PPO		55	55% of all negotiated rates	368	percent of total billed charges	368	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Optum Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	P3	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Select Health	HMO		41	41% of all negotiated rates	482	percent of total billed charges	482	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	543	percent of total billed charges	543	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Sierra/HPN	HMO		60	60% of all negotiated rates	327	percent of total billed charges	327	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Silversummit Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	531	percent of total billed charges	531	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Teachers Trust	PPO		68	68% of all negotiated rates	261	percent of total billed charges	261	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	TriWest	PPO		30	30% of all negotiated rates	572	percent of total billed charges	572	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	United Healthcare	PPO		60	60% of all negotiated rates	327	percent of total billed charges	327	817	
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	228	fee schedule	228	778	Coinsurance and deductible may apply
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	228	fee schedule	228	778	Coinsurance and deductible may apply
24650 - CD TX RADIALHEAD/NK FX WO	24650	CPT	3230102	LOCAL	450	RC		outpatient			817	694	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	228	fee schedule	228	778	Coinsurance and deductible may apply
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Aetna Medicare	HMO		26	26% of all negotiated rates	2419	percent of total billed charges	2419	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Alignment Medicare	HMO		39	39% of all negotiated rates	1994	percent of total billed charges	1994	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1307	percent of total billed charges	1307	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1634	percent of total billed charges	1634	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1994	percent of total billed charges	1994	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Cigna	PPO		68	68% of all negotiated rates	1046	percent of total billed charges	1046	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Coalition	PPO		59	59% of all negotiated rates	1340	percent of total billed charges	1340	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Coventry	PPO		75	75% of all negotiated rates	817	percent of total billed charges	817	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	654	percent of total billed charges	654	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Humana-Commerical	PPO		70	70% of all negotiated rates	981	percent of total billed charges	981	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1994	percent of total billed charges	1994	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Multiplan	PPO		80	80% of all negotiated rates	654	percent of total billed charges	654	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	One Health	PPO		55	55% of all negotiated rates	1471	percent of total billed charges	1471	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Optum Medicare	HMO		39	39% of all negotiated rates	1994	percent of total billed charges	1994	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	P3	HMO		39	39% of all negotiated rates	1994	percent of total billed charges	1994	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	981	percent of total billed charges	981	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Select Health	HMO		41	41% of all negotiated rates	1929	percent of total billed charges	1929	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2174	percent of total billed charges	2174	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Sierra/HPN	HMO		60	60% of all negotiated rates	1307	percent of total billed charges	1307	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Silversummit Medicare	HMO		39	39% of all negotiated rates	1994	percent of total billed charges	1994	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2125	percent of total billed charges	2125	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Teachers Trust	PPO		68	68% of all negotiated rates	1046	percent of total billed charges	1046	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	TriWest	PPO		30	30% of all negotiated rates	2288	percent of total billed charges	2288	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	981	percent of total billed charges	981	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	United Healthcare	PPO		60	60% of all negotiated rates	1307	percent of total billed charges	1307	3269	
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	378	fee schedule	378	3113	Coinsurance and deductible may apply
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	378	fee schedule	378	3113	Coinsurance and deductible may apply
24655 CLSD TRTMT RADIAL HEAD W/MANIP ED CHARGE	24655	CPT	3230570	LOCAL	450	RC		outpatient			3269	2778	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	378	fee schedule	378	3113	Coinsurance and deductible may apply
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Aetna Medicare	HMO		26	26% of all negotiated rates	664	percent of total billed charges	664	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Alignment Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	448	percent of total billed charges	448	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Cigna	PPO		68	68% of all negotiated rates	287	percent of total billed charges	287	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Coalition	PPO		59	59% of all negotiated rates	368	percent of total billed charges	368	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Coventry	PPO		75	75% of all negotiated rates	224	percent of total billed charges	224	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Humana-Commerical	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Multiplan	PPO		80	80% of all negotiated rates	179	percent of total billed charges	179	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	One Health	PPO		55	55% of all negotiated rates	404	percent of total billed charges	404	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Optum Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	P3	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Select Health	HMO		41	41% of all negotiated rates	529	percent of total billed charges	529	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	596	percent of total billed charges	596	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Sierra/HPN	HMO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Silversummit Medicare	HMO		39	39% of all negotiated rates	547	percent of total billed charges	547	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	583	percent of total billed charges	583	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Teachers Trust	PPO		68	68% of all negotiated rates	287	percent of total billed charges	287	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	TriWest	PPO		30	30% of all negotiated rates	628	percent of total billed charges	628	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	269	percent of total billed charges	269	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	United Healthcare	PPO		60	60% of all negotiated rates	359	percent of total billed charges	359	897	
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	854	Coinsurance and deductible may apply
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	854	Coinsurance and deductible may apply
24670 Clsd Tx Ulnar Fx W/O Mani	24670	CPT	3230585	LOCAL	450	RC		outpatient			897	762	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	249	fee schedule	249	854	Coinsurance and deductible may apply
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Aetna Medicare	HMO		26	26% of all negotiated rates	1342	percent of total billed charges	1342	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Alignment Medicare	HMO		39	39% of all negotiated rates	1106	percent of total billed charges	1106	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	725	percent of total billed charges	725	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	907	percent of total billed charges	907	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1106	percent of total billed charges	1106	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Cigna	PPO		68	68% of all negotiated rates	580	percent of total billed charges	580	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Coalition	PPO		59	59% of all negotiated rates	743	percent of total billed charges	743	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Coventry	PPO		75	75% of all negotiated rates	453	percent of total billed charges	453	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	363	percent of total billed charges	363	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Humana-Commerical	PPO		70	70% of all negotiated rates	544	percent of total billed charges	544	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1106	percent of total billed charges	1106	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Multiplan	PPO		80	80% of all negotiated rates	363	percent of total billed charges	363	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	One Health	PPO		55	55% of all negotiated rates	816	percent of total billed charges	816	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Optum Medicare	HMO		39	39% of all negotiated rates	1106	percent of total billed charges	1106	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	P3	HMO		39	39% of all negotiated rates	1106	percent of total billed charges	1106	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	544	percent of total billed charges	544	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Select Health	HMO		41	41% of all negotiated rates	1070	percent of total billed charges	1070	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1206	percent of total billed charges	1206	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Sierra/HPN	HMO		60	60% of all negotiated rates	725	percent of total billed charges	725	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Silversummit Medicare	HMO		39	39% of all negotiated rates	1106	percent of total billed charges	1106	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1179	percent of total billed charges	1179	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Teachers Trust	PPO		68	68% of all negotiated rates	580	percent of total billed charges	580	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	TriWest	PPO		30	30% of all negotiated rates	1269	percent of total billed charges	1269	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	544	percent of total billed charges	544	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	United Healthcare	PPO		60	60% of all negotiated rates	725	percent of total billed charges	725	1813	
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	1727	Coinsurance and deductible may apply
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	1727	Coinsurance and deductible may apply
25500 CLO TRMT RADIAL SHFT W/O	25500	CPT	3230325	LOCAL	450	RC		outpatient			1813	1541	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	237	fee schedule	237	1727	Coinsurance and deductible may apply
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Aetna Medicare	HMO		26	26% of all negotiated rates	2279	percent of total billed charges	2279	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Alignment Medicare	HMO		39	39% of all negotiated rates	1879	percent of total billed charges	1879	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1232	percent of total billed charges	1232	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1540	percent of total billed charges	1540	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1879	percent of total billed charges	1879	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Cigna	PPO		68	68% of all negotiated rates	985	percent of total billed charges	985	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Coalition	PPO		59	59% of all negotiated rates	1263	percent of total billed charges	1263	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Coventry	PPO		75	75% of all negotiated rates	770	percent of total billed charges	770	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	616	percent of total billed charges	616	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Humana-Commerical	PPO		70	70% of all negotiated rates	924	percent of total billed charges	924	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1879	percent of total billed charges	1879	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Multiplan	PPO		80	80% of all negotiated rates	616	percent of total billed charges	616	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	One Health	PPO		55	55% of all negotiated rates	1386	percent of total billed charges	1386	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Optum Medicare	HMO		39	39% of all negotiated rates	1879	percent of total billed charges	1879	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	P3	HMO		39	39% of all negotiated rates	1879	percent of total billed charges	1879	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	924	percent of total billed charges	924	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Select Health	HMO		41	41% of all negotiated rates	1817	percent of total billed charges	1817	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2048	percent of total billed charges	2048	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Sierra/HPN	HMO		60	60% of all negotiated rates	1232	percent of total billed charges	1232	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Silversummit Medicare	HMO		39	39% of all negotiated rates	1879	percent of total billed charges	1879	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2002	percent of total billed charges	2002	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Teachers Trust	PPO		68	68% of all negotiated rates	985	percent of total billed charges	985	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	TriWest	PPO		30	30% of all negotiated rates	2156	percent of total billed charges	2156	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	924	percent of total billed charges	924	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	United Healthcare	PPO		60	60% of all negotiated rates	1232	percent of total billed charges	1232	3080	
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	435	fee schedule	435	2933	Coinsurance and deductible may apply
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	435	fee schedule	435	2933	Coinsurance and deductible may apply
25505 CLOSED TX OF RADIAL SHAFT FX W/MANIP CHARGE	25505	CPT	45025505	LOCAL	450	RC		outpatient			3080	2618	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	435	fee schedule	435	2933	Coinsurance and deductible may apply
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	238	fee schedule	238	655	Coinsurance and deductible may apply
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	238	fee schedule	238	655	Coinsurance and deductible may apply
25560 CLSD TX RAD/ULNA W/O MANI	25560	CPT	3230540	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	238	fee schedule	238	655	Coinsurance and deductible may apply
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Aetna Medicare	HMO		26	26% of all negotiated rates	1879	percent of total billed charges	1879	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Alignment Medicare	HMO		39	39% of all negotiated rates	1549	percent of total billed charges	1549	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1016	percent of total billed charges	1016	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1269	percent of total billed charges	1269	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1549	percent of total billed charges	1549	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Cigna	PPO		68	68% of all negotiated rates	812	percent of total billed charges	812	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Coalition	PPO		59	59% of all negotiated rates	1041	percent of total billed charges	1041	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Coventry	PPO		75	75% of all negotiated rates	635	percent of total billed charges	635	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	508	percent of total billed charges	508	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Humana-Commerical	PPO		70	70% of all negotiated rates	762	percent of total billed charges	762	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1549	percent of total billed charges	1549	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Multiplan	PPO		80	80% of all negotiated rates	508	percent of total billed charges	508	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	One Health	PPO		55	55% of all negotiated rates	1143	percent of total billed charges	1143	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Optum Medicare	HMO		39	39% of all negotiated rates	1549	percent of total billed charges	1549	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	P3	HMO		39	39% of all negotiated rates	1549	percent of total billed charges	1549	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	762	percent of total billed charges	762	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Select Health	HMO		41	41% of all negotiated rates	1498	percent of total billed charges	1498	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1688	percent of total billed charges	1688	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Sierra/HPN	HMO		60	60% of all negotiated rates	1016	percent of total billed charges	1016	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Silversummit Medicare	HMO		39	39% of all negotiated rates	1549	percent of total billed charges	1549	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1650	percent of total billed charges	1650	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Teachers Trust	PPO		68	68% of all negotiated rates	812	percent of total billed charges	812	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	TriWest	PPO		30	30% of all negotiated rates	1777	percent of total billed charges	1777	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	762	percent of total billed charges	762	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	United Healthcare	PPO		60	60% of all negotiated rates	1016	percent of total billed charges	1016	2539	
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	445	fee schedule	445	2418	Coinsurance and deductible may apply
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	445	fee schedule	445	2418	Coinsurance and deductible may apply
25565 CLD RED ULNA/RAD W/MANIP	25565	CPT	3230032	LOCAL	450	RC		outpatient			2539	2158	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	445	fee schedule	445	2418	Coinsurance and deductible may apply
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	655	Coinsurance and deductible may apply
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	655	Coinsurance and deductible may apply
25600 CLO TX DIST RADIAL FX W/O	25600	CPT	3230507	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	655	Coinsurance and deductible may apply
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Aetna Medicare	HMO		26	26% of all negotiated rates	2001	percent of total billed charges	2001	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Alignment Medicare	HMO		39	39% of all negotiated rates	1649	percent of total billed charges	1649	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1082	percent of total billed charges	1082	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1352	percent of total billed charges	1352	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1649	percent of total billed charges	1649	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Cigna	PPO		68	68% of all negotiated rates	865	percent of total billed charges	865	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Coalition	PPO		59	59% of all negotiated rates	1109	percent of total billed charges	1109	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Coventry	PPO		75	75% of all negotiated rates	676	percent of total billed charges	676	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	541	percent of total billed charges	541	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Humana-Commerical	PPO		70	70% of all negotiated rates	811	percent of total billed charges	811	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1649	percent of total billed charges	1649	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Multiplan	PPO		80	80% of all negotiated rates	541	percent of total billed charges	541	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	One Health	PPO		55	55% of all negotiated rates	1217	percent of total billed charges	1217	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Optum Medicare	HMO		39	39% of all negotiated rates	1649	percent of total billed charges	1649	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	P3	HMO		39	39% of all negotiated rates	1649	percent of total billed charges	1649	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	811	percent of total billed charges	811	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Select Health	HMO		41	41% of all negotiated rates	1595	percent of total billed charges	1595	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1798	percent of total billed charges	1798	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Sierra/HPN	HMO		60	60% of all negotiated rates	1082	percent of total billed charges	1082	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Silversummit Medicare	HMO		39	39% of all negotiated rates	1649	percent of total billed charges	1649	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1757	percent of total billed charges	1757	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Teachers Trust	PPO		68	68% of all negotiated rates	865	percent of total billed charges	865	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	TriWest	PPO		30	30% of all negotiated rates	1893	percent of total billed charges	1893	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	811	percent of total billed charges	811	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	United Healthcare	PPO		60	60% of all negotiated rates	1082	percent of total billed charges	1082	2704	
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	489	fee schedule	489	2575	Coinsurance and deductible may apply
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	489	fee schedule	489	2575	Coinsurance and deductible may apply
25605 CLO TRMT DISTAL FX W MANI	25605	CPT	3230116	LOCAL	450	RC		outpatient			2704	2298	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	489	fee schedule	489	2575	Coinsurance and deductible may apply
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Aetna Medicare	HMO		26	26% of all negotiated rates	1517	percent of total billed charges	1517	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Alignment Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1025	percent of total billed charges	1025	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Cigna	PPO		68	68% of all negotiated rates	656	percent of total billed charges	656	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Coalition	PPO		59	59% of all negotiated rates	841	percent of total billed charges	841	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Coventry	PPO		75	75% of all negotiated rates	513	percent of total billed charges	513	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	410	percent of total billed charges	410	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Humana-Commerical	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Multiplan	PPO		80	80% of all negotiated rates	410	percent of total billed charges	410	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	One Health	PPO		55	55% of all negotiated rates	923	percent of total billed charges	923	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Optum Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	P3	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Select Health	HMO		41	41% of all negotiated rates	1210	percent of total billed charges	1210	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1364	percent of total billed charges	1364	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Sierra/HPN	HMO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Silversummit Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1333	percent of total billed charges	1333	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Teachers Trust	PPO		68	68% of all negotiated rates	656	percent of total billed charges	656	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	TriWest	PPO		30	30% of all negotiated rates	1435	percent of total billed charges	1435	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	United Healthcare	PPO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	263	fee schedule	263	1953	Coinsurance and deductible may apply
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	263	fee schedule	263	1953	Coinsurance and deductible may apply
25622 CLO TX WRIST W/O MANIP	25622	CPT	3230590	LOCAL	450	RC		outpatient			2051	1743	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	263	fee schedule	263	1953	Coinsurance and deductible may apply
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Aetna Medicare	HMO		26	26% of all negotiated rates	1883	percent of total billed charges	1883	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Alignment Medicare	HMO		39	39% of all negotiated rates	1553	percent of total billed charges	1553	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1018	percent of total billed charges	1018	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1273	percent of total billed charges	1273	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1553	percent of total billed charges	1553	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Cigna	PPO		68	68% of all negotiated rates	814	percent of total billed charges	814	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Coalition	PPO		59	59% of all negotiated rates	1044	percent of total billed charges	1044	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Coventry	PPO		75	75% of all negotiated rates	636	percent of total billed charges	636	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	509	percent of total billed charges	509	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Humana-Commerical	PPO		70	70% of all negotiated rates	764	percent of total billed charges	764	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1553	percent of total billed charges	1553	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Multiplan	PPO		80	80% of all negotiated rates	509	percent of total billed charges	509	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	One Health	PPO		55	55% of all negotiated rates	1145	percent of total billed charges	1145	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Optum Medicare	HMO		39	39% of all negotiated rates	1553	percent of total billed charges	1553	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	P3	HMO		39	39% of all negotiated rates	1553	percent of total billed charges	1553	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	764	percent of total billed charges	764	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Select Health	HMO		41	41% of all negotiated rates	1502	percent of total billed charges	1502	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1693	percent of total billed charges	1693	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Sierra/HPN	HMO		60	60% of all negotiated rates	1018	percent of total billed charges	1018	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Silversummit Medicare	HMO		39	39% of all negotiated rates	1553	percent of total billed charges	1553	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1654	percent of total billed charges	1654	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Teachers Trust	PPO		68	68% of all negotiated rates	814	percent of total billed charges	814	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	TriWest	PPO		30	30% of all negotiated rates	1782	percent of total billed charges	1782	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	764	percent of total billed charges	764	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	United Healthcare	PPO		60	60% of all negotiated rates	1018	percent of total billed charges	1018	2545	
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	265	fee schedule	265	2424	Coinsurance and deductible may apply
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	265	fee schedule	265	2424	Coinsurance and deductible may apply
25630 CO TX CARPAL W/O MANIP	25630	CPT	3230288	LOCAL	450	RC		outpatient			2545	2163	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	265	fee schedule	265	2424	Coinsurance and deductible may apply
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Aetna Medicare	HMO		26	26% of all negotiated rates	691	percent of total billed charges	691	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Alignment Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	467	percent of total billed charges	467	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Cigna	PPO		68	68% of all negotiated rates	299	percent of total billed charges	299	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Coalition	PPO		59	59% of all negotiated rates	383	percent of total billed charges	383	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Coventry	PPO		75	75% of all negotiated rates	233	percent of total billed charges	233	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	187	percent of total billed charges	187	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Humana-Commerical	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Multiplan	PPO		80	80% of all negotiated rates	187	percent of total billed charges	187	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	One Health	PPO		55	55% of all negotiated rates	420	percent of total billed charges	420	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Optum Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	P3	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Select Health	HMO		41	41% of all negotiated rates	551	percent of total billed charges	551	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	621	percent of total billed charges	621	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Sierra/HPN	HMO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Silversummit Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	607	percent of total billed charges	607	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Teachers Trust	PPO		68	68% of all negotiated rates	299	percent of total billed charges	299	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	TriWest	PPO		30	30% of all negotiated rates	653	percent of total billed charges	653	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	United Healthcare	PPO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	285	fee schedule	285	889	Coinsurance and deductible may apply
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	285	fee schedule	285	889	Coinsurance and deductible may apply
25650 CD FX TX ULNAR STYLOID Charge	25650	CPT	3230125	LOCAL	450	RC		outpatient			933	793	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	285	fee schedule	285	889	Coinsurance and deductible may apply
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Aetna Medicare	HMO		26	26% of all negotiated rates	1437	percent of total billed charges	1437	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Alignment Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	777	percent of total billed charges	777	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	971	percent of total billed charges	971	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Cigna	PPO		68	68% of all negotiated rates	622	percent of total billed charges	622	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Coalition	PPO		59	59% of all negotiated rates	796	percent of total billed charges	796	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Coventry	PPO		75	75% of all negotiated rates	486	percent of total billed charges	486	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	389	percent of total billed charges	389	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Humana-Commerical	PPO		70	70% of all negotiated rates	583	percent of total billed charges	583	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Multiplan	PPO		80	80% of all negotiated rates	389	percent of total billed charges	389	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	One Health	PPO		55	55% of all negotiated rates	874	percent of total billed charges	874	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Optum Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	P3	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	583	percent of total billed charges	583	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Select Health	HMO		41	41% of all negotiated rates	1146	percent of total billed charges	1146	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1292	percent of total billed charges	1292	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Sierra/HPN	HMO		60	60% of all negotiated rates	777	percent of total billed charges	777	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Silversummit Medicare	HMO		39	39% of all negotiated rates	1185	percent of total billed charges	1185	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1263	percent of total billed charges	1263	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Teachers Trust	PPO		68	68% of all negotiated rates	622	percent of total billed charges	622	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	TriWest	PPO		30	30% of all negotiated rates	1360	percent of total billed charges	1360	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	583	percent of total billed charges	583	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	United Healthcare	PPO		60	60% of all negotiated rates	777	percent of total billed charges	777	1943	
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1850	Coinsurance and deductible may apply
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1850	Coinsurance and deductible may apply
"26010 DRAIN FINGER ABSCESS, SIMPLE ED CHARGE"	26010	CPT	3231120	LOCAL	450	RC		outpatient			1943	1651	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	131	fee schedule	131	1850	Coinsurance and deductible may apply
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Aetna Medicare	HMO		26	26% of all negotiated rates	573	percent of total billed charges	573	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Alignment Medicare	HMO		39	39% of all negotiated rates	472	percent of total billed charges	472	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	310	percent of total billed charges	310	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	387	percent of total billed charges	387	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	472	percent of total billed charges	472	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Cigna	PPO		68	68% of all negotiated rates	248	percent of total billed charges	248	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Coalition	PPO		59	59% of all negotiated rates	317	percent of total billed charges	317	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Coventry	PPO		75	75% of all negotiated rates	193	percent of total billed charges	193	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	155	percent of total billed charges	155	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Humana-Commerical	PPO		70	70% of all negotiated rates	232	percent of total billed charges	232	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	472	percent of total billed charges	472	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Multiplan	PPO		80	80% of all negotiated rates	155	percent of total billed charges	155	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	One Health	PPO		55	55% of all negotiated rates	348	percent of total billed charges	348	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Optum Medicare	HMO		39	39% of all negotiated rates	472	percent of total billed charges	472	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	P3	HMO		39	39% of all negotiated rates	472	percent of total billed charges	472	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	232	percent of total billed charges	232	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Select Health	HMO		41	41% of all negotiated rates	457	percent of total billed charges	457	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	515	percent of total billed charges	515	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Sierra/HPN	HMO		60	60% of all negotiated rates	310	percent of total billed charges	310	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Silversummit Medicare	HMO		39	39% of all negotiated rates	472	percent of total billed charges	472	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	503	percent of total billed charges	503	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Teachers Trust	PPO		68	68% of all negotiated rates	248	percent of total billed charges	248	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	TriWest	PPO		30	30% of all negotiated rates	542	percent of total billed charges	542	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	232	percent of total billed charges	232	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	United Healthcare	PPO		60	60% of all negotiated rates	310	percent of total billed charges	310	774	
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	737	Coinsurance and deductible may apply
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	737	Coinsurance and deductible may apply
26011 DRNG FINGER ABSCESS COMPL	26011	CPT	3230382	LOCAL	450	RC		outpatient			774	658	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	737	Coinsurance and deductible may apply
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Aetna Medicare	HMO		26	26% of all negotiated rates	634	percent of total billed charges	634	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Alignment Medicare	HMO		39	39% of all negotiated rates	523	percent of total billed charges	523	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	343	percent of total billed charges	343	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	428	percent of total billed charges	428	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	523	percent of total billed charges	523	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Cigna	PPO		68	68% of all negotiated rates	274	percent of total billed charges	274	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Coalition	PPO		59	59% of all negotiated rates	351	percent of total billed charges	351	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Coventry	PPO		75	75% of all negotiated rates	214	percent of total billed charges	214	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	171	percent of total billed charges	171	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Humana-Commerical	PPO		70	70% of all negotiated rates	257	percent of total billed charges	257	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	523	percent of total billed charges	523	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Multiplan	PPO		80	80% of all negotiated rates	171	percent of total billed charges	171	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	One Health	PPO		55	55% of all negotiated rates	386	percent of total billed charges	386	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Optum Medicare	HMO		39	39% of all negotiated rates	523	percent of total billed charges	523	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	P3	HMO		39	39% of all negotiated rates	523	percent of total billed charges	523	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	257	percent of total billed charges	257	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Select Health	HMO		41	41% of all negotiated rates	506	percent of total billed charges	506	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	570	percent of total billed charges	570	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Sierra/HPN	HMO		60	60% of all negotiated rates	343	percent of total billed charges	343	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Silversummit Medicare	HMO		39	39% of all negotiated rates	523	percent of total billed charges	523	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	557	percent of total billed charges	557	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Teachers Trust	PPO		68	68% of all negotiated rates	274	percent of total billed charges	274	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	TriWest	PPO		30	30% of all negotiated rates	600	percent of total billed charges	600	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	257	percent of total billed charges	257	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	United Healthcare	PPO		60	60% of all negotiated rates	343	percent of total billed charges	343	857	
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	263	fee schedule	263	816	Coinsurance and deductible may apply
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	263	fee schedule	263	816	Coinsurance and deductible may apply
26600 CLD TX MTCPL FX W/O MANIP	26600	CPT	3230510	LOCAL	450	RC		outpatient			857	728	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	263	fee schedule	263	816	Coinsurance and deductible may apply
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Aetna Medicare	HMO		26	26% of all negotiated rates	818	percent of total billed charges	818	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Alignment Medicare	HMO		39	39% of all negotiated rates	674	percent of total billed charges	674	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	442	percent of total billed charges	442	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	553	percent of total billed charges	553	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	674	percent of total billed charges	674	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Cigna	PPO		68	68% of all negotiated rates	354	percent of total billed charges	354	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Coalition	PPO		59	59% of all negotiated rates	453	percent of total billed charges	453	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Coventry	PPO		75	75% of all negotiated rates	276	percent of total billed charges	276	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	221	percent of total billed charges	221	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Humana-Commerical	PPO		70	70% of all negotiated rates	332	percent of total billed charges	332	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	674	percent of total billed charges	674	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Multiplan	PPO		80	80% of all negotiated rates	221	percent of total billed charges	221	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	One Health	PPO		55	55% of all negotiated rates	498	percent of total billed charges	498	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Optum Medicare	HMO		39	39% of all negotiated rates	674	percent of total billed charges	674	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	P3	HMO		39	39% of all negotiated rates	674	percent of total billed charges	674	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	332	percent of total billed charges	332	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Select Health	HMO		41	41% of all negotiated rates	652	percent of total billed charges	652	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	735	percent of total billed charges	735	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Sierra/HPN	HMO		60	60% of all negotiated rates	442	percent of total billed charges	442	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Silversummit Medicare	HMO		39	39% of all negotiated rates	674	percent of total billed charges	674	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	719	percent of total billed charges	719	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Teachers Trust	PPO		68	68% of all negotiated rates	354	percent of total billed charges	354	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	TriWest	PPO		30	30% of all negotiated rates	774	percent of total billed charges	774	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	332	percent of total billed charges	332	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	United Healthcare	PPO		60	60% of all negotiated rates	442	percent of total billed charges	442	1106	
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	277	fee schedule	277	1053	Coinsurance and deductible may apply
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	277	fee schedule	277	1053	Coinsurance and deductible may apply
26605 ED TRTMT CLOSED METACARPAL FX SINGLE W/ MANIP CHARGE	26605	CPT	3230625	LOCAL	450	RC		outpatient			1106	940	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	277	fee schedule	277	1053	Coinsurance and deductible may apply
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Aetna Medicare	HMO		26	26% of all negotiated rates	623	percent of total billed charges	623	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Alignment Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	421	percent of total billed charges	421	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Cigna	PPO		68	68% of all negotiated rates	269	percent of total billed charges	269	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Coalition	PPO		59	59% of all negotiated rates	345	percent of total billed charges	345	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Coventry	PPO		75	75% of all negotiated rates	211	percent of total billed charges	211	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Humana-Commerical	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Multiplan	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	One Health	PPO		55	55% of all negotiated rates	379	percent of total billed charges	379	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Optum Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	P3	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Select Health	HMO		41	41% of all negotiated rates	497	percent of total billed charges	497	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	560	percent of total billed charges	560	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Sierra/HPN	HMO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Silversummit Medicare	HMO		39	39% of all negotiated rates	514	percent of total billed charges	514	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	547	percent of total billed charges	547	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Teachers Trust	PPO		68	68% of all negotiated rates	269	percent of total billed charges	269	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	TriWest	PPO		30	30% of all negotiated rates	589	percent of total billed charges	589	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	253	percent of total billed charges	253	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	United Healthcare	PPO		60	60% of all negotiated rates	337	percent of total billed charges	337	842	
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	802	Coinsurance and deductible may apply
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	802	Coinsurance and deductible may apply
26720 CLO TX FINGER FX PROX/MID	26720	CPT	3230530	LOCAL	450	RC		outpatient			842	716	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	802	Coinsurance and deductible may apply
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Aetna Medicare	HMO		26	26% of all negotiated rates	722	percent of total billed charges	722	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Alignment Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	390	percent of total billed charges	390	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	488	percent of total billed charges	488	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Cigna	PPO		68	68% of all negotiated rates	312	percent of total billed charges	312	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Coalition	PPO		59	59% of all negotiated rates	400	percent of total billed charges	400	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Coventry	PPO		75	75% of all negotiated rates	244	percent of total billed charges	244	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	195	percent of total billed charges	195	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Humana-Commerical	PPO		70	70% of all negotiated rates	293	percent of total billed charges	293	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Multiplan	PPO		80	80% of all negotiated rates	195	percent of total billed charges	195	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	One Health	PPO		55	55% of all negotiated rates	439	percent of total billed charges	439	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Optum Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	P3	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	293	percent of total billed charges	293	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Select Health	HMO		41	41% of all negotiated rates	576	percent of total billed charges	576	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	649	percent of total billed charges	649	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Sierra/HPN	HMO		60	60% of all negotiated rates	390	percent of total billed charges	390	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Silversummit Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	634	percent of total billed charges	634	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Teachers Trust	PPO		68	68% of all negotiated rates	312	percent of total billed charges	312	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	TriWest	PPO		30	30% of all negotiated rates	683	percent of total billed charges	683	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	293	percent of total billed charges	293	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	United Healthcare	PPO		60	60% of all negotiated rates	390	percent of total billed charges	390	975	
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	929	Coinsurance and deductible may apply
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	929	Coinsurance and deductible may apply
26725 CLO TX FING FX W/MANIP	26725	CPT	3230575	LOCAL	450	RC		outpatient			975	829	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	288	fee schedule	288	929	Coinsurance and deductible may apply
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Aetna Medicare	HMO		26	26% of all negotiated rates	551	percent of total billed charges	551	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Alignment Medicare	HMO		39	39% of all negotiated rates	454	percent of total billed charges	454	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	298	percent of total billed charges	298	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	372	percent of total billed charges	372	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	454	percent of total billed charges	454	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Cigna	PPO		68	68% of all negotiated rates	238	percent of total billed charges	238	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Coalition	PPO		59	59% of all negotiated rates	305	percent of total billed charges	305	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Coventry	PPO		75	75% of all negotiated rates	186	percent of total billed charges	186	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	149	percent of total billed charges	149	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Humana-Commerical	PPO		70	70% of all negotiated rates	223	percent of total billed charges	223	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	454	percent of total billed charges	454	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Multiplan	PPO		80	80% of all negotiated rates	149	percent of total billed charges	149	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	One Health	PPO		55	55% of all negotiated rates	335	percent of total billed charges	335	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Optum Medicare	HMO		39	39% of all negotiated rates	454	percent of total billed charges	454	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	P3	HMO		39	39% of all negotiated rates	454	percent of total billed charges	454	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	223	percent of total billed charges	223	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Select Health	HMO		41	41% of all negotiated rates	439	percent of total billed charges	439	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	495	percent of total billed charges	495	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Sierra/HPN	HMO		60	60% of all negotiated rates	298	percent of total billed charges	298	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Silversummit Medicare	HMO		39	39% of all negotiated rates	454	percent of total billed charges	454	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	484	percent of total billed charges	484	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Teachers Trust	PPO		68	68% of all negotiated rates	238	percent of total billed charges	238	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	TriWest	PPO		30	30% of all negotiated rates	521	percent of total billed charges	521	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	223	percent of total billed charges	223	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	United Healthcare	PPO		60	60% of all negotiated rates	298	percent of total billed charges	298	744	
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	709	Coinsurance and deductible may apply
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	709	Coinsurance and deductible may apply
26750 CLO TX DIST PHAL FX FINGE	26750	CPT	3230515	LOCAL	450	RC		outpatient			744	633	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	175	fee schedule	175	709	Coinsurance and deductible may apply
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Aetna Medicare	HMO		26	26% of all negotiated rates	719	percent of total billed charges	719	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Alignment Medicare	HMO		39	39% of all negotiated rates	592	percent of total billed charges	592	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	389	percent of total billed charges	389	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	486	percent of total billed charges	486	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	592	percent of total billed charges	592	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Cigna	PPO		68	68% of all negotiated rates	311	percent of total billed charges	311	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Coalition	PPO		59	59% of all negotiated rates	398	percent of total billed charges	398	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Coventry	PPO		75	75% of all negotiated rates	243	percent of total billed charges	243	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	194	percent of total billed charges	194	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Humana-Commerical	PPO		70	70% of all negotiated rates	291	percent of total billed charges	291	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	592	percent of total billed charges	592	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Multiplan	PPO		80	80% of all negotiated rates	194	percent of total billed charges	194	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	One Health	PPO		55	55% of all negotiated rates	437	percent of total billed charges	437	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Optum Medicare	HMO		39	39% of all negotiated rates	592	percent of total billed charges	592	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	P3	HMO		39	39% of all negotiated rates	592	percent of total billed charges	592	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	291	percent of total billed charges	291	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Select Health	HMO		41	41% of all negotiated rates	573	percent of total billed charges	573	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	646	percent of total billed charges	646	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Sierra/HPN	HMO		60	60% of all negotiated rates	389	percent of total billed charges	389	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Silversummit Medicare	HMO		39	39% of all negotiated rates	592	percent of total billed charges	592	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	631	percent of total billed charges	631	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Teachers Trust	PPO		68	68% of all negotiated rates	311	percent of total billed charges	311	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	TriWest	PPO		30	30% of all negotiated rates	680	percent of total billed charges	680	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	291	percent of total billed charges	291	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	United Healthcare	PPO		60	60% of all negotiated rates	389	percent of total billed charges	389	971	
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	259	fee schedule	259	925	Coinsurance and deductible may apply
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	259	fee schedule	259	925	Coinsurance and deductible may apply
26755 CLOTX DIST PH FX FING MAN	26755	CPT	3230506	LOCAL	450	RC		outpatient			971	826	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	259	fee schedule	259	925	Coinsurance and deductible may apply
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Aetna Medicare	HMO		26	26% of all negotiated rates	506	percent of total billed charges	506	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Alignment Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	342	percent of total billed charges	342	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Cigna	PPO		68	68% of all negotiated rates	219	percent of total billed charges	219	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Coalition	PPO		59	59% of all negotiated rates	280	percent of total billed charges	280	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Coventry	PPO		75	75% of all negotiated rates	171	percent of total billed charges	171	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Humana-Commerical	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Multiplan	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	One Health	PPO		55	55% of all negotiated rates	308	percent of total billed charges	308	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Optum Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	P3	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Select Health	HMO		41	41% of all negotiated rates	403	percent of total billed charges	403	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	455	percent of total billed charges	455	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Sierra/HPN	HMO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Silversummit Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	444	percent of total billed charges	444	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Teachers Trust	PPO		68	68% of all negotiated rates	219	percent of total billed charges	219	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	TriWest	PPO		30	30% of all negotiated rates	478	percent of total billed charges	478	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	United Healthcare	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	242	fee schedule	242	651	Coinsurance and deductible may apply
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	242	fee schedule	242	651	Coinsurance and deductible may apply
26770 CLSD REDUCTN DSLCTED FING	26770	CPT	3236406	LOCAL	450	RC		outpatient			684	581	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	242	fee schedule	242	651	Coinsurance and deductible may apply
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Aetna Medicare	HMO		26	26% of all negotiated rates	1222	percent of total billed charges	1222	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Alignment Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	661	percent of total billed charges	661	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	826	percent of total billed charges	826	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Cigna	PPO		68	68% of all negotiated rates	529	percent of total billed charges	529	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Coalition	PPO		59	59% of all negotiated rates	677	percent of total billed charges	677	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Coventry	PPO		75	75% of all negotiated rates	413	percent of total billed charges	413	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	330	percent of total billed charges	330	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Humana-Commerical	PPO		70	70% of all negotiated rates	495	percent of total billed charges	495	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Multiplan	PPO		80	80% of all negotiated rates	330	percent of total billed charges	330	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	One Health	PPO		55	55% of all negotiated rates	743	percent of total billed charges	743	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Optum Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	P3	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	495	percent of total billed charges	495	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Select Health	HMO		41	41% of all negotiated rates	974	percent of total billed charges	974	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1098	percent of total billed charges	1098	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Sierra/HPN	HMO		60	60% of all negotiated rates	661	percent of total billed charges	661	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Silversummit Medicare	HMO		39	39% of all negotiated rates	1008	percent of total billed charges	1008	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1074	percent of total billed charges	1074	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Teachers Trust	PPO		68	68% of all negotiated rates	529	percent of total billed charges	529	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	TriWest	PPO		30	30% of all negotiated rates	1156	percent of total billed charges	1156	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	495	percent of total billed charges	495	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	United Healthcare	PPO		60	60% of all negotiated rates	661	percent of total billed charges	661	1652	
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	173	fee schedule	173	1573	Coinsurance and deductible may apply
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	173	fee schedule	173	1573	Coinsurance and deductible may apply
27250 CLO TX HIP DISLOC TRAUMAT	27250	CPT	3230003	LOCAL	450	RC		outpatient			1652	1404	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	173	fee schedule	173	1573	Coinsurance and deductible may apply
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Aetna Medicare	HMO		26	26% of all negotiated rates	5300	percent of total billed charges	5300	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Alignment Medicare	HMO		39	39% of all negotiated rates	4369	percent of total billed charges	4369	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2865	percent of total billed charges	2865	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3581	percent of total billed charges	3581	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4369	percent of total billed charges	4369	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Cigna	PPO		68	68% of all negotiated rates	2292	percent of total billed charges	2292	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Coalition	PPO		59	59% of all negotiated rates	2936	percent of total billed charges	2936	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Coventry	PPO		75	75% of all negotiated rates	1791	percent of total billed charges	1791	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1432	percent of total billed charges	1432	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Humana-Commerical	PPO		70	70% of all negotiated rates	2149	percent of total billed charges	2149	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4369	percent of total billed charges	4369	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Multiplan	PPO		80	80% of all negotiated rates	1432	percent of total billed charges	1432	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	One Health	PPO		55	55% of all negotiated rates	3223	percent of total billed charges	3223	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Optum Medicare	HMO		39	39% of all negotiated rates	4369	percent of total billed charges	4369	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	P3	HMO		39	39% of all negotiated rates	4369	percent of total billed charges	4369	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2149	percent of total billed charges	2149	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Select Health	HMO		41	41% of all negotiated rates	4226	percent of total billed charges	4226	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4763	percent of total billed charges	4763	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Sierra/HPN	HMO		60	60% of all negotiated rates	2865	percent of total billed charges	2865	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Silversummit Medicare	HMO		39	39% of all negotiated rates	4369	percent of total billed charges	4369	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4655	percent of total billed charges	4655	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Teachers Trust	PPO		68	68% of all negotiated rates	2292	percent of total billed charges	2292	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	TriWest	PPO		30	30% of all negotiated rates	5013	percent of total billed charges	5013	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2149	percent of total billed charges	2149	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	United Healthcare	PPO		60	60% of all negotiated rates	2865	percent of total billed charges	2865	7162	
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	721	fee schedule	721	6821	Coinsurance and deductible may apply
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	721	fee schedule	721	6821	Coinsurance and deductible may apply
27252 ED TRTMT HIP DISLOCATION REQ ANES CHARGE	27252	CPT	3230558	LOCAL	450	RC		outpatient			7162	6088	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	721	fee schedule	721	6821	Coinsurance and deductible may apply
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Aetna Medicare	HMO		26	26% of all negotiated rates	588	percent of total billed charges	588	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Alignment Medicare	HMO		39	39% of all negotiated rates	485	percent of total billed charges	485	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	318	percent of total billed charges	318	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	397	percent of total billed charges	397	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	485	percent of total billed charges	485	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Cigna	PPO		68	68% of all negotiated rates	254	percent of total billed charges	254	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Coalition	PPO		59	59% of all negotiated rates	326	percent of total billed charges	326	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Coventry	PPO		75	75% of all negotiated rates	199	percent of total billed charges	199	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	159	percent of total billed charges	159	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Humana-Commerical	PPO		70	70% of all negotiated rates	238	percent of total billed charges	238	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	485	percent of total billed charges	485	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Multiplan	PPO		80	80% of all negotiated rates	159	percent of total billed charges	159	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	One Health	PPO		55	55% of all negotiated rates	358	percent of total billed charges	358	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Optum Medicare	HMO		39	39% of all negotiated rates	485	percent of total billed charges	485	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	P3	HMO		39	39% of all negotiated rates	485	percent of total billed charges	485	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	238	percent of total billed charges	238	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Select Health	HMO		41	41% of all negotiated rates	469	percent of total billed charges	469	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	529	percent of total billed charges	529	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Sierra/HPN	HMO		60	60% of all negotiated rates	318	percent of total billed charges	318	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Silversummit Medicare	HMO		39	39% of all negotiated rates	485	percent of total billed charges	485	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	517	percent of total billed charges	517	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Teachers Trust	PPO		68	68% of all negotiated rates	254	percent of total billed charges	254	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	TriWest	PPO		30	30% of all negotiated rates	556	percent of total billed charges	556	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	238	percent of total billed charges	238	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	United Healthcare	PPO		60	60% of all negotiated rates	318	percent of total billed charges	318	795	
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	470	fee schedule	470	757	Coinsurance and deductible may apply
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	470	fee schedule	470	757	Coinsurance and deductible may apply
27508 CLSD TX FEMRAL FX W/O MNP	27508	CPT	3230516	LOCAL	450	RC		outpatient			795	676	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	470	fee schedule	470	757	Coinsurance and deductible may apply
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Aetna Medicare	HMO		26	26% of all negotiated rates	629	percent of total billed charges	629	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Alignment Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	425	percent of total billed charges	425	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Cigna	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Coalition	PPO		59	59% of all negotiated rates	348	percent of total billed charges	348	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Coventry	PPO		75	75% of all negotiated rates	212	percent of total billed charges	212	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Humana-Commerical	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Multiplan	PPO		80	80% of all negotiated rates	170	percent of total billed charges	170	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	One Health	PPO		55	55% of all negotiated rates	382	percent of total billed charges	382	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Optum Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	P3	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Select Health	HMO		41	41% of all negotiated rates	501	percent of total billed charges	501	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	565	percent of total billed charges	565	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Sierra/HPN	HMO		60	60% of all negotiated rates	340	percent of total billed charges	340	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Silversummit Medicare	HMO		39	39% of all negotiated rates	518	percent of total billed charges	518	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	552	percent of total billed charges	552	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Teachers Trust	PPO		68	68% of all negotiated rates	272	percent of total billed charges	272	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	TriWest	PPO		30	30% of all negotiated rates	595	percent of total billed charges	595	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	255	percent of total billed charges	255	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	United Healthcare	PPO		60	60% of all negotiated rates	340	percent of total billed charges	340	849	
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	280	fee schedule	280	809	Coinsurance and deductible may apply
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	280	fee schedule	280	809	Coinsurance and deductible may apply
27520 CLSD TX PATELA FX W/O MNP	27520	CPT	3230104	LOCAL	450	RC		outpatient			849	722	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	280	fee schedule	280	809	Coinsurance and deductible may apply
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Aetna Medicare	HMO		26	26% of all negotiated rates	706	percent of total billed charges	706	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Alignment Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	477	percent of total billed charges	477	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Cigna	PPO		68	68% of all negotiated rates	305	percent of total billed charges	305	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Coalition	PPO		59	59% of all negotiated rates	391	percent of total billed charges	391	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Coventry	PPO		75	75% of all negotiated rates	239	percent of total billed charges	239	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Humana-Commerical	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Multiplan	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	One Health	PPO		55	55% of all negotiated rates	430	percent of total billed charges	430	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Optum Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	P3	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Select Health	HMO		41	41% of all negotiated rates	563	percent of total billed charges	563	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	635	percent of total billed charges	635	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Sierra/HPN	HMO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Silversummit Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	620	percent of total billed charges	620	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Teachers Trust	PPO		68	68% of all negotiated rates	305	percent of total billed charges	305	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	TriWest	PPO		30	30% of all negotiated rates	668	percent of total billed charges	668	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	United Healthcare	PPO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	266	fee schedule	266	909	Coinsurance and deductible may apply
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	266	fee schedule	266	909	Coinsurance and deductible may apply
27530 CLO TX TIBFX PROX W/O MAN	27530	CPT	3230135	LOCAL	450	RC		outpatient			954	811	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	266	fee schedule	266	909	Coinsurance and deductible may apply
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Aetna Medicare	HMO		26	26% of all negotiated rates	678	percent of total billed charges	678	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Alignment Medicare	HMO		39	39% of all negotiated rates	559	percent of total billed charges	559	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	366	percent of total billed charges	366	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	458	percent of total billed charges	458	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	559	percent of total billed charges	559	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Cigna	PPO		68	68% of all negotiated rates	293	percent of total billed charges	293	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Coalition	PPO		59	59% of all negotiated rates	375	percent of total billed charges	375	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Coventry	PPO		75	75% of all negotiated rates	229	percent of total billed charges	229	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	183	percent of total billed charges	183	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Humana-Commerical	PPO		70	70% of all negotiated rates	275	percent of total billed charges	275	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	559	percent of total billed charges	559	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Multiplan	PPO		80	80% of all negotiated rates	183	percent of total billed charges	183	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	One Health	PPO		55	55% of all negotiated rates	412	percent of total billed charges	412	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Optum Medicare	HMO		39	39% of all negotiated rates	559	percent of total billed charges	559	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	P3	HMO		39	39% of all negotiated rates	559	percent of total billed charges	559	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	275	percent of total billed charges	275	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Select Health	HMO		41	41% of all negotiated rates	540	percent of total billed charges	540	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	609	percent of total billed charges	609	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Sierra/HPN	HMO		60	60% of all negotiated rates	366	percent of total billed charges	366	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Silversummit Medicare	HMO		39	39% of all negotiated rates	559	percent of total billed charges	559	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	595	percent of total billed charges	595	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Teachers Trust	PPO		68	68% of all negotiated rates	293	percent of total billed charges	293	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	TriWest	PPO		30	30% of all negotiated rates	641	percent of total billed charges	641	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	275	percent of total billed charges	275	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	United Healthcare	PPO		60	60% of all negotiated rates	366	percent of total billed charges	366	916	
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	446	fee schedule	446	872	Coinsurance and deductible may apply
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	446	fee schedule	446	872	Coinsurance and deductible may apply
27550 CLO TX KNEE DISLOC WO ANE	27550	CPT	3235503	LOCAL	450	RC		outpatient			916	778	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	446	fee schedule	446	872	Coinsurance and deductible may apply
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Aetna Medicare	HMO		26	26% of all negotiated rates	1750	percent of total billed charges	1750	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Alignment Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	946	percent of total billed charges	946	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1182	percent of total billed charges	1182	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Cigna	PPO		68	68% of all negotiated rates	757	percent of total billed charges	757	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Coalition	PPO		59	59% of all negotiated rates	969	percent of total billed charges	969	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Coventry	PPO		75	75% of all negotiated rates	591	percent of total billed charges	591	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	473	percent of total billed charges	473	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Humana-Commerical	PPO		70	70% of all negotiated rates	709	percent of total billed charges	709	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Multiplan	PPO		80	80% of all negotiated rates	473	percent of total billed charges	473	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	One Health	PPO		55	55% of all negotiated rates	1064	percent of total billed charges	1064	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Optum Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	P3	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	709	percent of total billed charges	709	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Select Health	HMO		41	41% of all negotiated rates	1395	percent of total billed charges	1395	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1572	percent of total billed charges	1572	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Sierra/HPN	HMO		60	60% of all negotiated rates	946	percent of total billed charges	946	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Silversummit Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1537	percent of total billed charges	1537	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Teachers Trust	PPO		68	68% of all negotiated rates	757	percent of total billed charges	757	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	TriWest	PPO		30	30% of all negotiated rates	1655	percent of total billed charges	1655	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	709	percent of total billed charges	709	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	United Healthcare	PPO		60	60% of all negotiated rates	946	percent of total billed charges	946	2365	
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	317	fee schedule	317	2252	Coinsurance and deductible may apply
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	317	fee schedule	317	2252	Coinsurance and deductible may apply
27560 CLSD TX PATELLAR DISLOCATION W/O ANESTHESIA	27560	CPT	45027560	LOCAL	450	RC		outpatient			2365	2010	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	317	fee schedule	317	2252	Coinsurance and deductible may apply
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Aetna Medicare	HMO		26	26% of all negotiated rates	1517	percent of total billed charges	1517	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Alignment Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1025	percent of total billed charges	1025	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Cigna	PPO		68	68% of all negotiated rates	656	percent of total billed charges	656	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Coalition	PPO		59	59% of all negotiated rates	841	percent of total billed charges	841	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Coventry	PPO		75	75% of all negotiated rates	513	percent of total billed charges	513	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	410	percent of total billed charges	410	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Humana-Commerical	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Multiplan	PPO		80	80% of all negotiated rates	410	percent of total billed charges	410	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	One Health	PPO		55	55% of all negotiated rates	923	percent of total billed charges	923	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Optum Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	P3	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Select Health	HMO		41	41% of all negotiated rates	1210	percent of total billed charges	1210	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1364	percent of total billed charges	1364	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Sierra/HPN	HMO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Silversummit Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1333	percent of total billed charges	1333	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Teachers Trust	PPO		68	68% of all negotiated rates	656	percent of total billed charges	656	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	TriWest	PPO		30	30% of all negotiated rates	1435	percent of total billed charges	1435	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	United Healthcare	PPO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	302	fee schedule	302	1953	Coinsurance and deductible may apply
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	302	fee schedule	302	1953	Coinsurance and deductible may apply
27750 - CLOTX TIBIAL SHAFT FX W/O	27750	CPT	3230596	LOCAL	450	RC		outpatient			2051	1743	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	302	fee schedule	302	1953	Coinsurance and deductible may apply
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Aetna Medicare	HMO		26	26% of all negotiated rates	593	percent of total billed charges	593	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Alignment Medicare	HMO		39	39% of all negotiated rates	489	percent of total billed charges	489	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	320	percent of total billed charges	320	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	401	percent of total billed charges	401	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	489	percent of total billed charges	489	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Cigna	PPO		68	68% of all negotiated rates	256	percent of total billed charges	256	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Coalition	PPO		59	59% of all negotiated rates	328	percent of total billed charges	328	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Coventry	PPO		75	75% of all negotiated rates	200	percent of total billed charges	200	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	160	percent of total billed charges	160	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Humana-Commerical	PPO		70	70% of all negotiated rates	240	percent of total billed charges	240	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	489	percent of total billed charges	489	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Multiplan	PPO		80	80% of all negotiated rates	160	percent of total billed charges	160	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	One Health	PPO		55	55% of all negotiated rates	361	percent of total billed charges	361	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Optum Medicare	HMO		39	39% of all negotiated rates	489	percent of total billed charges	489	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	P3	HMO		39	39% of all negotiated rates	489	percent of total billed charges	489	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	240	percent of total billed charges	240	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Select Health	HMO		41	41% of all negotiated rates	473	percent of total billed charges	473	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	533	percent of total billed charges	533	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Sierra/HPN	HMO		60	60% of all negotiated rates	320	percent of total billed charges	320	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Silversummit Medicare	HMO		39	39% of all negotiated rates	489	percent of total billed charges	489	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	521	percent of total billed charges	521	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Teachers Trust	PPO		68	68% of all negotiated rates	256	percent of total billed charges	256	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	TriWest	PPO		30	30% of all negotiated rates	561	percent of total billed charges	561	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	240	percent of total billed charges	240	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	United Healthcare	PPO		60	60% of all negotiated rates	320	percent of total billed charges	320	801	
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	290	fee schedule	290	763	Coinsurance and deductible may apply
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	290	fee schedule	290	763	Coinsurance and deductible may apply
27760 TREATMENT OF ANKLE FRACTURE	27760	CPT	3230553	LOCAL	450	RC		outpatient			801	681	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	290	fee schedule	290	763	Coinsurance and deductible may apply
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Aetna Medicare	HMO		26	26% of all negotiated rates	1815	percent of total billed charges	1815	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Alignment Medicare	HMO		39	39% of all negotiated rates	1496	percent of total billed charges	1496	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	981	percent of total billed charges	981	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1226	percent of total billed charges	1226	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1496	percent of total billed charges	1496	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Cigna	PPO		68	68% of all negotiated rates	785	percent of total billed charges	785	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Coalition	PPO		59	59% of all negotiated rates	1006	percent of total billed charges	1006	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Coventry	PPO		75	75% of all negotiated rates	613	percent of total billed charges	613	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	491	percent of total billed charges	491	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Humana-Commerical	PPO		70	70% of all negotiated rates	736	percent of total billed charges	736	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1496	percent of total billed charges	1496	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Multiplan	PPO		80	80% of all negotiated rates	491	percent of total billed charges	491	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	One Health	PPO		55	55% of all negotiated rates	1104	percent of total billed charges	1104	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Optum Medicare	HMO		39	39% of all negotiated rates	1496	percent of total billed charges	1496	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	P3	HMO		39	39% of all negotiated rates	1496	percent of total billed charges	1496	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	736	percent of total billed charges	736	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Select Health	HMO		41	41% of all negotiated rates	1447	percent of total billed charges	1447	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1631	percent of total billed charges	1631	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Sierra/HPN	HMO		60	60% of all negotiated rates	981	percent of total billed charges	981	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Silversummit Medicare	HMO		39	39% of all negotiated rates	1496	percent of total billed charges	1496	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1594	percent of total billed charges	1594	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Teachers Trust	PPO		68	68% of all negotiated rates	785	percent of total billed charges	785	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	TriWest	PPO		30	30% of all negotiated rates	1717	percent of total billed charges	1717	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	736	percent of total billed charges	736	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	United Healthcare	PPO		60	60% of all negotiated rates	981	percent of total billed charges	981	2453	
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	265	fee schedule	265	2336	Coinsurance and deductible may apply
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	265	fee schedule	265	2336	Coinsurance and deductible may apply
27780 ED TRTMT CLOSED PROX FIBULA FX W/O MANIP CHARGE	27780	CPT	3230320	LOCAL	450	RC		outpatient			2453	2085	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	265	fee schedule	265	2336	Coinsurance and deductible may apply
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Aetna Medicare	HMO		26	26% of all negotiated rates	682	percent of total billed charges	682	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Alignment Medicare	HMO		39	39% of all negotiated rates	562	percent of total billed charges	562	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	369	percent of total billed charges	369	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	461	percent of total billed charges	461	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	562	percent of total billed charges	562	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Cigna	PPO		68	68% of all negotiated rates	295	percent of total billed charges	295	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Coalition	PPO		59	59% of all negotiated rates	378	percent of total billed charges	378	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Coventry	PPO		75	75% of all negotiated rates	230	percent of total billed charges	230	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	184	percent of total billed charges	184	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Humana-Commerical	PPO		70	70% of all negotiated rates	277	percent of total billed charges	277	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	562	percent of total billed charges	562	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Multiplan	PPO		80	80% of all negotiated rates	184	percent of total billed charges	184	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	One Health	PPO		55	55% of all negotiated rates	415	percent of total billed charges	415	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Optum Medicare	HMO		39	39% of all negotiated rates	562	percent of total billed charges	562	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	P3	HMO		39	39% of all negotiated rates	562	percent of total billed charges	562	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	277	percent of total billed charges	277	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Select Health	HMO		41	41% of all negotiated rates	544	percent of total billed charges	544	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	613	percent of total billed charges	613	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Sierra/HPN	HMO		60	60% of all negotiated rates	369	percent of total billed charges	369	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Silversummit Medicare	HMO		39	39% of all negotiated rates	562	percent of total billed charges	562	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	599	percent of total billed charges	599	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Teachers Trust	PPO		68	68% of all negotiated rates	295	percent of total billed charges	295	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	TriWest	PPO		30	30% of all negotiated rates	645	percent of total billed charges	645	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	277	percent of total billed charges	277	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	United Healthcare	PPO		60	60% of all negotiated rates	369	percent of total billed charges	369	922	
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	878	Coinsurance and deductible may apply
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	878	Coinsurance and deductible may apply
27786 CLO TX DIST FIBFX W/O MAN	27786	CPT	3230549	LOCAL	450	RC		outpatient			922	784	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	878	Coinsurance and deductible may apply
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Aetna Medicare	HMO		26	26% of all negotiated rates	822	percent of total billed charges	822	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Alignment Medicare	HMO		39	39% of all negotiated rates	678	percent of total billed charges	678	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	444	percent of total billed charges	444	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	555	percent of total billed charges	555	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	678	percent of total billed charges	678	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Cigna	PPO		68	68% of all negotiated rates	355	percent of total billed charges	355	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Coalition	PPO		59	59% of all negotiated rates	455	percent of total billed charges	455	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Coventry	PPO		75	75% of all negotiated rates	278	percent of total billed charges	278	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	222	percent of total billed charges	222	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Humana-Commerical	PPO		70	70% of all negotiated rates	333	percent of total billed charges	333	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	678	percent of total billed charges	678	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Multiplan	PPO		80	80% of all negotiated rates	222	percent of total billed charges	222	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	One Health	PPO		55	55% of all negotiated rates	500	percent of total billed charges	500	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Optum Medicare	HMO		39	39% of all negotiated rates	678	percent of total billed charges	678	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	P3	HMO		39	39% of all negotiated rates	678	percent of total billed charges	678	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	333	percent of total billed charges	333	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Select Health	HMO		41	41% of all negotiated rates	655	percent of total billed charges	655	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	739	percent of total billed charges	739	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Sierra/HPN	HMO		60	60% of all negotiated rates	444	percent of total billed charges	444	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Silversummit Medicare	HMO		39	39% of all negotiated rates	678	percent of total billed charges	678	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	722	percent of total billed charges	722	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Teachers Trust	PPO		68	68% of all negotiated rates	355	percent of total billed charges	355	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	TriWest	PPO		30	30% of all negotiated rates	778	percent of total billed charges	778	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	333	percent of total billed charges	333	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	United Healthcare	PPO		60	60% of all negotiated rates	444	percent of total billed charges	444	1111	
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	365	fee schedule	365	1058	Coinsurance and deductible may apply
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	365	fee schedule	365	1058	Coinsurance and deductible may apply
27788 CLO TX DIST FIBFX W MAN	27788	CPT	3230098	LOCAL	450	RC		outpatient			1111	944	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	365	fee schedule	365	1058	Coinsurance and deductible may apply
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Aetna Medicare	HMO		26	26% of all negotiated rates	608	percent of total billed charges	608	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Alignment Medicare	HMO		39	39% of all negotiated rates	501	percent of total billed charges	501	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	328	percent of total billed charges	328	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	411	percent of total billed charges	411	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	501	percent of total billed charges	501	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Cigna	PPO		68	68% of all negotiated rates	263	percent of total billed charges	263	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Coalition	PPO		59	59% of all negotiated rates	337	percent of total billed charges	337	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Coventry	PPO		75	75% of all negotiated rates	205	percent of total billed charges	205	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	164	percent of total billed charges	164	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Humana-Commerical	PPO		70	70% of all negotiated rates	246	percent of total billed charges	246	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	501	percent of total billed charges	501	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Multiplan	PPO		80	80% of all negotiated rates	164	percent of total billed charges	164	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	One Health	PPO		55	55% of all negotiated rates	369	percent of total billed charges	369	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Optum Medicare	HMO		39	39% of all negotiated rates	501	percent of total billed charges	501	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	P3	HMO		39	39% of all negotiated rates	501	percent of total billed charges	501	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	246	percent of total billed charges	246	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Select Health	HMO		41	41% of all negotiated rates	484	percent of total billed charges	484	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	546	percent of total billed charges	546	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Sierra/HPN	HMO		60	60% of all negotiated rates	328	percent of total billed charges	328	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Silversummit Medicare	HMO		39	39% of all negotiated rates	501	percent of total billed charges	501	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	534	percent of total billed charges	534	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Teachers Trust	PPO		68	68% of all negotiated rates	263	percent of total billed charges	263	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	TriWest	PPO		30	30% of all negotiated rates	575	percent of total billed charges	575	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	246	percent of total billed charges	246	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	United Healthcare	PPO		60	60% of all negotiated rates	328	percent of total billed charges	328	821	
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	286	fee schedule	286	782	Coinsurance and deductible may apply
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	286	fee schedule	286	782	Coinsurance and deductible may apply
27808 CLD TX BIMALL FX W/O MANI	27808	CPT	3230381	LOCAL	450	RC		outpatient			821	698	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	286	fee schedule	286	782	Coinsurance and deductible may apply
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Aetna Medicare	HMO		26	26% of all negotiated rates	4872	percent of total billed charges	4872	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Alignment Medicare	HMO		39	39% of all negotiated rates	4016	percent of total billed charges	4016	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2633	percent of total billed charges	2633	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3292	percent of total billed charges	3292	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4016	percent of total billed charges	4016	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Cigna	PPO		68	68% of all negotiated rates	2107	percent of total billed charges	2107	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Coalition	PPO		59	59% of all negotiated rates	2699	percent of total billed charges	2699	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Coventry	PPO		75	75% of all negotiated rates	1646	percent of total billed charges	1646	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1317	percent of total billed charges	1317	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Humana-Commerical	PPO		70	70% of all negotiated rates	1975	percent of total billed charges	1975	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4016	percent of total billed charges	4016	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Multiplan	PPO		80	80% of all negotiated rates	1317	percent of total billed charges	1317	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	One Health	PPO		55	55% of all negotiated rates	2963	percent of total billed charges	2963	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Optum Medicare	HMO		39	39% of all negotiated rates	4016	percent of total billed charges	4016	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	P3	HMO		39	39% of all negotiated rates	4016	percent of total billed charges	4016	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1975	percent of total billed charges	1975	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Select Health	HMO		41	41% of all negotiated rates	3884	percent of total billed charges	3884	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4378	percent of total billed charges	4378	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Sierra/HPN	HMO		60	60% of all negotiated rates	2633	percent of total billed charges	2633	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Silversummit Medicare	HMO		39	39% of all negotiated rates	4016	percent of total billed charges	4016	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4279	percent of total billed charges	4279	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Teachers Trust	PPO		68	68% of all negotiated rates	2107	percent of total billed charges	2107	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	TriWest	PPO		30	30% of all negotiated rates	4608	percent of total billed charges	4608	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1975	percent of total billed charges	1975	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	United Healthcare	PPO		60	60% of all negotiated rates	2633	percent of total billed charges	2633	6584	
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	404	fee schedule	404	6270	Coinsurance and deductible may apply
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	404	fee schedule	404	6270	Coinsurance and deductible may apply
27810 CDTX BIMALANKLE FX W/MANI	27810	CPT	3231129	LOCAL	450	RC		outpatient			6584	5596	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	404	fee schedule	404	6270	Coinsurance and deductible may apply
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Aetna Medicare	HMO		26	26% of all negotiated rates	1325	percent of total billed charges	1325	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Alignment Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	716	percent of total billed charges	716	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	895	percent of total billed charges	895	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Cigna	PPO		68	68% of all negotiated rates	573	percent of total billed charges	573	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Coalition	PPO		59	59% of all negotiated rates	734	percent of total billed charges	734	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Coventry	PPO		75	75% of all negotiated rates	448	percent of total billed charges	448	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	358	percent of total billed charges	358	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Humana-Commerical	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Multiplan	PPO		80	80% of all negotiated rates	358	percent of total billed charges	358	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	One Health	PPO		55	55% of all negotiated rates	806	percent of total billed charges	806	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Optum Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	P3	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Select Health	HMO		41	41% of all negotiated rates	1056	percent of total billed charges	1056	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1191	percent of total billed charges	1191	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Sierra/HPN	HMO		60	60% of all negotiated rates	716	percent of total billed charges	716	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Silversummit Medicare	HMO		39	39% of all negotiated rates	1092	percent of total billed charges	1092	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1164	percent of total billed charges	1164	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Teachers Trust	PPO		68	68% of all negotiated rates	573	percent of total billed charges	573	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	TriWest	PPO		30	30% of all negotiated rates	1253	percent of total billed charges	1253	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	United Healthcare	PPO		60	60% of all negotiated rates	716	percent of total billed charges	716	1790	
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	414	fee schedule	414	1705	Coinsurance and deductible may apply
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	414	fee schedule	414	1705	Coinsurance and deductible may apply
27818 CLD TX TRIMAL W/MANI	27818	CPT	3230110	LOCAL	450	RC		outpatient			1790	1522	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	414	fee schedule	414	1705	Coinsurance and deductible may apply
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Aetna Medicare	HMO		26	26% of all negotiated rates	750	percent of total billed charges	750	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Alignment Medicare	HMO		39	39% of all negotiated rates	618	percent of total billed charges	618	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	405	percent of total billed charges	405	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	507	percent of total billed charges	507	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	618	percent of total billed charges	618	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Cigna	PPO		68	68% of all negotiated rates	324	percent of total billed charges	324	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Coalition	PPO		59	59% of all negotiated rates	415	percent of total billed charges	415	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Coventry	PPO		75	75% of all negotiated rates	253	percent of total billed charges	253	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	203	percent of total billed charges	203	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Humana-Commerical	PPO		70	70% of all negotiated rates	304	percent of total billed charges	304	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	618	percent of total billed charges	618	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Multiplan	PPO		80	80% of all negotiated rates	203	percent of total billed charges	203	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	One Health	PPO		55	55% of all negotiated rates	456	percent of total billed charges	456	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Optum Medicare	HMO		39	39% of all negotiated rates	618	percent of total billed charges	618	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	P3	HMO		39	39% of all negotiated rates	618	percent of total billed charges	618	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	304	percent of total billed charges	304	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Select Health	HMO		41	41% of all negotiated rates	598	percent of total billed charges	598	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	674	percent of total billed charges	674	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Sierra/HPN	HMO		60	60% of all negotiated rates	405	percent of total billed charges	405	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Silversummit Medicare	HMO		39	39% of all negotiated rates	618	percent of total billed charges	618	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	659	percent of total billed charges	659	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Teachers Trust	PPO		68	68% of all negotiated rates	324	percent of total billed charges	324	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	TriWest	PPO		30	30% of all negotiated rates	709	percent of total billed charges	709	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	304	percent of total billed charges	304	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	United Healthcare	PPO		60	60% of all negotiated rates	405	percent of total billed charges	405	1013	
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	352	fee schedule	352	965	Coinsurance and deductible may apply
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	352	fee schedule	352	965	Coinsurance and deductible may apply
27840 CLO TX ANK DISLOC WO ANEX	27840	CPT	3238408	LOCAL	450	RC		outpatient			1013	861	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	352	fee schedule	352	965	Coinsurance and deductible may apply
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Aetna Medicare	HMO		26	26% of all negotiated rates	1098	percent of total billed charges	1098	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Alignment Medicare	HMO		39	39% of all negotiated rates	905	percent of total billed charges	905	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	593	percent of total billed charges	593	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	742	percent of total billed charges	742	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	905	percent of total billed charges	905	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Cigna	PPO		68	68% of all negotiated rates	475	percent of total billed charges	475	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Coalition	PPO		59	59% of all negotiated rates	608	percent of total billed charges	608	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Coventry	PPO		75	75% of all negotiated rates	371	percent of total billed charges	371	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	297	percent of total billed charges	297	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Humana-Commerical	PPO		70	70% of all negotiated rates	445	percent of total billed charges	445	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	905	percent of total billed charges	905	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Multiplan	PPO		80	80% of all negotiated rates	297	percent of total billed charges	297	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	One Health	PPO		55	55% of all negotiated rates	668	percent of total billed charges	668	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Optum Medicare	HMO		39	39% of all negotiated rates	905	percent of total billed charges	905	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	P3	HMO		39	39% of all negotiated rates	905	percent of total billed charges	905	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	445	percent of total billed charges	445	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Select Health	HMO		41	41% of all negotiated rates	875	percent of total billed charges	875	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	987	percent of total billed charges	987	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Sierra/HPN	HMO		60	60% of all negotiated rates	593	percent of total billed charges	593	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Silversummit Medicare	HMO		39	39% of all negotiated rates	905	percent of total billed charges	905	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	964	percent of total billed charges	964	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Teachers Trust	PPO		68	68% of all negotiated rates	475	percent of total billed charges	475	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	TriWest	PPO		30	30% of all negotiated rates	1039	percent of total billed charges	1039	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	445	percent of total billed charges	445	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	United Healthcare	PPO		60	60% of all negotiated rates	593	percent of total billed charges	593	1484	
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	1413	Coinsurance and deductible may apply
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	1413	Coinsurance and deductible may apply
28190 ED REMOVE FOREIGN BODY SUB CHARGE	28190	CPT	3232108	LOCAL	450	RC		outpatient			1484	1261	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	1413	Coinsurance and deductible may apply
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Aetna Medicare	HMO		26	26% of all negotiated rates	782	percent of total billed charges	782	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Alignment Medicare	HMO		39	39% of all negotiated rates	644	percent of total billed charges	644	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	423	percent of total billed charges	423	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	528	percent of total billed charges	528	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	644	percent of total billed charges	644	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Cigna	PPO		68	68% of all negotiated rates	338	percent of total billed charges	338	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Coalition	PPO		59	59% of all negotiated rates	433	percent of total billed charges	433	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Coventry	PPO		75	75% of all negotiated rates	264	percent of total billed charges	264	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	211	percent of total billed charges	211	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Humana-Commerical	PPO		70	70% of all negotiated rates	317	percent of total billed charges	317	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	644	percent of total billed charges	644	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Multiplan	PPO		80	80% of all negotiated rates	211	percent of total billed charges	211	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	One Health	PPO		55	55% of all negotiated rates	475	percent of total billed charges	475	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Optum Medicare	HMO		39	39% of all negotiated rates	644	percent of total billed charges	644	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	P3	HMO		39	39% of all negotiated rates	644	percent of total billed charges	644	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	317	percent of total billed charges	317	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Select Health	HMO		41	41% of all negotiated rates	623	percent of total billed charges	623	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	702	percent of total billed charges	702	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Sierra/HPN	HMO		60	60% of all negotiated rates	423	percent of total billed charges	423	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Silversummit Medicare	HMO		39	39% of all negotiated rates	644	percent of total billed charges	644	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	687	percent of total billed charges	687	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Teachers Trust	PPO		68	68% of all negotiated rates	338	percent of total billed charges	338	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	TriWest	PPO		30	30% of all negotiated rates	739	percent of total billed charges	739	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	317	percent of total billed charges	317	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	United Healthcare	PPO		60	60% of all negotiated rates	423	percent of total billed charges	423	1056	
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	217	fee schedule	217	1006	Coinsurance and deductible may apply
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	217	fee schedule	217	1006	Coinsurance and deductible may apply
28400 ED TRTMT CLOSED CALCANEAL FX W/O MANIP CHARGE	28400	CPT	3230000	LOCAL	450	RC		outpatient			1056	898	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	217	fee schedule	217	1006	Coinsurance and deductible may apply
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Aetna Medicare	HMO		26	26% of all negotiated rates	1750	percent of total billed charges	1750	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Alignment Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	946	percent of total billed charges	946	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1182	percent of total billed charges	1182	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Cigna	PPO		68	68% of all negotiated rates	757	percent of total billed charges	757	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Coalition	PPO		59	59% of all negotiated rates	969	percent of total billed charges	969	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Coventry	PPO		75	75% of all negotiated rates	591	percent of total billed charges	591	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	473	percent of total billed charges	473	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Humana-Commerical	PPO		70	70% of all negotiated rates	709	percent of total billed charges	709	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Multiplan	PPO		80	80% of all negotiated rates	473	percent of total billed charges	473	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	One Health	PPO		55	55% of all negotiated rates	1064	percent of total billed charges	1064	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Optum Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	P3	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	709	percent of total billed charges	709	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Select Health	HMO		41	41% of all negotiated rates	1395	percent of total billed charges	1395	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1572	percent of total billed charges	1572	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Sierra/HPN	HMO		60	60% of all negotiated rates	946	percent of total billed charges	946	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Silversummit Medicare	HMO		39	39% of all negotiated rates	1442	percent of total billed charges	1442	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1537	percent of total billed charges	1537	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Teachers Trust	PPO		68	68% of all negotiated rates	757	percent of total billed charges	757	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	TriWest	PPO		30	30% of all negotiated rates	1655	percent of total billed charges	1655	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	709	percent of total billed charges	709	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	United Healthcare	PPO		60	60% of all negotiated rates	946	percent of total billed charges	946	2365	
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	199	fee schedule	199	2252	Coinsurance and deductible may apply
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	199	fee schedule	199	2252	Coinsurance and deductible may apply
28430 CLOSED TX OF TALUS FX W/O MANIPULATION	28430	CPT	45028430	LOCAL	450	RC		outpatient			2365	2010	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	199	fee schedule	199	2252	Coinsurance and deductible may apply
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Aetna Medicare	HMO		26	26% of all negotiated rates	722	percent of total billed charges	722	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Alignment Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	390	percent of total billed charges	390	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	488	percent of total billed charges	488	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Cigna	PPO		68	68% of all negotiated rates	312	percent of total billed charges	312	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Coalition	PPO		59	59% of all negotiated rates	400	percent of total billed charges	400	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Coventry	PPO		75	75% of all negotiated rates	244	percent of total billed charges	244	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	195	percent of total billed charges	195	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Humana-Commerical	PPO		70	70% of all negotiated rates	293	percent of total billed charges	293	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Multiplan	PPO		80	80% of all negotiated rates	195	percent of total billed charges	195	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	One Health	PPO		55	55% of all negotiated rates	439	percent of total billed charges	439	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Optum Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	P3	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	293	percent of total billed charges	293	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Select Health	HMO		41	41% of all negotiated rates	576	percent of total billed charges	576	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	649	percent of total billed charges	649	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Sierra/HPN	HMO		60	60% of all negotiated rates	390	percent of total billed charges	390	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Silversummit Medicare	HMO		39	39% of all negotiated rates	595	percent of total billed charges	595	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	634	percent of total billed charges	634	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Teachers Trust	PPO		68	68% of all negotiated rates	312	percent of total billed charges	312	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	TriWest	PPO		30	30% of all negotiated rates	683	percent of total billed charges	683	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	293	percent of total billed charges	293	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	United Healthcare	PPO		60	60% of all negotiated rates	390	percent of total billed charges	390	975	
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	278	fee schedule	278	929	Coinsurance and deductible may apply
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	278	fee schedule	278	929	Coinsurance and deductible may apply
28435 ED Closed treatment of talus fracture with manipulation	28435	CPT	3230545	LOCAL	450	RC		outpatient			975	829	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	278	fee schedule	278	929	Coinsurance and deductible may apply
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Aetna Medicare	HMO		26	26% of all negotiated rates	1176	percent of total billed charges	1176	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Alignment Medicare	HMO		39	39% of all negotiated rates	970	percent of total billed charges	970	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	636	percent of total billed charges	636	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	795	percent of total billed charges	795	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	970	percent of total billed charges	970	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Cigna	PPO		68	68% of all negotiated rates	509	percent of total billed charges	509	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Coalition	PPO		59	59% of all negotiated rates	652	percent of total billed charges	652	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Coventry	PPO		75	75% of all negotiated rates	397	percent of total billed charges	397	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	318	percent of total billed charges	318	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Humana-Commerical	PPO		70	70% of all negotiated rates	477	percent of total billed charges	477	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	970	percent of total billed charges	970	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Multiplan	PPO		80	80% of all negotiated rates	318	percent of total billed charges	318	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	One Health	PPO		55	55% of all negotiated rates	715	percent of total billed charges	715	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Optum Medicare	HMO		39	39% of all negotiated rates	970	percent of total billed charges	970	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	P3	HMO		39	39% of all negotiated rates	970	percent of total billed charges	970	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	477	percent of total billed charges	477	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Select Health	HMO		41	41% of all negotiated rates	938	percent of total billed charges	938	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1057	percent of total billed charges	1057	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Sierra/HPN	HMO		60	60% of all negotiated rates	636	percent of total billed charges	636	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Silversummit Medicare	HMO		39	39% of all negotiated rates	970	percent of total billed charges	970	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1033	percent of total billed charges	1033	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Teachers Trust	PPO		68	68% of all negotiated rates	509	percent of total billed charges	509	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	TriWest	PPO		30	30% of all negotiated rates	1113	percent of total billed charges	1113	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	477	percent of total billed charges	477	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	United Healthcare	PPO		60	60% of all negotiated rates	636	percent of total billed charges	636	1590	
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1514	Coinsurance and deductible may apply
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1514	Coinsurance and deductible may apply
28450 ED TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT	28450	CPT	3230940	LOCAL	450	RC		outpatient			1590	1351	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	184	fee schedule	184	1514	Coinsurance and deductible may apply
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	655	Coinsurance and deductible may apply
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	655	Coinsurance and deductible may apply
28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE	28470	CPT	3230512	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	655	Coinsurance and deductible may apply
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Aetna Medicare	HMO		26	26% of all negotiated rates	1517	percent of total billed charges	1517	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Alignment Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1025	percent of total billed charges	1025	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Cigna	PPO		68	68% of all negotiated rates	656	percent of total billed charges	656	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Coalition	PPO		59	59% of all negotiated rates	841	percent of total billed charges	841	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Coventry	PPO		75	75% of all negotiated rates	513	percent of total billed charges	513	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	410	percent of total billed charges	410	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Humana-Commerical	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Multiplan	PPO		80	80% of all negotiated rates	410	percent of total billed charges	410	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	One Health	PPO		55	55% of all negotiated rates	923	percent of total billed charges	923	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Optum Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	P3	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Select Health	HMO		41	41% of all negotiated rates	1210	percent of total billed charges	1210	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1364	percent of total billed charges	1364	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Sierra/HPN	HMO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Silversummit Medicare	HMO		39	39% of all negotiated rates	1251	percent of total billed charges	1251	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1333	percent of total billed charges	1333	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Teachers Trust	PPO		68	68% of all negotiated rates	656	percent of total billed charges	656	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	TriWest	PPO		30	30% of all negotiated rates	1435	percent of total billed charges	1435	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	615	percent of total billed charges	615	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	United Healthcare	PPO		60	60% of all negotiated rates	820	percent of total billed charges	820	2051	
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	119	fee schedule	119	1953	Coinsurance and deductible may apply
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	119	fee schedule	119	1953	Coinsurance and deductible may apply
28490 CLOTX FX BIGTOE PHAX/PHAL	28490	CPT	3230597	LOCAL	450	RC		outpatient			2051	1743	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	119	fee schedule	119	1953	Coinsurance and deductible may apply
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Aetna Medicare	HMO		26	26% of all negotiated rates	509	percent of total billed charges	509	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	447	percent of total billed charges	447	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	688	
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	114	fee schedule	114	655	Coinsurance and deductible may apply
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	114	fee schedule	114	655	Coinsurance and deductible may apply
28510 CLO TX FX PHALANX	28510	CPT	3238510	LOCAL	450	RC		outpatient			688	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	114	fee schedule	114	655	Coinsurance and deductible may apply
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Aetna Medicare	HMO		26	26% of all negotiated rates	2210	percent of total billed charges	2210	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Alignment Medicare	HMO		39	39% of all negotiated rates	1822	percent of total billed charges	1822	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1194	percent of total billed charges	1194	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1493	percent of total billed charges	1493	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1822	percent of total billed charges	1822	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Cigna	PPO		68	68% of all negotiated rates	956	percent of total billed charges	956	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Coalition	PPO		59	59% of all negotiated rates	1224	percent of total billed charges	1224	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Coventry	PPO		75	75% of all negotiated rates	747	percent of total billed charges	747	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	597	percent of total billed charges	597	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Humana-Commerical	PPO		70	70% of all negotiated rates	896	percent of total billed charges	896	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1822	percent of total billed charges	1822	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Multiplan	PPO		80	80% of all negotiated rates	597	percent of total billed charges	597	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	One Health	PPO		55	55% of all negotiated rates	1344	percent of total billed charges	1344	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Optum Medicare	HMO		39	39% of all negotiated rates	1822	percent of total billed charges	1822	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	P3	HMO		39	39% of all negotiated rates	1822	percent of total billed charges	1822	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	896	percent of total billed charges	896	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Select Health	HMO		41	41% of all negotiated rates	1762	percent of total billed charges	1762	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1986	percent of total billed charges	1986	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Sierra/HPN	HMO		60	60% of all negotiated rates	1194	percent of total billed charges	1194	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Silversummit Medicare	HMO		39	39% of all negotiated rates	1822	percent of total billed charges	1822	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1941	percent of total billed charges	1941	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Teachers Trust	PPO		68	68% of all negotiated rates	956	percent of total billed charges	956	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	TriWest	PPO		30	30% of all negotiated rates	2090	percent of total billed charges	2090	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	896	percent of total billed charges	896	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	United Healthcare	PPO		60	60% of all negotiated rates	1194	percent of total billed charges	1194	2986	
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	135	fee schedule	135	2844	Coinsurance and deductible may apply
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	135	fee schedule	135	2844	Coinsurance and deductible may apply
28515 CLSD TX FX TOE W/MANIP	28515	CPT	45028515	LOCAL	450	RC		outpatient			2986	2538	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	135	fee schedule	135	2844	Coinsurance and deductible may apply
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Aetna Medicare	HMO		26	26% of all negotiated rates	457	percent of total billed charges	457	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Alignment Medicare	HMO		39	39% of all negotiated rates	377	percent of total billed charges	377	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	309	percent of total billed charges	309	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	377	percent of total billed charges	377	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Cigna	PPO		68	68% of all negotiated rates	198	percent of total billed charges	198	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Coalition	PPO		59	59% of all negotiated rates	253	percent of total billed charges	253	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Coventry	PPO		75	75% of all negotiated rates	154	percent of total billed charges	154	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Humana-Commerical	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	377	percent of total billed charges	377	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Multiplan	PPO		80	80% of all negotiated rates	123	percent of total billed charges	123	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	One Health	PPO		55	55% of all negotiated rates	278	percent of total billed charges	278	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Optum Medicare	HMO		39	39% of all negotiated rates	377	percent of total billed charges	377	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	P3	HMO		39	39% of all negotiated rates	377	percent of total billed charges	377	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Select Health	HMO		41	41% of all negotiated rates	364	percent of total billed charges	364	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	411	percent of total billed charges	411	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Sierra/HPN	HMO		60	60% of all negotiated rates	247	percent of total billed charges	247	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Silversummit Medicare	HMO		39	39% of all negotiated rates	377	percent of total billed charges	377	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	401	percent of total billed charges	401	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Teachers Trust	PPO		68	68% of all negotiated rates	198	percent of total billed charges	198	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	TriWest	PPO		30	30% of all negotiated rates	432	percent of total billed charges	432	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	185	percent of total billed charges	185	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	United Healthcare	PPO		60	60% of all negotiated rates	247	percent of total billed charges	247	617	
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	588	Coinsurance and deductible may apply
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	588	Coinsurance and deductible may apply
29105 ED APPLICATION LONG ARM SPLINT CHARGE	29105	CPT	3231054	LOCAL	450	RC		outpatient			617	525	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	588	Coinsurance and deductible may apply
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Aetna Medicare	HMO		26	26% of all negotiated rates	386	percent of total billed charges	386	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Alignment Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	261	percent of total billed charges	261	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Cigna	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Coalition	PPO		59	59% of all negotiated rates	214	percent of total billed charges	214	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Coventry	PPO		75	75% of all negotiated rates	130	percent of total billed charges	130	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Humana-Commerical	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Multiplan	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	One Health	PPO		55	55% of all negotiated rates	235	percent of total billed charges	235	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Optum Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	P3	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Select Health	HMO		41	41% of all negotiated rates	308	percent of total billed charges	308	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	347	percent of total billed charges	347	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Sierra/HPN	HMO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Silversummit Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	339	percent of total billed charges	339	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Teachers Trust	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	TriWest	PPO		30	30% of all negotiated rates	365	percent of total billed charges	365	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	United Healthcare	PPO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	497	Coinsurance and deductible may apply
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	497	Coinsurance and deductible may apply
29125 ED APPLICATION SHORT ARM SPLINT CHARGE	29125	CPT	3231252	LOCAL	450	RC		outpatient			522	444	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	497	Coinsurance and deductible may apply
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Aetna Medicare	HMO		26	26% of all negotiated rates	413	percent of total billed charges	413	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Alignment Medicare	HMO		39	39% of all negotiated rates	340	percent of total billed charges	340	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	279	percent of total billed charges	279	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	340	percent of total billed charges	340	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Cigna	PPO		68	68% of all negotiated rates	178	percent of total billed charges	178	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Coalition	PPO		59	59% of all negotiated rates	229	percent of total billed charges	229	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Coventry	PPO		75	75% of all negotiated rates	139	percent of total billed charges	139	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Humana-Commerical	PPO		70	70% of all negotiated rates	167	percent of total billed charges	167	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	340	percent of total billed charges	340	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Multiplan	PPO		80	80% of all negotiated rates	112	percent of total billed charges	112	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	One Health	PPO		55	55% of all negotiated rates	251	percent of total billed charges	251	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Optum Medicare	HMO		39	39% of all negotiated rates	340	percent of total billed charges	340	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	P3	HMO		39	39% of all negotiated rates	340	percent of total billed charges	340	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	167	percent of total billed charges	167	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Select Health	HMO		41	41% of all negotiated rates	329	percent of total billed charges	329	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	371	percent of total billed charges	371	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Sierra/HPN	HMO		60	60% of all negotiated rates	223	percent of total billed charges	223	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Silversummit Medicare	HMO		39	39% of all negotiated rates	340	percent of total billed charges	340	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	362	percent of total billed charges	362	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Teachers Trust	PPO		68	68% of all negotiated rates	178	percent of total billed charges	178	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	TriWest	PPO		30	30% of all negotiated rates	390	percent of total billed charges	390	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	167	percent of total billed charges	167	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	United Healthcare	PPO		60	60% of all negotiated rates	223	percent of total billed charges	223	558	
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	531	Coinsurance and deductible may apply
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	531	Coinsurance and deductible may apply
29130 ED APPLICATION FINGER SPLINT CHARGE	29130	CPT	3231302	LOCAL	450	RC		outpatient			558	474	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	27	fee schedule	27	531	Coinsurance and deductible may apply
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Aetna Medicare	HMO		26	26% of all negotiated rates	386	percent of total billed charges	386	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Alignment Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	261	percent of total billed charges	261	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Cigna	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Coalition	PPO		59	59% of all negotiated rates	214	percent of total billed charges	214	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Coventry	PPO		75	75% of all negotiated rates	130	percent of total billed charges	130	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Humana-Commerical	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Multiplan	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	One Health	PPO		55	55% of all negotiated rates	235	percent of total billed charges	235	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Optum Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	P3	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Select Health	HMO		41	41% of all negotiated rates	308	percent of total billed charges	308	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	347	percent of total billed charges	347	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Sierra/HPN	HMO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Silversummit Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	339	percent of total billed charges	339	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Teachers Trust	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	TriWest	PPO		30	30% of all negotiated rates	365	percent of total billed charges	365	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	United Healthcare	PPO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	41	fee schedule	41	497	Coinsurance and deductible may apply
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	41	fee schedule	41	497	Coinsurance and deductible may apply
29240 ED STRAPPING SHOULDER CHARGE	29240	CPT	3230045	LOCAL	450	RC		outpatient			522	444	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	41	fee schedule	41	497	Coinsurance and deductible may apply
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Aetna Medicare	HMO		26	26% of all negotiated rates	380	percent of total billed charges	380	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Alignment Medicare	HMO		39	39% of all negotiated rates	313	percent of total billed charges	313	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	205	percent of total billed charges	205	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	257	percent of total billed charges	257	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	313	percent of total billed charges	313	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Cigna	PPO		68	68% of all negotiated rates	164	percent of total billed charges	164	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Coalition	PPO		59	59% of all negotiated rates	211	percent of total billed charges	211	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Coventry	PPO		75	75% of all negotiated rates	128	percent of total billed charges	128	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	103	percent of total billed charges	103	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Humana-Commerical	PPO		70	70% of all negotiated rates	154	percent of total billed charges	154	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	313	percent of total billed charges	313	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Multiplan	PPO		80	80% of all negotiated rates	103	percent of total billed charges	103	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	One Health	PPO		55	55% of all negotiated rates	231	percent of total billed charges	231	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Optum Medicare	HMO		39	39% of all negotiated rates	313	percent of total billed charges	313	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	P3	HMO		39	39% of all negotiated rates	313	percent of total billed charges	313	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	154	percent of total billed charges	154	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Select Health	HMO		41	41% of all negotiated rates	303	percent of total billed charges	303	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	341	percent of total billed charges	341	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Sierra/HPN	HMO		60	60% of all negotiated rates	205	percent of total billed charges	205	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Silversummit Medicare	HMO		39	39% of all negotiated rates	313	percent of total billed charges	313	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	334	percent of total billed charges	334	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Teachers Trust	PPO		68	68% of all negotiated rates	164	percent of total billed charges	164	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	TriWest	PPO		30	30% of all negotiated rates	359	percent of total billed charges	359	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	154	percent of total billed charges	154	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	United Healthcare	PPO		60	60% of all negotiated rates	205	percent of total billed charges	205	513	
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	489	Coinsurance and deductible may apply
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	489	Coinsurance and deductible may apply
29260 STRAPPING ELBOW OR WRIST	29260	CPT	3236420	LOCAL	450	RC		outpatient			513	436	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	489	Coinsurance and deductible may apply
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Aetna Medicare	HMO		26	26% of all negotiated rates	386	percent of total billed charges	386	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Alignment Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	261	percent of total billed charges	261	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Cigna	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Coalition	PPO		59	59% of all negotiated rates	214	percent of total billed charges	214	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Coventry	PPO		75	75% of all negotiated rates	130	percent of total billed charges	130	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Humana-Commerical	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Multiplan	PPO		80	80% of all negotiated rates	104	percent of total billed charges	104	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	One Health	PPO		55	55% of all negotiated rates	235	percent of total billed charges	235	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Optum Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	P3	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Select Health	HMO		41	41% of all negotiated rates	308	percent of total billed charges	308	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	347	percent of total billed charges	347	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Sierra/HPN	HMO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Silversummit Medicare	HMO		39	39% of all negotiated rates	318	percent of total billed charges	318	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	339	percent of total billed charges	339	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Teachers Trust	PPO		68	68% of all negotiated rates	167	percent of total billed charges	167	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	TriWest	PPO		30	30% of all negotiated rates	365	percent of total billed charges	365	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	157	percent of total billed charges	157	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	United Healthcare	PPO		60	60% of all negotiated rates	209	percent of total billed charges	209	522	
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	497	Coinsurance and deductible may apply
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	497	Coinsurance and deductible may apply
29280  STRAPPING HAND/FINGER	29280	CPT	3230033	LOCAL	450	RC		outpatient			522	444	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	34	fee schedule	34	497	Coinsurance and deductible may apply
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Aetna Medicare	HMO		26	26% of all negotiated rates	447	percent of total billed charges	447	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Alignment Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	242	percent of total billed charges	242	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	302	percent of total billed charges	302	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Cigna	PPO		68	68% of all negotiated rates	193	percent of total billed charges	193	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Coalition	PPO		59	59% of all negotiated rates	248	percent of total billed charges	248	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Coventry	PPO		75	75% of all negotiated rates	151	percent of total billed charges	151	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Humana-Commerical	PPO		70	70% of all negotiated rates	181	percent of total billed charges	181	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Multiplan	PPO		80	80% of all negotiated rates	121	percent of total billed charges	121	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	One Health	PPO		55	55% of all negotiated rates	272	percent of total billed charges	272	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Optum Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	P3	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	181	percent of total billed charges	181	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Select Health	HMO		41	41% of all negotiated rates	356	percent of total billed charges	356	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	401	percent of total billed charges	401	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Sierra/HPN	HMO		60	60% of all negotiated rates	242	percent of total billed charges	242	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Silversummit Medicare	HMO		39	39% of all negotiated rates	368	percent of total billed charges	368	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	392	percent of total billed charges	392	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Teachers Trust	PPO		68	68% of all negotiated rates	193	percent of total billed charges	193	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	TriWest	PPO		30	30% of all negotiated rates	423	percent of total billed charges	423	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	181	percent of total billed charges	181	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	United Healthcare	PPO		60	60% of all negotiated rates	242	percent of total billed charges	242	604	
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	575	Coinsurance and deductible may apply
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	575	Coinsurance and deductible may apply
"29505 APPLICATION, LONG LEG SPLINT ED CHARGE"	29505	CPT	3235055	LOCAL	450	RC		outpatient			604	513	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	575	Coinsurance and deductible may apply
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Aetna Medicare	HMO		26	26% of all negotiated rates	430	percent of total billed charges	430	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Alignment Medicare	HMO		39	39% of all negotiated rates	354	percent of total billed charges	354	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	232	percent of total billed charges	232	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	290	percent of total billed charges	290	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	354	percent of total billed charges	354	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Cigna	PPO		68	68% of all negotiated rates	186	percent of total billed charges	186	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Coalition	PPO		59	59% of all negotiated rates	238	percent of total billed charges	238	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Coventry	PPO		75	75% of all negotiated rates	145	percent of total billed charges	145	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	116	percent of total billed charges	116	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Humana-Commerical	PPO		70	70% of all negotiated rates	174	percent of total billed charges	174	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	354	percent of total billed charges	354	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Multiplan	PPO		80	80% of all negotiated rates	116	percent of total billed charges	116	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	One Health	PPO		55	55% of all negotiated rates	261	percent of total billed charges	261	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Optum Medicare	HMO		39	39% of all negotiated rates	354	percent of total billed charges	354	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	P3	HMO		39	39% of all negotiated rates	354	percent of total billed charges	354	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	174	percent of total billed charges	174	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Select Health	HMO		41	41% of all negotiated rates	343	percent of total billed charges	343	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	386	percent of total billed charges	386	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Sierra/HPN	HMO		60	60% of all negotiated rates	232	percent of total billed charges	232	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Silversummit Medicare	HMO		39	39% of all negotiated rates	354	percent of total billed charges	354	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	377	percent of total billed charges	377	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Teachers Trust	PPO		68	68% of all negotiated rates	186	percent of total billed charges	186	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	TriWest	PPO		30	30% of all negotiated rates	406	percent of total billed charges	406	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	174	percent of total billed charges	174	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	United Healthcare	PPO		60	60% of all negotiated rates	232	percent of total billed charges	232	581	
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	553	Coinsurance and deductible may apply
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	553	Coinsurance and deductible may apply
29515 ED APPLICATION SHORT LEG SPLINT CHARGE	29515	CPT	3235154	LOCAL	450	RC		outpatient			581	494	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	48	fee schedule	48	553	Coinsurance and deductible may apply
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Aetna Medicare	HMO		26	26% of all negotiated rates	382	percent of total billed charges	382	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Alignment Medicare	HMO		39	39% of all negotiated rates	315	percent of total billed charges	315	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	207	percent of total billed charges	207	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	258	percent of total billed charges	258	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	315	percent of total billed charges	315	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Cigna	PPO		68	68% of all negotiated rates	165	percent of total billed charges	165	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Coalition	PPO		59	59% of all negotiated rates	212	percent of total billed charges	212	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Coventry	PPO		75	75% of all negotiated rates	129	percent of total billed charges	129	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	103	percent of total billed charges	103	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Humana-Commerical	PPO		70	70% of all negotiated rates	155	percent of total billed charges	155	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	315	percent of total billed charges	315	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Multiplan	PPO		80	80% of all negotiated rates	103	percent of total billed charges	103	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	One Health	PPO		55	55% of all negotiated rates	232	percent of total billed charges	232	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Optum Medicare	HMO		39	39% of all negotiated rates	315	percent of total billed charges	315	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	P3	HMO		39	39% of all negotiated rates	315	percent of total billed charges	315	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	155	percent of total billed charges	155	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Select Health	HMO		41	41% of all negotiated rates	305	percent of total billed charges	305	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	344	percent of total billed charges	344	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Sierra/HPN	HMO		60	60% of all negotiated rates	207	percent of total billed charges	207	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Silversummit Medicare	HMO		39	39% of all negotiated rates	315	percent of total billed charges	315	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	336	percent of total billed charges	336	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Teachers Trust	PPO		68	68% of all negotiated rates	165	percent of total billed charges	165	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	TriWest	PPO		30	30% of all negotiated rates	362	percent of total billed charges	362	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	155	percent of total billed charges	155	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	United Healthcare	PPO		60	60% of all negotiated rates	207	percent of total billed charges	207	517	
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	492	Coinsurance and deductible may apply
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	492	Coinsurance and deductible may apply
29530 STRAPPING KNEE	29530	CPT	3233031	LOCAL	450	RC		outpatient			517	439	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	492	Coinsurance and deductible may apply
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Aetna Medicare	HMO		26	26% of all negotiated rates	260	percent of total billed charges	260	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Alignment Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	140	percent of total billed charges	140	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	175	percent of total billed charges	175	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Cigna	PPO		68	68% of all negotiated rates	112	percent of total billed charges	112	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Coalition	PPO		59	59% of all negotiated rates	144	percent of total billed charges	144	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Coventry	PPO		75	75% of all negotiated rates	88	percent of total billed charges	88	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Humana-Commerical	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Multiplan	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	One Health	PPO		55	55% of all negotiated rates	158	percent of total billed charges	158	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Optum Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	P3	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Select Health	HMO		41	41% of all negotiated rates	207	percent of total billed charges	207	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	233	percent of total billed charges	233	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Sierra/HPN	HMO		60	60% of all negotiated rates	140	percent of total billed charges	140	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Silversummit Medicare	HMO		39	39% of all negotiated rates	214	percent of total billed charges	214	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	228	percent of total billed charges	228	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Teachers Trust	PPO		68	68% of all negotiated rates	112	percent of total billed charges	112	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	TriWest	PPO		30	30% of all negotiated rates	245	percent of total billed charges	245	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	United Healthcare	PPO		60	60% of all negotiated rates	140	percent of total billed charges	140	351	
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	334	Coinsurance and deductible may apply
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	334	Coinsurance and deductible may apply
29540  STRAPPING ANKLE	29540	CPT	3233030	LOCAL	450	RC		outpatient			351	298	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	25	fee schedule	25	334	Coinsurance and deductible may apply
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Aetna Medicare	HMO		26	26% of all negotiated rates	341	percent of total billed charges	341	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Alignment Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	184	percent of total billed charges	184	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	230	percent of total billed charges	230	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Cigna	PPO		68	68% of all negotiated rates	148	percent of total billed charges	148	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Coalition	PPO		59	59% of all negotiated rates	189	percent of total billed charges	189	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Coventry	PPO		75	75% of all negotiated rates	115	percent of total billed charges	115	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	92	percent of total billed charges	92	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Humana-Commerical	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Multiplan	PPO		80	80% of all negotiated rates	92	percent of total billed charges	92	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	One Health	PPO		55	55% of all negotiated rates	207	percent of total billed charges	207	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Optum Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	P3	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Select Health	HMO		41	41% of all negotiated rates	272	percent of total billed charges	272	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	307	percent of total billed charges	307	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Sierra/HPN	HMO		60	60% of all negotiated rates	184	percent of total billed charges	184	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Silversummit Medicare	HMO		39	39% of all negotiated rates	281	percent of total billed charges	281	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	300	percent of total billed charges	300	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Teachers Trust	PPO		68	68% of all negotiated rates	148	percent of total billed charges	148	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	TriWest	PPO		30	30% of all negotiated rates	323	percent of total billed charges	323	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	138	percent of total billed charges	138	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	United Healthcare	PPO		60	60% of all negotiated rates	184	percent of total billed charges	184	461	
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	439	Coinsurance and deductible may apply
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	439	Coinsurance and deductible may apply
29550 STRAPPING TOES ED CHARGE	29550	CPT	3233035	LOCAL	450	RC		outpatient			461	392	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	439	Coinsurance and deductible may apply
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Aetna Medicare	HMO		26	26% of all negotiated rates	332	percent of total billed charges	332	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Alignment Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	179	percent of total billed charges	179	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	224	percent of total billed charges	224	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Cigna	PPO		68	68% of all negotiated rates	143	percent of total billed charges	143	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Coalition	PPO		59	59% of all negotiated rates	184	percent of total billed charges	184	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Coventry	PPO		75	75% of all negotiated rates	112	percent of total billed charges	112	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Humana-Commerical	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Multiplan	PPO		80	80% of all negotiated rates	90	percent of total billed charges	90	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	One Health	PPO		55	55% of all negotiated rates	202	percent of total billed charges	202	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Optum Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	P3	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Select Health	HMO		41	41% of all negotiated rates	265	percent of total billed charges	265	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	298	percent of total billed charges	298	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Sierra/HPN	HMO		60	60% of all negotiated rates	179	percent of total billed charges	179	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Silversummit Medicare	HMO		39	39% of all negotiated rates	273	percent of total billed charges	273	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	291	percent of total billed charges	291	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Teachers Trust	PPO		68	68% of all negotiated rates	143	percent of total billed charges	143	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	TriWest	PPO		30	30% of all negotiated rates	314	percent of total billed charges	314	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	135	percent of total billed charges	135	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	United Healthcare	PPO		60	60% of all negotiated rates	179	percent of total billed charges	179	448	
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	121	fee schedule	121	427	Coinsurance and deductible may apply
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	121	fee schedule	121	427	Coinsurance and deductible may apply
30300 ED REMOVE FOREIGN BODY INTRANASAL CHARGE	30300	CPT	3232110	LOCAL	450	RC		outpatient			448	381	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	121	fee schedule	121	427	Coinsurance and deductible may apply
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Aetna Medicare	HMO		26	26% of all negotiated rates	370	percent of total billed charges	370	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Alignment Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	250	percent of total billed charges	250	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Cigna	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Coalition	PPO		59	59% of all negotiated rates	205	percent of total billed charges	205	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Coventry	PPO		75	75% of all negotiated rates	125	percent of total billed charges	125	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Humana-Commerical	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Multiplan	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	One Health	PPO		55	55% of all negotiated rates	225	percent of total billed charges	225	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Optum Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	P3	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Select Health	HMO		41	41% of all negotiated rates	295	percent of total billed charges	295	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	332	percent of total billed charges	332	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Sierra/HPN	HMO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Silversummit Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	325	percent of total billed charges	325	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Teachers Trust	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	TriWest	PPO		30	30% of all negotiated rates	350	percent of total billed charges	350	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	United Healthcare	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	54	fee schedule	54	476	Coinsurance and deductible may apply
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	54	fee schedule	54	476	Coinsurance and deductible may apply
30901 CNTRL NSAL HMRR-ANT-SIMP	30901	CPT	3239013	LOCAL	450	RC		outpatient			500	425	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	54	fee schedule	54	476	Coinsurance and deductible may apply
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Aetna Medicare	HMO		26	26% of all negotiated rates	370	percent of total billed charges	370	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Alignment Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	250	percent of total billed charges	250	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Cigna	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Coalition	PPO		59	59% of all negotiated rates	205	percent of total billed charges	205	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Coventry	PPO		75	75% of all negotiated rates	125	percent of total billed charges	125	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Humana-Commerical	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Multiplan	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	One Health	PPO		55	55% of all negotiated rates	225	percent of total billed charges	225	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Optum Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	P3	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Select Health	HMO		41	41% of all negotiated rates	295	percent of total billed charges	295	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	332	percent of total billed charges	332	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Sierra/HPN	HMO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Silversummit Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	325	percent of total billed charges	325	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Teachers Trust	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	TriWest	PPO		30	30% of all negotiated rates	350	percent of total billed charges	350	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	United Healthcare	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	476	Coinsurance and deductible may apply
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	476	Coinsurance and deductible may apply
30903 CNTRL NSAL HMRR COMPLEX	30903	CPT	3239039	LOCAL	450	RC		outpatient			500	425	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	76	fee schedule	76	476	Coinsurance and deductible may apply
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Aetna Medicare	HMO		26	26% of all negotiated rates	370	percent of total billed charges	370	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Alignment Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	250	percent of total billed charges	250	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Cigna	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Coalition	PPO		59	59% of all negotiated rates	205	percent of total billed charges	205	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Coventry	PPO		75	75% of all negotiated rates	125	percent of total billed charges	125	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Humana-Commerical	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Multiplan	PPO		80	80% of all negotiated rates	100	percent of total billed charges	100	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	One Health	PPO		55	55% of all negotiated rates	225	percent of total billed charges	225	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Optum Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	P3	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Select Health	HMO		41	41% of all negotiated rates	295	percent of total billed charges	295	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	332	percent of total billed charges	332	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Sierra/HPN	HMO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Silversummit Medicare	HMO		39	39% of all negotiated rates	305	percent of total billed charges	305	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	325	percent of total billed charges	325	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Teachers Trust	PPO		68	68% of all negotiated rates	160	percent of total billed charges	160	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	TriWest	PPO		30	30% of all negotiated rates	350	percent of total billed charges	350	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	150	percent of total billed charges	150	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	United Healthcare	PPO		60	60% of all negotiated rates	200	percent of total billed charges	200	500	
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	96	fee schedule	96	476	Coinsurance and deductible may apply
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	96	fee schedule	96	476	Coinsurance and deductible may apply
30905 CNTRL NSAL HMRR-POSTER	30905	CPT	3239054	LOCAL	450	RC		outpatient			500	425	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	96	fee schedule	96	476	Coinsurance and deductible may apply
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Aetna Medicare	HMO		26	26% of all negotiated rates	1165	percent of total billed charges	1165	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Alignment Medicare	HMO		39	39% of all negotiated rates	960	percent of total billed charges	960	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	630	percent of total billed charges	630	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	787	percent of total billed charges	787	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	960	percent of total billed charges	960	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Cigna	PPO		68	68% of all negotiated rates	504	percent of total billed charges	504	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Coalition	PPO		59	59% of all negotiated rates	645	percent of total billed charges	645	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Coventry	PPO		75	75% of all negotiated rates	393	percent of total billed charges	393	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	315	percent of total billed charges	315	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Humana-Commerical	PPO		70	70% of all negotiated rates	472	percent of total billed charges	472	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	960	percent of total billed charges	960	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Multiplan	PPO		80	80% of all negotiated rates	315	percent of total billed charges	315	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	One Health	PPO		55	55% of all negotiated rates	708	percent of total billed charges	708	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Optum Medicare	HMO		39	39% of all negotiated rates	960	percent of total billed charges	960	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	P3	HMO		39	39% of all negotiated rates	960	percent of total billed charges	960	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	472	percent of total billed charges	472	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Select Health	HMO		41	41% of all negotiated rates	929	percent of total billed charges	929	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1047	percent of total billed charges	1047	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Sierra/HPN	HMO		60	60% of all negotiated rates	630	percent of total billed charges	630	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Silversummit Medicare	HMO		39	39% of all negotiated rates	960	percent of total billed charges	960	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1023	percent of total billed charges	1023	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Teachers Trust	PPO		68	68% of all negotiated rates	504	percent of total billed charges	504	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	TriWest	PPO		30	30% of all negotiated rates	1102	percent of total billed charges	1102	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	472	percent of total billed charges	472	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	United Healthcare	PPO		60	60% of all negotiated rates	630	percent of total billed charges	630	1574	
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1499	Coinsurance and deductible may apply
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1499	Coinsurance and deductible may apply
31500 ED INTUBATION EMERGENCY PROCEDURE CHARGE	31500	CPT	3235002	LOCAL	450	RC		outpatient			1574	1338	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1499	Coinsurance and deductible may apply
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Aetna Medicare	HMO		26	26% of all negotiated rates	402	percent of total billed charges	402	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Alignment Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	272	percent of total billed charges	272	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Cigna	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Coalition	PPO		59	59% of all negotiated rates	223	percent of total billed charges	223	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Coventry	PPO		75	75% of all negotiated rates	136	percent of total billed charges	136	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Humana-Commerical	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Multiplan	PPO		80	80% of all negotiated rates	109	percent of total billed charges	109	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	One Health	PPO		55	55% of all negotiated rates	245	percent of total billed charges	245	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Optum Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	P3	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Select Health	HMO		41	41% of all negotiated rates	321	percent of total billed charges	321	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	362	percent of total billed charges	362	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Sierra/HPN	HMO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Silversummit Medicare	HMO		39	39% of all negotiated rates	332	percent of total billed charges	332	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	354	percent of total billed charges	354	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Teachers Trust	PPO		68	68% of all negotiated rates	174	percent of total billed charges	174	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	TriWest	PPO		30	30% of all negotiated rates	381	percent of total billed charges	381	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	163	percent of total billed charges	163	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	United Healthcare	PPO		60	60% of all negotiated rates	218	percent of total billed charges	218	544	
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	47	fee schedule	47	518	Coinsurance and deductible may apply
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	47	fee schedule	47	518	Coinsurance and deductible may apply
"31505 LARYNGOSCOPY, INDIRECT, DIAG ED CHARGE"	31505	CPT	3235051	LOCAL	450	RC		outpatient			544	462	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	47	fee schedule	47	518	Coinsurance and deductible may apply
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Aetna Medicare	HMO		26	26% of all negotiated rates	2936	percent of total billed charges	2936	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Alignment Medicare	HMO		39	39% of all negotiated rates	2420	percent of total billed charges	2420	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1587	percent of total billed charges	1587	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1984	percent of total billed charges	1984	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2420	percent of total billed charges	2420	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Cigna	PPO		68	68% of all negotiated rates	1270	percent of total billed charges	1270	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Coalition	PPO		59	59% of all negotiated rates	1627	percent of total billed charges	1627	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Coventry	PPO		75	75% of all negotiated rates	992	percent of total billed charges	992	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	794	percent of total billed charges	794	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Humana-Commerical	PPO		70	70% of all negotiated rates	1190	percent of total billed charges	1190	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2420	percent of total billed charges	2420	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Multiplan	PPO		80	80% of all negotiated rates	794	percent of total billed charges	794	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	One Health	PPO		55	55% of all negotiated rates	1786	percent of total billed charges	1786	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Optum Medicare	HMO		39	39% of all negotiated rates	2420	percent of total billed charges	2420	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	P3	HMO		39	39% of all negotiated rates	2420	percent of total billed charges	2420	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1190	percent of total billed charges	1190	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Select Health	HMO		41	41% of all negotiated rates	2341	percent of total billed charges	2341	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2639	percent of total billed charges	2639	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Sierra/HPN	HMO		60	60% of all negotiated rates	1587	percent of total billed charges	1587	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Silversummit Medicare	HMO		39	39% of all negotiated rates	2420	percent of total billed charges	2420	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2579	percent of total billed charges	2579	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Teachers Trust	PPO		68	68% of all negotiated rates	1270	percent of total billed charges	1270	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	TriWest	PPO		30	30% of all negotiated rates	2778	percent of total billed charges	2778	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1190	percent of total billed charges	1190	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	United Healthcare	PPO		60	60% of all negotiated rates	1587	percent of total billed charges	1587	3968	
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	153	fee schedule	153	3779	Coinsurance and deductible may apply
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	153	fee schedule	153	3779	Coinsurance and deductible may apply
"31525 LARYNGOSCOPY DIR DIAG, NOT NB ED CHARGE"	31525	CPT	3233010	LOCAL	450	RC		outpatient			3968	3373	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	153	fee schedule	153	3779	Coinsurance and deductible may apply
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Aetna Medicare	HMO		26	26% of all negotiated rates	1951	percent of total billed charges	1951	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Alignment Medicare	HMO		39	39% of all negotiated rates	1608	percent of total billed charges	1608	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1055	percent of total billed charges	1055	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1318	percent of total billed charges	1318	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1608	percent of total billed charges	1608	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Cigna	PPO		68	68% of all negotiated rates	844	percent of total billed charges	844	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Coalition	PPO		59	59% of all negotiated rates	1081	percent of total billed charges	1081	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Coventry	PPO		75	75% of all negotiated rates	659	percent of total billed charges	659	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	527	percent of total billed charges	527	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Humana-Commerical	PPO		70	70% of all negotiated rates	791	percent of total billed charges	791	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1608	percent of total billed charges	1608	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Multiplan	PPO		80	80% of all negotiated rates	527	percent of total billed charges	527	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	One Health	PPO		55	55% of all negotiated rates	1186	percent of total billed charges	1186	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Optum Medicare	HMO		39	39% of all negotiated rates	1608	percent of total billed charges	1608	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	P3	HMO		39	39% of all negotiated rates	1608	percent of total billed charges	1608	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	791	percent of total billed charges	791	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Select Health	HMO		41	41% of all negotiated rates	1556	percent of total billed charges	1556	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1753	percent of total billed charges	1753	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Sierra/HPN	HMO		60	60% of all negotiated rates	1055	percent of total billed charges	1055	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Silversummit Medicare	HMO		39	39% of all negotiated rates	1608	percent of total billed charges	1608	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1714	percent of total billed charges	1714	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	Teachers Trust	PPO		68	68% of all negotiated rates	844	percent of total billed charges	844	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	TriWest	PPO		30	30% of all negotiated rates	1846	percent of total billed charges	1846	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	791	percent of total billed charges	791	2637	
32422 CHEST TUBE INSERTION ED Charge	32422	CPT	3230117	LOCAL	450	RC		outpatient			2637	2241	United Healthcare	PPO		60	60% of all negotiated rates	1055	percent of total billed charges	1055	2637	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Aetna Medicare	HMO		26	26% of all negotiated rates	4699	percent of total billed charges	4699	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Alignment Medicare	HMO		39	39% of all negotiated rates	3874	percent of total billed charges	3874	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2540	percent of total billed charges	2540	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3175	percent of total billed charges	3175	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3874	percent of total billed charges	3874	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Cigna	PPO		68	68% of all negotiated rates	2032	percent of total billed charges	2032	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Coalition	PPO		59	59% of all negotiated rates	2604	percent of total billed charges	2604	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Coventry	PPO		75	75% of all negotiated rates	1588	percent of total billed charges	1588	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1270	percent of total billed charges	1270	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Humana-Commerical	PPO		70	70% of all negotiated rates	1905	percent of total billed charges	1905	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3874	percent of total billed charges	3874	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Multiplan	PPO		80	80% of all negotiated rates	1270	percent of total billed charges	1270	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	One Health	PPO		55	55% of all negotiated rates	2858	percent of total billed charges	2858	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Optum Medicare	HMO		39	39% of all negotiated rates	3874	percent of total billed charges	3874	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	P3	HMO		39	39% of all negotiated rates	3874	percent of total billed charges	3874	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1905	percent of total billed charges	1905	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Select Health	HMO		41	41% of all negotiated rates	3747	percent of total billed charges	3747	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4223	percent of total billed charges	4223	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Sierra/HPN	HMO		60	60% of all negotiated rates	2540	percent of total billed charges	2540	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Silversummit Medicare	HMO		39	39% of all negotiated rates	3874	percent of total billed charges	3874	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4128	percent of total billed charges	4128	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Teachers Trust	PPO		68	68% of all negotiated rates	2032	percent of total billed charges	2032	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	TriWest	PPO		30	30% of all negotiated rates	4445	percent of total billed charges	4445	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1905	percent of total billed charges	1905	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	United Healthcare	PPO		60	60% of all negotiated rates	2540	percent of total billed charges	2540	6350	
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	170	fee schedule	170	6048	Coinsurance and deductible may apply
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	170	fee schedule	170	6048	Coinsurance and deductible may apply
32551 CHEST TUBE INSERT	32551	CPT	3233540	LOCAL	450	RC		outpatient			6350	5398	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	170	fee schedule	170	6048	Coinsurance and deductible may apply
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Aetna Medicare	HMO		26	26% of all negotiated rates	1568	percent of total billed charges	1568	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Alignment Medicare	HMO		39	39% of all negotiated rates	1293	percent of total billed charges	1293	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	848	percent of total billed charges	848	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1059	percent of total billed charges	1059	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1293	percent of total billed charges	1293	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Cigna	PPO		68	68% of all negotiated rates	678	percent of total billed charges	678	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Coalition	PPO		59	59% of all negotiated rates	869	percent of total billed charges	869	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Coventry	PPO		75	75% of all negotiated rates	530	percent of total billed charges	530	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	424	percent of total billed charges	424	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Humana-Commerical	PPO		70	70% of all negotiated rates	636	percent of total billed charges	636	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1293	percent of total billed charges	1293	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Multiplan	PPO		80	80% of all negotiated rates	424	percent of total billed charges	424	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	One Health	PPO		55	55% of all negotiated rates	954	percent of total billed charges	954	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Optum Medicare	HMO		39	39% of all negotiated rates	1293	percent of total billed charges	1293	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	P3	HMO		39	39% of all negotiated rates	1293	percent of total billed charges	1293	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	636	percent of total billed charges	636	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Select Health	HMO		41	41% of all negotiated rates	1250	percent of total billed charges	1250	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1409	percent of total billed charges	1409	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Sierra/HPN	HMO		60	60% of all negotiated rates	848	percent of total billed charges	848	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Silversummit Medicare	HMO		39	39% of all negotiated rates	1293	percent of total billed charges	1293	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1377	percent of total billed charges	1377	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Teachers Trust	PPO		68	68% of all negotiated rates	678	percent of total billed charges	678	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	TriWest	PPO		30	30% of all negotiated rates	1483	percent of total billed charges	1483	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	636	percent of total billed charges	636	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	United Healthcare	PPO		60	60% of all negotiated rates	848	percent of total billed charges	848	2119	
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	86	fee schedule	86	2018	Coinsurance and deductible may apply
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	86	fee schedule	86	2018	Coinsurance and deductible may apply
32554 THORACENTESIS W/O IMAGING	32554	CPT	3230109	LOCAL	450	RC		outpatient			2119	1801	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	86	fee schedule	86	2018	Coinsurance and deductible may apply
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Aetna Medicare	HMO		26	26% of all negotiated rates	274	percent of total billed charges	274	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Alignment Medicare	HMO		39	39% of all negotiated rates	225	percent of total billed charges	225	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	148	percent of total billed charges	148	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	185	percent of total billed charges	185	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	225	percent of total billed charges	225	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Coalition	PPO		59	59% of all negotiated rates	152	percent of total billed charges	152	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Humana-Commerical	PPO		70	70% of all negotiated rates	111	percent of total billed charges	111	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	225	percent of total billed charges	225	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	One Health	PPO		55	55% of all negotiated rates	166	percent of total billed charges	166	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Optum Medicare	HMO		39	39% of all negotiated rates	225	percent of total billed charges	225	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	P3	HMO		39	39% of all negotiated rates	225	percent of total billed charges	225	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	111	percent of total billed charges	111	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Select Health	HMO		41	41% of all negotiated rates	218	percent of total billed charges	218	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	246	percent of total billed charges	246	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Sierra/HPN	HMO		60	60% of all negotiated rates	148	percent of total billed charges	148	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Silversummit Medicare	HMO		39	39% of all negotiated rates	225	percent of total billed charges	225	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	240	percent of total billed charges	240	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Teachers Trust	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	TriWest	PPO		30	30% of all negotiated rates	259	percent of total billed charges	259	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	111	percent of total billed charges	111	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	United Healthcare	PPO		60	60% of all negotiated rates	148	percent of total billed charges	148	370	
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	352	Coinsurance and deductible may apply
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	352	Coinsurance and deductible may apply
36000 ED INTRO OF NEEDLE OR INTRACATHETER VEIN CHARGE	36000	CPT	3230034	LOCAL	450	RC		outpatient			370	314	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	352	Coinsurance and deductible may apply
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Aetna Medicare	HMO		26	26% of all negotiated rates	93	percent of total billed charges	93	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Alignment Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	63	percent of total billed charges	63	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Cigna	PPO		68	68% of all negotiated rates	40	percent of total billed charges	40	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Coalition	PPO		59	59% of all negotiated rates	52	percent of total billed charges	52	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Coventry	PPO		75	75% of all negotiated rates	32	percent of total billed charges	32	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Humana-Commerical	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Multiplan	PPO		80	80% of all negotiated rates	25	percent of total billed charges	25	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	One Health	PPO		55	55% of all negotiated rates	57	percent of total billed charges	57	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Optum Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	P3	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Select Health	HMO		41	41% of all negotiated rates	74	percent of total billed charges	74	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	84	percent of total billed charges	84	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Sierra/HPN	HMO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Silversummit Medicare	HMO		39	39% of all negotiated rates	77	percent of total billed charges	77	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	82	percent of total billed charges	82	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Teachers Trust	PPO		68	68% of all negotiated rates	40	percent of total billed charges	40	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	TriWest	PPO		30	30% of all negotiated rates	88	percent of total billed charges	88	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	38	percent of total billed charges	38	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	United Healthcare	PPO		60	60% of all negotiated rates	50	percent of total billed charges	50	126	
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	120	Coinsurance and deductible may apply
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	120	Coinsurance and deductible may apply
36410 CENTRAL LINE COLL	36410	CPT	3234108	LOCAL	450	RC		outpatient			126	107	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	120	Coinsurance and deductible may apply
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Aetna Medicare	HMO		26	26% of all negotiated rates	2899	percent of total billed charges	2899	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Alignment Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1567	percent of total billed charges	1567	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1959	percent of total billed charges	1959	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Cigna	PPO		68	68% of all negotiated rates	1254	percent of total billed charges	1254	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Coalition	PPO		59	59% of all negotiated rates	1606	percent of total billed charges	1606	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Coventry	PPO		75	75% of all negotiated rates	979	percent of total billed charges	979	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	784	percent of total billed charges	784	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Humana-Commerical	PPO		70	70% of all negotiated rates	1175	percent of total billed charges	1175	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Multiplan	PPO		80	80% of all negotiated rates	784	percent of total billed charges	784	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	One Health	PPO		55	55% of all negotiated rates	1763	percent of total billed charges	1763	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Optum Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	P3	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1175	percent of total billed charges	1175	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Select Health	HMO		41	41% of all negotiated rates	2311	percent of total billed charges	2311	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2605	percent of total billed charges	2605	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Sierra/HPN	HMO		60	60% of all negotiated rates	1567	percent of total billed charges	1567	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Silversummit Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2546	percent of total billed charges	2546	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Teachers Trust	PPO		68	68% of all negotiated rates	1254	percent of total billed charges	1254	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	TriWest	PPO		30	30% of all negotiated rates	2742	percent of total billed charges	2742	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1175	percent of total billed charges	1175	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	United Healthcare	PPO		60	60% of all negotiated rates	1567	percent of total billed charges	1567	3918	
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	116	fee schedule	116	3731	Coinsurance and deductible may apply
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	116	fee schedule	116	3731	Coinsurance and deductible may apply
36556 INSERT CENTRAL VENOUS CATH 5 YRS	36556	CPT	3230440	LOCAL	450	RC		outpatient			3918	3330	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	116	fee schedule	116	3731	Coinsurance and deductible may apply
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Aetna Medicare	HMO		26	26% of all negotiated rates	3412	percent of total billed charges	3412	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Alignment Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1844	percent of total billed charges	1844	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2305	percent of total billed charges	2305	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Cigna	PPO		68	68% of all negotiated rates	1475	percent of total billed charges	1475	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Coalition	PPO		59	59% of all negotiated rates	1890	percent of total billed charges	1890	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Coventry	PPO		75	75% of all negotiated rates	1153	percent of total billed charges	1153	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	922	percent of total billed charges	922	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Humana-Commerical	PPO		70	70% of all negotiated rates	1383	percent of total billed charges	1383	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Multiplan	PPO		80	80% of all negotiated rates	922	percent of total billed charges	922	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	One Health	PPO		55	55% of all negotiated rates	2075	percent of total billed charges	2075	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Optum Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	P3	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1383	percent of total billed charges	1383	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Select Health	HMO		41	41% of all negotiated rates	2720	percent of total billed charges	2720	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3066	percent of total billed charges	3066	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Sierra/HPN	HMO		60	60% of all negotiated rates	1844	percent of total billed charges	1844	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Silversummit Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2997	percent of total billed charges	2997	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Teachers Trust	PPO		68	68% of all negotiated rates	1475	percent of total billed charges	1475	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	TriWest	PPO		30	30% of all negotiated rates	3227	percent of total billed charges	3227	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1383	percent of total billed charges	1383	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	United Healthcare	PPO		60	60% of all negotiated rates	1844	percent of total billed charges	1844	4611	
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	4391	Coinsurance and deductible may apply
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	4391	Coinsurance and deductible may apply
36569 PICC LINE AGE 5 YRS OR OLDER ED CHARGE	36569	CPT	3230095	LOCAL	450	RC		outpatient			4611	3919	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	4391	Coinsurance and deductible may apply
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Aetna Medicare	HMO		26	26% of all negotiated rates	3412	percent of total billed charges	3412	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Alignment Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1844	percent of total billed charges	1844	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2305	percent of total billed charges	2305	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Cigna	PPO		68	68% of all negotiated rates	1475	percent of total billed charges	1475	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Coalition	PPO		59	59% of all negotiated rates	1890	percent of total billed charges	1890	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Coventry	PPO		75	75% of all negotiated rates	1153	percent of total billed charges	1153	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	922	percent of total billed charges	922	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Humana-Commerical	PPO		70	70% of all negotiated rates	1383	percent of total billed charges	1383	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Multiplan	PPO		80	80% of all negotiated rates	922	percent of total billed charges	922	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	One Health	PPO		55	55% of all negotiated rates	2075	percent of total billed charges	2075	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Optum Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	P3	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1383	percent of total billed charges	1383	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Select Health	HMO		41	41% of all negotiated rates	2720	percent of total billed charges	2720	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3066	percent of total billed charges	3066	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Sierra/HPN	HMO		60	60% of all negotiated rates	1844	percent of total billed charges	1844	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Silversummit Medicare	HMO		39	39% of all negotiated rates	2812	percent of total billed charges	2812	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2997	percent of total billed charges	2997	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Teachers Trust	PPO		68	68% of all negotiated rates	1475	percent of total billed charges	1475	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	TriWest	PPO		30	30% of all negotiated rates	3227	percent of total billed charges	3227	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1383	percent of total billed charges	1383	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	United Healthcare	PPO		60	60% of all negotiated rates	1844	percent of total billed charges	1844	4611	
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	310	fee schedule	310	4391	Coinsurance and deductible may apply
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	310	fee schedule	310	4391	Coinsurance and deductible may apply
36571 INSERT PIC CENTRAL ACCESS DEVICE W/SUBCUTE PORT OVER 5	36571	CPT	45036571	LOCAL	450	RC		outpatient			4611	3919	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	310	fee schedule	310	4391	Coinsurance and deductible may apply
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Aetna Medicare	HMO		26	26% of all negotiated rates	620	percent of total billed charges	620	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Alignment Medicare	HMO		39	39% of all negotiated rates	511	percent of total billed charges	511	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	335	percent of total billed charges	335	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	419	percent of total billed charges	419	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	511	percent of total billed charges	511	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Cigna	PPO		68	68% of all negotiated rates	268	percent of total billed charges	268	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Coalition	PPO		59	59% of all negotiated rates	344	percent of total billed charges	344	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Coventry	PPO		75	75% of all negotiated rates	209	percent of total billed charges	209	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Humana-Commerical	PPO		70	70% of all negotiated rates	251	percent of total billed charges	251	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	511	percent of total billed charges	511	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Multiplan	PPO		80	80% of all negotiated rates	168	percent of total billed charges	168	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	One Health	PPO		55	55% of all negotiated rates	377	percent of total billed charges	377	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Optum Medicare	HMO		39	39% of all negotiated rates	511	percent of total billed charges	511	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	P3	HMO		39	39% of all negotiated rates	511	percent of total billed charges	511	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	251	percent of total billed charges	251	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Select Health	HMO		41	41% of all negotiated rates	494	percent of total billed charges	494	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	557	percent of total billed charges	557	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Sierra/HPN	HMO		60	60% of all negotiated rates	335	percent of total billed charges	335	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Silversummit Medicare	HMO		39	39% of all negotiated rates	511	percent of total billed charges	511	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	545	percent of total billed charges	545	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Teachers Trust	PPO		68	68% of all negotiated rates	268	percent of total billed charges	268	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	TriWest	PPO		30	30% of all negotiated rates	587	percent of total billed charges	587	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	251	percent of total billed charges	251	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	United Healthcare	PPO		60	60% of all negotiated rates	335	percent of total billed charges	335	838	
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	798	Coinsurance and deductible may apply
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	798	Coinsurance and deductible may apply
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION	36680	CPT	45036680	LOCAL	450	RC		outpatient			838	712	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	798	Coinsurance and deductible may apply
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Aetna Medicare	HMO		26	26% of all negotiated rates	888	percent of total billed charges	888	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Alignment Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	480	percent of total billed charges	480	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	600	percent of total billed charges	600	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Cigna	PPO		68	68% of all negotiated rates	384	percent of total billed charges	384	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Coalition	PPO		59	59% of all negotiated rates	492	percent of total billed charges	492	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Coventry	PPO		75	75% of all negotiated rates	300	percent of total billed charges	300	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	240	percent of total billed charges	240	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Humana-Commerical	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Multiplan	PPO		80	80% of all negotiated rates	240	percent of total billed charges	240	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	One Health	PPO		55	55% of all negotiated rates	540	percent of total billed charges	540	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Optum Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	P3	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Select Health	HMO		41	41% of all negotiated rates	708	percent of total billed charges	708	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	798	percent of total billed charges	798	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Sierra/HPN	HMO		60	60% of all negotiated rates	480	percent of total billed charges	480	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Silversummit Medicare	HMO		39	39% of all negotiated rates	732	percent of total billed charges	732	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	780	percent of total billed charges	780	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Teachers Trust	PPO		68	68% of all negotiated rates	384	percent of total billed charges	384	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	TriWest	PPO		30	30% of all negotiated rates	840	percent of total billed charges	840	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	360	percent of total billed charges	360	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	United Healthcare	PPO		60	60% of all negotiated rates	480	percent of total billed charges	480	1200	
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	162	fee schedule	162	1143	Coinsurance and deductible may apply
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	162	fee schedule	162	1143	Coinsurance and deductible may apply
40830 REPAIR MOUTH LACERATION	40830	CPT	3236410	LOCAL	450	RC		outpatient			1200	1020	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	162	fee schedule	162	1143	Coinsurance and deductible may apply
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Aetna Medicare	HMO		26	26% of all negotiated rates	459	percent of total billed charges	459	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Alignment Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	248	percent of total billed charges	248	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	310	percent of total billed charges	310	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Cigna	PPO		68	68% of all negotiated rates	199	percent of total billed charges	199	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Coalition	PPO		59	59% of all negotiated rates	254	percent of total billed charges	254	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Coventry	PPO		75	75% of all negotiated rates	155	percent of total billed charges	155	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	124	percent of total billed charges	124	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Humana-Commerical	PPO		70	70% of all negotiated rates	186	percent of total billed charges	186	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Multiplan	PPO		80	80% of all negotiated rates	124	percent of total billed charges	124	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	One Health	PPO		55	55% of all negotiated rates	279	percent of total billed charges	279	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Optum Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	P3	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	186	percent of total billed charges	186	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Select Health	HMO		41	41% of all negotiated rates	366	percent of total billed charges	366	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	413	percent of total billed charges	413	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Sierra/HPN	HMO		60	60% of all negotiated rates	248	percent of total billed charges	248	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Silversummit Medicare	HMO		39	39% of all negotiated rates	379	percent of total billed charges	379	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	403	percent of total billed charges	403	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Teachers Trust	PPO		68	68% of all negotiated rates	199	percent of total billed charges	199	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	TriWest	PPO		30	30% of all negotiated rates	434	percent of total billed charges	434	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	186	percent of total billed charges	186	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	United Healthcare	PPO		60	60% of all negotiated rates	248	percent of total billed charges	248	621	
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	150	fee schedule	150	591	Coinsurance and deductible may apply
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	150	fee schedule	150	591	Coinsurance and deductible may apply
41250 ED REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO	41250	CPT	3236415	LOCAL	450	RC		outpatient			621	527	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	150	fee schedule	150	591	Coinsurance and deductible may apply
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Aetna Medicare	HMO		26	26% of all negotiated rates	1437	percent of total billed charges	1437	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Alignment Medicare	HMO		39	39% of all negotiated rates	1184	percent of total billed charges	1184	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	777	percent of total billed charges	777	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	971	percent of total billed charges	971	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1184	percent of total billed charges	1184	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Cigna	PPO		68	68% of all negotiated rates	621	percent of total billed charges	621	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Coalition	PPO		59	59% of all negotiated rates	796	percent of total billed charges	796	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Coventry	PPO		75	75% of all negotiated rates	485	percent of total billed charges	485	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	388	percent of total billed charges	388	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Humana-Commerical	PPO		70	70% of all negotiated rates	582	percent of total billed charges	582	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1184	percent of total billed charges	1184	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Multiplan	PPO		80	80% of all negotiated rates	388	percent of total billed charges	388	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	One Health	PPO		55	55% of all negotiated rates	874	percent of total billed charges	874	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Optum Medicare	HMO		39	39% of all negotiated rates	1184	percent of total billed charges	1184	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	P3	HMO		39	39% of all negotiated rates	1184	percent of total billed charges	1184	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	582	percent of total billed charges	582	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Select Health	HMO		41	41% of all negotiated rates	1145	percent of total billed charges	1145	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1291	percent of total billed charges	1291	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Sierra/HPN	HMO		60	60% of all negotiated rates	777	percent of total billed charges	777	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Silversummit Medicare	HMO		39	39% of all negotiated rates	1184	percent of total billed charges	1184	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1262	percent of total billed charges	1262	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Teachers Trust	PPO		68	68% of all negotiated rates	621	percent of total billed charges	621	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	TriWest	PPO		30	30% of all negotiated rates	1359	percent of total billed charges	1359	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	582	percent of total billed charges	582	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	United Healthcare	PPO		60	60% of all negotiated rates	777	percent of total billed charges	777	1941	
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	1849	Coinsurance and deductible may apply
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	1849	Coinsurance and deductible may apply
"41252 ED REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX"	41252	CPT	3230175	LOCAL	450	RC		outpatient			1941	1650	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	1849	Coinsurance and deductible may apply
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Aetna Medicare	HMO		26	26% of all negotiated rates	543	percent of total billed charges	543	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Alignment Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	294	percent of total billed charges	294	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	367	percent of total billed charges	367	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Cigna	PPO		68	68% of all negotiated rates	235	percent of total billed charges	235	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Coalition	PPO		59	59% of all negotiated rates	301	percent of total billed charges	301	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Coventry	PPO		75	75% of all negotiated rates	183	percent of total billed charges	183	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	147	percent of total billed charges	147	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Humana-Commerical	PPO		70	70% of all negotiated rates	220	percent of total billed charges	220	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Multiplan	PPO		80	80% of all negotiated rates	147	percent of total billed charges	147	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	One Health	PPO		55	55% of all negotiated rates	330	percent of total billed charges	330	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Optum Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	P3	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	220	percent of total billed charges	220	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Select Health	HMO		41	41% of all negotiated rates	433	percent of total billed charges	433	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	488	percent of total billed charges	488	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Sierra/HPN	HMO		60	60% of all negotiated rates	294	percent of total billed charges	294	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Silversummit Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	477	percent of total billed charges	477	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Teachers Trust	PPO		68	68% of all negotiated rates	235	percent of total billed charges	235	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	TriWest	PPO		30	30% of all negotiated rates	514	percent of total billed charges	514	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	220	percent of total billed charges	220	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	United Healthcare	PPO		60	60% of all negotiated rates	294	percent of total billed charges	294	734	
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	100	fee schedule	100	699	Coinsurance and deductible may apply
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	100	fee schedule	100	699	Coinsurance and deductible may apply
"42000 DRAINAGE ABSCESS PALATE, UVULA ED CHARGE"	42000	CPT	3230610	LOCAL	450	RC		outpatient			734	624	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	100	fee schedule	100	699	Coinsurance and deductible may apply
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Aetna Medicare	HMO		26	26% of all negotiated rates	508	percent of total billed charges	508	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Alignment Medicare	HMO		39	39% of all negotiated rates	419	percent of total billed charges	419	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	343	percent of total billed charges	343	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	419	percent of total billed charges	419	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Coalition	PPO		59	59% of all negotiated rates	282	percent of total billed charges	282	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Humana-Commerical	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	419	percent of total billed charges	419	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Multiplan	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	One Health	PPO		55	55% of all negotiated rates	309	percent of total billed charges	309	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Optum Medicare	HMO		39	39% of all negotiated rates	419	percent of total billed charges	419	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	P3	HMO		39	39% of all negotiated rates	419	percent of total billed charges	419	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Select Health	HMO		41	41% of all negotiated rates	405	percent of total billed charges	405	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	457	percent of total billed charges	457	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Sierra/HPN	HMO		60	60% of all negotiated rates	275	percent of total billed charges	275	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Silversummit Medicare	HMO		39	39% of all negotiated rates	419	percent of total billed charges	419	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	446	percent of total billed charges	446	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Teachers Trust	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	TriWest	PPO		30	30% of all negotiated rates	481	percent of total billed charges	481	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	206	percent of total billed charges	206	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	United Healthcare	PPO		60	60% of all negotiated rates	275	percent of total billed charges	275	687	
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	128	fee schedule	128	654	Coinsurance and deductible may apply
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	128	fee schedule	128	654	Coinsurance and deductible may apply
42809 ED REMOVAL FOREIGN BODY PHARYNX CHARGE	42809	CPT	3232150	LOCAL	450	RC		outpatient			687	584	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	128	fee schedule	128	654	Coinsurance and deductible may apply
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Aetna Medicare	HMO		26	26% of all negotiated rates	394	percent of total billed charges	394	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Alignment Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	213	percent of total billed charges	213	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	266	percent of total billed charges	266	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Cigna	PPO		68	68% of all negotiated rates	170	percent of total billed charges	170	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Coalition	PPO		59	59% of all negotiated rates	218	percent of total billed charges	218	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Coventry	PPO		75	75% of all negotiated rates	133	percent of total billed charges	133	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Humana-Commerical	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Multiplan	PPO		80	80% of all negotiated rates	106	percent of total billed charges	106	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	One Health	PPO		55	55% of all negotiated rates	240	percent of total billed charges	240	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Optum Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	P3	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Select Health	HMO		41	41% of all negotiated rates	314	percent of total billed charges	314	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	354	percent of total billed charges	354	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Sierra/HPN	HMO		60	60% of all negotiated rates	213	percent of total billed charges	213	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Silversummit Medicare	HMO		39	39% of all negotiated rates	325	percent of total billed charges	325	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	346	percent of total billed charges	346	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Teachers Trust	PPO		68	68% of all negotiated rates	170	percent of total billed charges	170	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	TriWest	PPO		30	30% of all negotiated rates	373	percent of total billed charges	373	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	160	percent of total billed charges	160	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	United Healthcare	PPO		60	60% of all negotiated rates	213	percent of total billed charges	213	532	
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	507	Coinsurance and deductible may apply
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	507	Coinsurance and deductible may apply
43752 NG TUBE PLACEMENT	43752	CPT	3230035	LOCAL	450	RC		outpatient			532	452	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	507	Coinsurance and deductible may apply
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Aetna Medicare	HMO		26	26% of all negotiated rates	469	percent of total billed charges	469	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Alignment Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	317	percent of total billed charges	317	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Cigna	PPO		68	68% of all negotiated rates	203	percent of total billed charges	203	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Coalition	PPO		59	59% of all negotiated rates	260	percent of total billed charges	260	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Humana-Commerical	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Multiplan	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	One Health	PPO		55	55% of all negotiated rates	285	percent of total billed charges	285	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Optum Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	P3	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Select Health	HMO		41	41% of all negotiated rates	374	percent of total billed charges	374	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	421	percent of total billed charges	421	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Sierra/HPN	HMO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Silversummit Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	412	percent of total billed charges	412	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Teachers Trust	PPO		68	68% of all negotiated rates	203	percent of total billed charges	203	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	TriWest	PPO		30	30% of all negotiated rates	443	percent of total billed charges	443	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	United Healthcare	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	603	Coinsurance and deductible may apply
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	603	Coinsurance and deductible may apply
43753 GASTRIC INTUB AND ASP/LAVAGE ED CHARGE	43753	CPT	3230043	LOCAL	450	RC		outpatient			633	538	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	20	fee schedule	20	603	Coinsurance and deductible may apply
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Aetna Medicare	HMO		26	26% of all negotiated rates	1009	percent of total billed charges	1009	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Alignment Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	546	percent of total billed charges	546	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	682	percent of total billed charges	682	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Cigna	PPO		68	68% of all negotiated rates	436	percent of total billed charges	436	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Coalition	PPO		59	59% of all negotiated rates	559	percent of total billed charges	559	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Coventry	PPO		75	75% of all negotiated rates	341	percent of total billed charges	341	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	273	percent of total billed charges	273	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Humana-Commerical	PPO		70	70% of all negotiated rates	409	percent of total billed charges	409	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Multiplan	PPO		80	80% of all negotiated rates	273	percent of total billed charges	273	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	One Health	PPO		55	55% of all negotiated rates	614	percent of total billed charges	614	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Optum Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	P3	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	409	percent of total billed charges	409	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Select Health	HMO		41	41% of all negotiated rates	805	percent of total billed charges	805	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	907	percent of total billed charges	907	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Sierra/HPN	HMO		60	60% of all negotiated rates	546	percent of total billed charges	546	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Silversummit Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	887	percent of total billed charges	887	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	Teachers Trust	PPO		68	68% of all negotiated rates	436	percent of total billed charges	436	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	TriWest	PPO		30	30% of all negotiated rates	955	percent of total billed charges	955	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	409	percent of total billed charges	409	1364	
43760 CHANGE GASTROSTOMY TUBE	43760	CPT	3230430	LOCAL	450	RC		outpatient			1364	1159	United Healthcare	PPO		60	60% of all negotiated rates	546	percent of total billed charges	546	1364	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Aetna Medicare	HMO		26	26% of all negotiated rates	4322	percent of total billed charges	4322	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Alignment Medicare	HMO		39	39% of all negotiated rates	3563	percent of total billed charges	3563	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2336	percent of total billed charges	2336	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2921	percent of total billed charges	2921	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3563	percent of total billed charges	3563	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Cigna	PPO		68	68% of all negotiated rates	1869	percent of total billed charges	1869	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Coalition	PPO		59	59% of all negotiated rates	2395	percent of total billed charges	2395	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Coventry	PPO		75	75% of all negotiated rates	1460	percent of total billed charges	1460	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1168	percent of total billed charges	1168	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Humana-Commerical	PPO		70	70% of all negotiated rates	1752	percent of total billed charges	1752	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3563	percent of total billed charges	3563	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Multiplan	PPO		80	80% of all negotiated rates	1168	percent of total billed charges	1168	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	One Health	PPO		55	55% of all negotiated rates	2629	percent of total billed charges	2629	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Optum Medicare	HMO		39	39% of all negotiated rates	3563	percent of total billed charges	3563	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	P3	HMO		39	39% of all negotiated rates	3563	percent of total billed charges	3563	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1752	percent of total billed charges	1752	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Select Health	HMO		41	41% of all negotiated rates	3446	percent of total billed charges	3446	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3884	percent of total billed charges	3884	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Sierra/HPN	HMO		60	60% of all negotiated rates	2336	percent of total billed charges	2336	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Silversummit Medicare	HMO		39	39% of all negotiated rates	3563	percent of total billed charges	3563	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3797	percent of total billed charges	3797	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Teachers Trust	PPO		68	68% of all negotiated rates	1869	percent of total billed charges	1869	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	TriWest	PPO		30	30% of all negotiated rates	4089	percent of total billed charges	4089	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1752	percent of total billed charges	1752	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	United Healthcare	PPO		60	60% of all negotiated rates	2336	percent of total billed charges	2336	5841	
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	215	fee schedule	215	5563	Coinsurance and deductible may apply
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	215	fee schedule	215	5563	Coinsurance and deductible may apply
45915 REM FECAL IMPACT/FB ED Charge	45915	CPT	3230036	LOCAL	450	RC		outpatient			5841	4965	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	215	fee schedule	215	5563	Coinsurance and deductible may apply
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Aetna Medicare	HMO		26	26% of all negotiated rates	5314	percent of total billed charges	5314	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Alignment Medicare	HMO		39	39% of all negotiated rates	4380	percent of total billed charges	4380	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2872	percent of total billed charges	2872	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3590	percent of total billed charges	3590	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4380	percent of total billed charges	4380	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Cigna	PPO		68	68% of all negotiated rates	2298	percent of total billed charges	2298	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Coalition	PPO		59	59% of all negotiated rates	2944	percent of total billed charges	2944	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Coventry	PPO		75	75% of all negotiated rates	1795	percent of total billed charges	1795	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1436	percent of total billed charges	1436	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Humana-Commerical	PPO		70	70% of all negotiated rates	2154	percent of total billed charges	2154	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4380	percent of total billed charges	4380	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Multiplan	PPO		80	80% of all negotiated rates	1436	percent of total billed charges	1436	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	One Health	PPO		55	55% of all negotiated rates	3231	percent of total billed charges	3231	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Optum Medicare	HMO		39	39% of all negotiated rates	4380	percent of total billed charges	4380	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	P3	HMO		39	39% of all negotiated rates	4380	percent of total billed charges	4380	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2154	percent of total billed charges	2154	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Select Health	HMO		41	41% of all negotiated rates	4237	percent of total billed charges	4237	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4775	percent of total billed charges	4775	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Sierra/HPN	HMO		60	60% of all negotiated rates	2872	percent of total billed charges	2872	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Silversummit Medicare	HMO		39	39% of all negotiated rates	4380	percent of total billed charges	4380	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4668	percent of total billed charges	4668	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Teachers Trust	PPO		68	68% of all negotiated rates	2298	percent of total billed charges	2298	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	TriWest	PPO		30	30% of all negotiated rates	5027	percent of total billed charges	5027	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2154	percent of total billed charges	2154	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	United Healthcare	PPO		60	60% of all negotiated rates	2872	percent of total billed charges	2872	7181	
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	392	fee schedule	392	6839	Coinsurance and deductible may apply
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	392	fee schedule	392	6839	Coinsurance and deductible may apply
46040 ED ID RECTAL ABSCESS CHARGE	46040	CPT	3234210	LOCAL	450	RC		outpatient			7181	6104	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	392	fee schedule	392	6839	Coinsurance and deductible may apply
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Aetna Medicare	HMO		26	26% of all negotiated rates	2334	percent of total billed charges	2334	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Alignment Medicare	HMO		39	39% of all negotiated rates	1924	percent of total billed charges	1924	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1262	percent of total billed charges	1262	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1577	percent of total billed charges	1577	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1924	percent of total billed charges	1924	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Cigna	PPO		68	68% of all negotiated rates	1009	percent of total billed charges	1009	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Coalition	PPO		59	59% of all negotiated rates	1293	percent of total billed charges	1293	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Coventry	PPO		75	75% of all negotiated rates	789	percent of total billed charges	789	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	631	percent of total billed charges	631	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Humana-Commerical	PPO		70	70% of all negotiated rates	946	percent of total billed charges	946	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1924	percent of total billed charges	1924	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Multiplan	PPO		80	80% of all negotiated rates	631	percent of total billed charges	631	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	One Health	PPO		55	55% of all negotiated rates	1419	percent of total billed charges	1419	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Optum Medicare	HMO		39	39% of all negotiated rates	1924	percent of total billed charges	1924	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	P3	HMO		39	39% of all negotiated rates	1924	percent of total billed charges	1924	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	946	percent of total billed charges	946	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Select Health	HMO		41	41% of all negotiated rates	1861	percent of total billed charges	1861	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2098	percent of total billed charges	2098	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Sierra/HPN	HMO		60	60% of all negotiated rates	1262	percent of total billed charges	1262	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Silversummit Medicare	HMO		39	39% of all negotiated rates	1924	percent of total billed charges	1924	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2050	percent of total billed charges	2050	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Teachers Trust	PPO		68	68% of all negotiated rates	1009	percent of total billed charges	1009	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	TriWest	PPO		30	30% of all negotiated rates	2208	percent of total billed charges	2208	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	946	percent of total billed charges	946	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	United Healthcare	PPO		60	60% of all negotiated rates	1262	percent of total billed charges	1262	3154	
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	3004	Coinsurance and deductible may apply
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	3004	Coinsurance and deductible may apply
46050 ID PERIANAL ABSCESS ED CHARGE	46050	CPT	3230605	LOCAL	450	RC		outpatient			3154	2681	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	93	fee schedule	93	3004	Coinsurance and deductible may apply
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Aetna Medicare	HMO		26	26% of all negotiated rates	862	percent of total billed charges	862	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Alignment Medicare	HMO		39	39% of all negotiated rates	710	percent of total billed charges	710	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	466	percent of total billed charges	466	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	582	percent of total billed charges	582	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	710	percent of total billed charges	710	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Cigna	PPO		68	68% of all negotiated rates	373	percent of total billed charges	373	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Coalition	PPO		59	59% of all negotiated rates	477	percent of total billed charges	477	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Coventry	PPO		75	75% of all negotiated rates	291	percent of total billed charges	291	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	233	percent of total billed charges	233	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Humana-Commerical	PPO		70	70% of all negotiated rates	349	percent of total billed charges	349	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	710	percent of total billed charges	710	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Multiplan	PPO		80	80% of all negotiated rates	233	percent of total billed charges	233	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	One Health	PPO		55	55% of all negotiated rates	524	percent of total billed charges	524	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Optum Medicare	HMO		39	39% of all negotiated rates	710	percent of total billed charges	710	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	P3	HMO		39	39% of all negotiated rates	710	percent of total billed charges	710	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	349	percent of total billed charges	349	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Select Health	HMO		41	41% of all negotiated rates	687	percent of total billed charges	687	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	774	percent of total billed charges	774	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Sierra/HPN	HMO		60	60% of all negotiated rates	466	percent of total billed charges	466	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Silversummit Medicare	HMO		39	39% of all negotiated rates	710	percent of total billed charges	710	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	757	percent of total billed charges	757	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Teachers Trust	PPO		68	68% of all negotiated rates	373	percent of total billed charges	373	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	TriWest	PPO		30	30% of all negotiated rates	815	percent of total billed charges	815	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	349	percent of total billed charges	349	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	United Healthcare	PPO		60	60% of all negotiated rates	466	percent of total billed charges	466	1164	
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	1109	Coinsurance and deductible may apply
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	1109	Coinsurance and deductible may apply
46083 INCIS OF EXT THROMBOSED HEMORR ED CHARGE	46083	CPT	3234207	LOCAL	450	RC		outpatient			1164	990	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	101	fee schedule	101	1109	Coinsurance and deductible may apply
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Aetna Medicare	HMO		26	26% of all negotiated rates	4255	percent of total billed charges	4255	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Alignment Medicare	HMO		39	39% of all negotiated rates	3507	percent of total billed charges	3507	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2300	percent of total billed charges	2300	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2875	percent of total billed charges	2875	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3507	percent of total billed charges	3507	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Cigna	PPO		68	68% of all negotiated rates	1840	percent of total billed charges	1840	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Coalition	PPO		59	59% of all negotiated rates	2357	percent of total billed charges	2357	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Coventry	PPO		75	75% of all negotiated rates	1437	percent of total billed charges	1437	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1150	percent of total billed charges	1150	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Humana-Commerical	PPO		70	70% of all negotiated rates	1725	percent of total billed charges	1725	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3507	percent of total billed charges	3507	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Multiplan	PPO		80	80% of all negotiated rates	1150	percent of total billed charges	1150	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	One Health	PPO		55	55% of all negotiated rates	2587	percent of total billed charges	2587	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Optum Medicare	HMO		39	39% of all negotiated rates	3507	percent of total billed charges	3507	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	P3	HMO		39	39% of all negotiated rates	3507	percent of total billed charges	3507	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1725	percent of total billed charges	1725	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Select Health	HMO		41	41% of all negotiated rates	3392	percent of total billed charges	3392	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3824	percent of total billed charges	3824	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Sierra/HPN	HMO		60	60% of all negotiated rates	2300	percent of total billed charges	2300	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Silversummit Medicare	HMO		39	39% of all negotiated rates	3507	percent of total billed charges	3507	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3737	percent of total billed charges	3737	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Teachers Trust	PPO		68	68% of all negotiated rates	1840	percent of total billed charges	1840	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	TriWest	PPO		30	30% of all negotiated rates	4025	percent of total billed charges	4025	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1725	percent of total billed charges	1725	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	United Healthcare	PPO		60	60% of all negotiated rates	2300	percent of total billed charges	2300	5750	
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	106	fee schedule	106	5476	Coinsurance and deductible may apply
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	106	fee schedule	106	5476	Coinsurance and deductible may apply
46320 ENUC/EXC EXT THROMBOTIC HEMORR ED CHARGE	46320	CPT	3233349	LOCAL	450	RC		outpatient			5750	4887	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	106	fee schedule	106	5476	Coinsurance and deductible may apply
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Aetna Medicare	HMO		26	26% of all negotiated rates	229	percent of total billed charges	229	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Alignment Medicare	HMO		39	39% of all negotiated rates	189	percent of total billed charges	189	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	124	percent of total billed charges	124	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	155	percent of total billed charges	155	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	189	percent of total billed charges	189	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Cigna	PPO		68	68% of all negotiated rates	99	percent of total billed charges	99	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Coalition	PPO		59	59% of all negotiated rates	127	percent of total billed charges	127	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Coventry	PPO		75	75% of all negotiated rates	77	percent of total billed charges	77	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Humana-Commerical	PPO		70	70% of all negotiated rates	93	percent of total billed charges	93	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	189	percent of total billed charges	189	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Multiplan	PPO		80	80% of all negotiated rates	62	percent of total billed charges	62	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	One Health	PPO		55	55% of all negotiated rates	139	percent of total billed charges	139	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Optum Medicare	HMO		39	39% of all negotiated rates	189	percent of total billed charges	189	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	P3	HMO		39	39% of all negotiated rates	189	percent of total billed charges	189	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	93	percent of total billed charges	93	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Select Health	HMO		41	41% of all negotiated rates	183	percent of total billed charges	183	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	206	percent of total billed charges	206	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Sierra/HPN	HMO		60	60% of all negotiated rates	124	percent of total billed charges	124	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Silversummit Medicare	HMO		39	39% of all negotiated rates	189	percent of total billed charges	189	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	201	percent of total billed charges	201	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Teachers Trust	PPO		68	68% of all negotiated rates	99	percent of total billed charges	99	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	TriWest	PPO		30	30% of all negotiated rates	217	percent of total billed charges	217	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	93	percent of total billed charges	93	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	United Healthcare	PPO		60	60% of all negotiated rates	124	percent of total billed charges	124	310	
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	295	Coinsurance and deductible may apply
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	295	Coinsurance and deductible may apply
"46600 Anoscopy, Diag W/W/O Spec"	46600	CPT	3230037	LOCAL	450	RC		outpatient			310	263	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	295	Coinsurance and deductible may apply
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Aetna Medicare	HMO		26	26% of all negotiated rates	896	percent of total billed charges	896	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Alignment Medicare	HMO		39	39% of all negotiated rates	738	percent of total billed charges	738	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	484	percent of total billed charges	484	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	605	percent of total billed charges	605	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	738	percent of total billed charges	738	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Cigna	PPO		68	68% of all negotiated rates	387	percent of total billed charges	387	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Coalition	PPO		59	59% of all negotiated rates	496	percent of total billed charges	496	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Coventry	PPO		75	75% of all negotiated rates	303	percent of total billed charges	303	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	242	percent of total billed charges	242	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Humana-Commerical	PPO		70	70% of all negotiated rates	363	percent of total billed charges	363	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	738	percent of total billed charges	738	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Multiplan	PPO		80	80% of all negotiated rates	242	percent of total billed charges	242	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	One Health	PPO		55	55% of all negotiated rates	545	percent of total billed charges	545	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Optum Medicare	HMO		39	39% of all negotiated rates	738	percent of total billed charges	738	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	P3	HMO		39	39% of all negotiated rates	738	percent of total billed charges	738	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	363	percent of total billed charges	363	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Select Health	HMO		41	41% of all negotiated rates	714	percent of total billed charges	714	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	805	percent of total billed charges	805	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Sierra/HPN	HMO		60	60% of all negotiated rates	484	percent of total billed charges	484	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Silversummit Medicare	HMO		39	39% of all negotiated rates	738	percent of total billed charges	738	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	787	percent of total billed charges	787	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Teachers Trust	PPO		68	68% of all negotiated rates	387	percent of total billed charges	387	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	TriWest	PPO		30	30% of all negotiated rates	847	percent of total billed charges	847	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	363	percent of total billed charges	363	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	United Healthcare	PPO		60	60% of all negotiated rates	484	percent of total billed charges	484	1211	
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	1153	Coinsurance and deductible may apply
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	1153	Coinsurance and deductible may apply
51700 Bladder Irrigation	51700	CPT	3235170	LOCAL	450	RC		outpatient			1211	1029	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	1153	Coinsurance and deductible may apply
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Aetna Medicare	HMO		26	26% of all negotiated rates	259	percent of total billed charges	259	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Alignment Medicare	HMO		39	39% of all negotiated rates	213	percent of total billed charges	213	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	140	percent of total billed charges	140	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	175	percent of total billed charges	175	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	213	percent of total billed charges	213	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Cigna	PPO		68	68% of all negotiated rates	112	percent of total billed charges	112	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Coalition	PPO		59	59% of all negotiated rates	143	percent of total billed charges	143	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Coventry	PPO		75	75% of all negotiated rates	87	percent of total billed charges	87	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Humana-Commerical	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	213	percent of total billed charges	213	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Multiplan	PPO		80	80% of all negotiated rates	70	percent of total billed charges	70	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	One Health	PPO		55	55% of all negotiated rates	157	percent of total billed charges	157	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Optum Medicare	HMO		39	39% of all negotiated rates	213	percent of total billed charges	213	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	P3	HMO		39	39% of all negotiated rates	213	percent of total billed charges	213	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Select Health	HMO		41	41% of all negotiated rates	206	percent of total billed charges	206	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	233	percent of total billed charges	233	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Sierra/HPN	HMO		60	60% of all negotiated rates	140	percent of total billed charges	140	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Silversummit Medicare	HMO		39	39% of all negotiated rates	213	percent of total billed charges	213	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	227	percent of total billed charges	227	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Teachers Trust	PPO		68	68% of all negotiated rates	112	percent of total billed charges	112	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	TriWest	PPO		30	30% of all negotiated rates	245	percent of total billed charges	245	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	105	percent of total billed charges	105	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	United Healthcare	PPO		60	60% of all negotiated rates	140	percent of total billed charges	140	350	
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	333	Coinsurance and deductible may apply
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	333	Coinsurance and deductible may apply
51701 BLADDER CATH FOR URINE SPEC	51701	CPT	3230115	LOCAL	450	RC		outpatient			350	297	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	26	fee schedule	26	333	Coinsurance and deductible may apply
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Aetna Medicare	HMO		26	26% of all negotiated rates	372	percent of total billed charges	372	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	201	percent of total billed charges	201	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	251	percent of total billed charges	251	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Coalition	PPO		59	59% of all negotiated rates	206	percent of total billed charges	206	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	One Health	PPO		55	55% of all negotiated rates	226	percent of total billed charges	226	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	334	percent of total billed charges	334	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Sierra/HPN	HMO		60	60% of all negotiated rates	201	percent of total billed charges	201	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	327	percent of total billed charges	327	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Teachers Trust	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	TriWest	PPO		30	30% of all negotiated rates	352	percent of total billed charges	352	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	United Healthcare	PPO		60	60% of all negotiated rates	201	percent of total billed charges	201	503	
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	479	Coinsurance and deductible may apply
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	479	Coinsurance and deductible may apply
51702  CATH INSERT FOLEY ED Charge	51702	CPT	3235172	LOCAL	450	RC		outpatient			503	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	28	fee schedule	28	479	Coinsurance and deductible may apply
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Aetna Medicare	HMO		26	26% of all negotiated rates	688	percent of total billed charges	688	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Alignment Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	465	percent of total billed charges	465	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Cigna	PPO		68	68% of all negotiated rates	297	percent of total billed charges	297	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Coalition	PPO		59	59% of all negotiated rates	381	percent of total billed charges	381	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Coventry	PPO		75	75% of all negotiated rates	232	percent of total billed charges	232	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Humana-Commerical	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Multiplan	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	One Health	PPO		55	55% of all negotiated rates	418	percent of total billed charges	418	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Optum Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	P3	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Select Health	HMO		41	41% of all negotiated rates	548	percent of total billed charges	548	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	618	percent of total billed charges	618	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Sierra/HPN	HMO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Silversummit Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	604	percent of total billed charges	604	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Teachers Trust	PPO		68	68% of all negotiated rates	297	percent of total billed charges	297	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	TriWest	PPO		30	30% of all negotiated rates	650	percent of total billed charges	650	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	United Healthcare	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	126	fee schedule	126	885	Coinsurance and deductible may apply
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	126	fee schedule	126	885	Coinsurance and deductible may apply
54220 IRRIG COPORA CAVERNSA PRIAPISM ED CHARGE	54220	CPT	3230475	LOCAL	450	RC		outpatient			929	790	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	126	fee schedule	126	885	Coinsurance and deductible may apply
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Aetna Medicare	HMO		26	26% of all negotiated rates	4211	percent of total billed charges	4211	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Alignment Medicare	HMO		39	39% of all negotiated rates	3472	percent of total billed charges	3472	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2276	percent of total billed charges	2276	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2846	percent of total billed charges	2846	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3472	percent of total billed charges	3472	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Cigna	PPO		68	68% of all negotiated rates	1821	percent of total billed charges	1821	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Coalition	PPO		59	59% of all negotiated rates	2333	percent of total billed charges	2333	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Coventry	PPO		75	75% of all negotiated rates	1423	percent of total billed charges	1423	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1138	percent of total billed charges	1138	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Humana-Commerical	PPO		70	70% of all negotiated rates	1707	percent of total billed charges	1707	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3472	percent of total billed charges	3472	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Multiplan	PPO		80	80% of all negotiated rates	1138	percent of total billed charges	1138	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	One Health	PPO		55	55% of all negotiated rates	2561	percent of total billed charges	2561	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Optum Medicare	HMO		39	39% of all negotiated rates	3472	percent of total billed charges	3472	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	P3	HMO		39	39% of all negotiated rates	3472	percent of total billed charges	3472	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1707	percent of total billed charges	1707	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Select Health	HMO		41	41% of all negotiated rates	3358	percent of total billed charges	3358	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3785	percent of total billed charges	3785	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Sierra/HPN	HMO		60	60% of all negotiated rates	2276	percent of total billed charges	2276	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Silversummit Medicare	HMO		39	39% of all negotiated rates	3472	percent of total billed charges	3472	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3699	percent of total billed charges	3699	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Teachers Trust	PPO		68	68% of all negotiated rates	1821	percent of total billed charges	1821	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	TriWest	PPO		30	30% of all negotiated rates	3984	percent of total billed charges	3984	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1707	percent of total billed charges	1707	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	United Healthcare	PPO		60	60% of all negotiated rates	2276	percent of total billed charges	2276	5691	
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	200	fee schedule	200	5420	Coinsurance and deductible may apply
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	200	fee schedule	200	5420	Coinsurance and deductible may apply
54700 DRAINAGE OF SCROTUM	54700	CPT	3230615	LOCAL	450	RC		outpatient			5691	4837	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	200	fee schedule	200	5420	Coinsurance and deductible may apply
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Aetna Medicare	HMO		26	26% of all negotiated rates	561	percent of total billed charges	561	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Alignment Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	303	percent of total billed charges	303	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	379	percent of total billed charges	379	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Cigna	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Coalition	PPO		59	59% of all negotiated rates	311	percent of total billed charges	311	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Coventry	PPO		75	75% of all negotiated rates	190	percent of total billed charges	190	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Humana-Commerical	PPO		70	70% of all negotiated rates	227	percent of total billed charges	227	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Multiplan	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	One Health	PPO		55	55% of all negotiated rates	341	percent of total billed charges	341	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Optum Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	P3	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	227	percent of total billed charges	227	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Select Health	HMO		41	41% of all negotiated rates	447	percent of total billed charges	447	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	504	percent of total billed charges	504	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Sierra/HPN	HMO		60	60% of all negotiated rates	303	percent of total billed charges	303	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Silversummit Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	493	percent of total billed charges	493	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Teachers Trust	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	TriWest	PPO		30	30% of all negotiated rates	531	percent of total billed charges	531	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	227	percent of total billed charges	227	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	United Healthcare	PPO		60	60% of all negotiated rates	303	percent of total billed charges	303	758	
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	722	Coinsurance and deductible may apply
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	722	Coinsurance and deductible may apply
56420 DRAINAGE OF GLAND ABSCESS	56420	CPT	3234203	LOCAL	450	RC		outpatient			758	644	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	88	fee schedule	88	722	Coinsurance and deductible may apply
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Aetna Medicare	HMO		26	26% of all negotiated rates	561	percent of total billed charges	561	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Alignment Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	303	percent of total billed charges	303	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	379	percent of total billed charges	379	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Cigna	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Coalition	PPO		59	59% of all negotiated rates	311	percent of total billed charges	311	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Coventry	PPO		75	75% of all negotiated rates	190	percent of total billed charges	190	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Humana-Commerical	PPO		70	70% of all negotiated rates	227	percent of total billed charges	227	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Multiplan	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	One Health	PPO		55	55% of all negotiated rates	341	percent of total billed charges	341	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Optum Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	P3	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	227	percent of total billed charges	227	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Select Health	HMO		41	41% of all negotiated rates	447	percent of total billed charges	447	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	504	percent of total billed charges	504	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Sierra/HPN	HMO		60	60% of all negotiated rates	303	percent of total billed charges	303	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Silversummit Medicare	HMO		39	39% of all negotiated rates	462	percent of total billed charges	462	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	493	percent of total billed charges	493	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Teachers Trust	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	TriWest	PPO		30	30% of all negotiated rates	531	percent of total billed charges	531	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	227	percent of total billed charges	227	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	United Healthcare	PPO		60	60% of all negotiated rates	303	percent of total billed charges	303	758	
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	65	fee schedule	65	722	Coinsurance and deductible may apply
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	65	fee schedule	65	722	Coinsurance and deductible may apply
58301 ED REMOVAL OF INTRAUTERINE DEVICE (IUD) CHARGE	58301	CPT	3230039	LOCAL	450	RC		outpatient			758	644	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	65	fee schedule	65	722	Coinsurance and deductible may apply
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Aetna Medicare	HMO		26	26% of all negotiated rates	5546	percent of total billed charges	5546	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Alignment Medicare	HMO		39	39% of all negotiated rates	4572	percent of total billed charges	4572	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2998	percent of total billed charges	2998	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3747	percent of total billed charges	3747	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4572	percent of total billed charges	4572	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Cigna	PPO		68	68% of all negotiated rates	2398	percent of total billed charges	2398	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Coalition	PPO		59	59% of all negotiated rates	3073	percent of total billed charges	3073	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Coventry	PPO		75	75% of all negotiated rates	1874	percent of total billed charges	1874	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1499	percent of total billed charges	1499	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Humana-Commerical	PPO		70	70% of all negotiated rates	2248	percent of total billed charges	2248	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4572	percent of total billed charges	4572	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Multiplan	PPO		80	80% of all negotiated rates	1499	percent of total billed charges	1499	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	One Health	PPO		55	55% of all negotiated rates	3373	percent of total billed charges	3373	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Optum Medicare	HMO		39	39% of all negotiated rates	4572	percent of total billed charges	4572	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	P3	HMO		39	39% of all negotiated rates	4572	percent of total billed charges	4572	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2248	percent of total billed charges	2248	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Select Health	HMO		41	41% of all negotiated rates	4422	percent of total billed charges	4422	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4984	percent of total billed charges	4984	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Sierra/HPN	HMO		60	60% of all negotiated rates	2998	percent of total billed charges	2998	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Silversummit Medicare	HMO		39	39% of all negotiated rates	4572	percent of total billed charges	4572	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4872	percent of total billed charges	4872	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Teachers Trust	PPO		68	68% of all negotiated rates	2398	percent of total billed charges	2398	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	TriWest	PPO		30	30% of all negotiated rates	5246	percent of total billed charges	5246	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2248	percent of total billed charges	2248	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	United Healthcare	PPO		60	60% of all negotiated rates	2998	percent of total billed charges	2998	7495	
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	796	fee schedule	796	7138	Coinsurance and deductible may apply
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	796	fee schedule	796	7138	Coinsurance and deductible may apply
59409 DELIVERY	59409	CPT	3230041	LOCAL	450	RC		outpatient			7495	6371	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	796	fee schedule	796	7138	Coinsurance and deductible may apply
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Aetna Medicare	HMO		26	26% of all negotiated rates	1326	percent of total billed charges	1326	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Alignment Medicare	HMO		39	39% of all negotiated rates	1093	percent of total billed charges	1093	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	717	percent of total billed charges	717	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	896	percent of total billed charges	896	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1093	percent of total billed charges	1093	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Cigna	PPO		68	68% of all negotiated rates	573	percent of total billed charges	573	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Coalition	PPO		59	59% of all negotiated rates	734	percent of total billed charges	734	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Coventry	PPO		75	75% of all negotiated rates	448	percent of total billed charges	448	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	358	percent of total billed charges	358	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Humana-Commerical	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1093	percent of total billed charges	1093	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Multiplan	PPO		80	80% of all negotiated rates	358	percent of total billed charges	358	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	One Health	PPO		55	55% of all negotiated rates	806	percent of total billed charges	806	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Optum Medicare	HMO		39	39% of all negotiated rates	1093	percent of total billed charges	1093	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	P3	HMO		39	39% of all negotiated rates	1093	percent of total billed charges	1093	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Select Health	HMO		41	41% of all negotiated rates	1057	percent of total billed charges	1057	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1191	percent of total billed charges	1191	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Sierra/HPN	HMO		60	60% of all negotiated rates	717	percent of total billed charges	717	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Silversummit Medicare	HMO		39	39% of all negotiated rates	1093	percent of total billed charges	1093	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1164	percent of total billed charges	1164	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Teachers Trust	PPO		68	68% of all negotiated rates	573	percent of total billed charges	573	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	TriWest	PPO		30	30% of all negotiated rates	1254	percent of total billed charges	1254	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	537	percent of total billed charges	537	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	United Healthcare	PPO		60	60% of all negotiated rates	717	percent of total billed charges	717	1791	
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	1706	Coinsurance and deductible may apply
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	1706	Coinsurance and deductible may apply
62270 ED SPINAL PUNCTURE LUMBAR CHARGE	62270	CPT	3232702	LOCAL	450	RC		outpatient			1791	1523	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	1706	Coinsurance and deductible may apply
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Aetna Medicare	HMO		26	26% of all negotiated rates	918	percent of total billed charges	918	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Alignment Medicare	HMO		39	39% of all negotiated rates	756	percent of total billed charges	756	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	496	percent of total billed charges	496	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	620	percent of total billed charges	620	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	756	percent of total billed charges	756	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Cigna	PPO		68	68% of all negotiated rates	397	percent of total billed charges	397	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Coalition	PPO		59	59% of all negotiated rates	508	percent of total billed charges	508	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Coventry	PPO		75	75% of all negotiated rates	310	percent of total billed charges	310	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	248	percent of total billed charges	248	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Humana-Commerical	PPO		70	70% of all negotiated rates	372	percent of total billed charges	372	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	756	percent of total billed charges	756	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Multiplan	PPO		80	80% of all negotiated rates	248	percent of total billed charges	248	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	One Health	PPO		55	55% of all negotiated rates	558	percent of total billed charges	558	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Optum Medicare	HMO		39	39% of all negotiated rates	756	percent of total billed charges	756	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	P3	HMO		39	39% of all negotiated rates	756	percent of total billed charges	756	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	372	percent of total billed charges	372	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Select Health	HMO		41	41% of all negotiated rates	732	percent of total billed charges	732	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	825	percent of total billed charges	825	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Sierra/HPN	HMO		60	60% of all negotiated rates	496	percent of total billed charges	496	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Silversummit Medicare	HMO		39	39% of all negotiated rates	756	percent of total billed charges	756	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	806	percent of total billed charges	806	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Teachers Trust	PPO		68	68% of all negotiated rates	397	percent of total billed charges	397	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	TriWest	PPO		30	30% of all negotiated rates	868	percent of total billed charges	868	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	372	percent of total billed charges	372	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	United Healthcare	PPO		60	60% of all negotiated rates	496	percent of total billed charges	496	1240	
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	66	fee schedule	66	1181	Coinsurance and deductible may apply
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	66	fee schedule	66	1181	Coinsurance and deductible may apply
"64400 ED INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANT DIVISION OR BRANCH C"	64400	CPT	3232955	LOCAL	450	RC		outpatient			1240	1054	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	66	fee schedule	66	1181	Coinsurance and deductible may apply
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Aetna Medicare	HMO		26	26% of all negotiated rates	1240	percent of total billed charges	1240	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Alignment Medicare	HMO		39	39% of all negotiated rates	1022	percent of total billed charges	1022	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	670	percent of total billed charges	670	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	838	percent of total billed charges	838	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1022	percent of total billed charges	1022	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Cigna	PPO		68	68% of all negotiated rates	536	percent of total billed charges	536	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Coalition	PPO		59	59% of all negotiated rates	687	percent of total billed charges	687	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Coventry	PPO		75	75% of all negotiated rates	419	percent of total billed charges	419	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	335	percent of total billed charges	335	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Humana-Commerical	PPO		70	70% of all negotiated rates	503	percent of total billed charges	503	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1022	percent of total billed charges	1022	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Multiplan	PPO		80	80% of all negotiated rates	335	percent of total billed charges	335	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	One Health	PPO		55	55% of all negotiated rates	754	percent of total billed charges	754	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Optum Medicare	HMO		39	39% of all negotiated rates	1022	percent of total billed charges	1022	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	P3	HMO		39	39% of all negotiated rates	1022	percent of total billed charges	1022	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	503	percent of total billed charges	503	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Select Health	HMO		41	41% of all negotiated rates	989	percent of total billed charges	989	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1114	percent of total billed charges	1114	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Sierra/HPN	HMO		60	60% of all negotiated rates	670	percent of total billed charges	670	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Silversummit Medicare	HMO		39	39% of all negotiated rates	1022	percent of total billed charges	1022	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1089	percent of total billed charges	1089	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	Teachers Trust	PPO		68	68% of all negotiated rates	536	percent of total billed charges	536	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	TriWest	PPO		30	30% of all negotiated rates	1173	percent of total billed charges	1173	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	503	percent of total billed charges	503	1676	
"64402 INJ ANEST TRIG. NERVE, FACIAL ED CHARGE"	64402	CPT	3232965	LOCAL	450	RC		outpatient			1676	1424	United Healthcare	PPO		60	60% of all negotiated rates	670	percent of total billed charges	670	1676	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Aetna Medicare	HMO		26	26% of all negotiated rates	514	percent of total billed charges	514	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Alignment Medicare	HMO		39	39% of all negotiated rates	424	percent of total billed charges	424	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	278	percent of total billed charges	278	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	348	percent of total billed charges	348	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	424	percent of total billed charges	424	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Cigna	PPO		68	68% of all negotiated rates	222	percent of total billed charges	222	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Coalition	PPO		59	59% of all negotiated rates	285	percent of total billed charges	285	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Coventry	PPO		75	75% of all negotiated rates	174	percent of total billed charges	174	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	139	percent of total billed charges	139	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Humana-Commerical	PPO		70	70% of all negotiated rates	209	percent of total billed charges	209	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	424	percent of total billed charges	424	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Multiplan	PPO		80	80% of all negotiated rates	139	percent of total billed charges	139	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	One Health	PPO		55	55% of all negotiated rates	313	percent of total billed charges	313	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Optum Medicare	HMO		39	39% of all negotiated rates	424	percent of total billed charges	424	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	P3	HMO		39	39% of all negotiated rates	424	percent of total billed charges	424	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	209	percent of total billed charges	209	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Select Health	HMO		41	41% of all negotiated rates	410	percent of total billed charges	410	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	462	percent of total billed charges	462	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Sierra/HPN	HMO		60	60% of all negotiated rates	278	percent of total billed charges	278	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Silversummit Medicare	HMO		39	39% of all negotiated rates	424	percent of total billed charges	424	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	452	percent of total billed charges	452	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Teachers Trust	PPO		68	68% of all negotiated rates	222	percent of total billed charges	222	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	TriWest	PPO		30	30% of all negotiated rates	487	percent of total billed charges	487	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	209	percent of total billed charges	209	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	United Healthcare	PPO		60	60% of all negotiated rates	278	percent of total billed charges	278	695	
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	662	Coinsurance and deductible may apply
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	662	Coinsurance and deductible may apply
64450 INJ  NERVE BLOCK OTHER PERIPHERAL NERVE	64450	CPT	3232950	LOCAL	450	RC		outpatient			695	591	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	662	Coinsurance and deductible may apply
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Aetna Medicare	HMO		26	26% of all negotiated rates	317	percent of total billed charges	317	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Alignment Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	214	percent of total billed charges	214	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Cigna	PPO		68	68% of all negotiated rates	137	percent of total billed charges	137	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Coalition	PPO		59	59% of all negotiated rates	176	percent of total billed charges	176	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Coventry	PPO		75	75% of all negotiated rates	107	percent of total billed charges	107	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Humana-Commerical	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Multiplan	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	One Health	PPO		55	55% of all negotiated rates	193	percent of total billed charges	193	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Optum Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	P3	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Select Health	HMO		41	41% of all negotiated rates	253	percent of total billed charges	253	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	285	percent of total billed charges	285	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Sierra/HPN	HMO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Silversummit Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	278	percent of total billed charges	278	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Teachers Trust	PPO		68	68% of all negotiated rates	137	percent of total billed charges	137	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	TriWest	PPO		30	30% of all negotiated rates	300	percent of total billed charges	300	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	United Healthcare	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	408	Coinsurance and deductible may apply
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	408	Coinsurance and deductible may apply
65205 ED FB REMOVE SUPERFICIAL CONJUNCTIVAL CHARGE	65205	CPT	3232057	LOCAL	450	RC		outpatient			428	364	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	43	fee schedule	43	408	Coinsurance and deductible may apply
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Aetna Medicare	HMO		26	26% of all negotiated rates	317	percent of total billed charges	317	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Alignment Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	214	percent of total billed charges	214	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Cigna	PPO		68	68% of all negotiated rates	137	percent of total billed charges	137	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Coalition	PPO		59	59% of all negotiated rates	176	percent of total billed charges	176	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Coventry	PPO		75	75% of all negotiated rates	107	percent of total billed charges	107	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Humana-Commerical	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Multiplan	PPO		80	80% of all negotiated rates	86	percent of total billed charges	86	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	One Health	PPO		55	55% of all negotiated rates	193	percent of total billed charges	193	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Optum Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	P3	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Select Health	HMO		41	41% of all negotiated rates	253	percent of total billed charges	253	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	285	percent of total billed charges	285	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Sierra/HPN	HMO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Silversummit Medicare	HMO		39	39% of all negotiated rates	261	percent of total billed charges	261	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	278	percent of total billed charges	278	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Teachers Trust	PPO		68	68% of all negotiated rates	137	percent of total billed charges	137	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	TriWest	PPO		30	30% of all negotiated rates	300	percent of total billed charges	300	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	129	percent of total billed charges	129	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	United Healthcare	PPO		60	60% of all negotiated rates	171	percent of total billed charges	171	428	
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	41	fee schedule	41	408	Coinsurance and deductible may apply
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	41	fee schedule	41	408	Coinsurance and deductible may apply
65220 CORNEAL FB REMOV W/O SLIT LAMP ED CHARGE	65220	CPT	3232207	LOCAL	450	RC		outpatient			428	364	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	41	fee schedule	41	408	Coinsurance and deductible may apply
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Aetna Medicare	HMO		26	26% of all negotiated rates	336	percent of total billed charges	336	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Alignment Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	182	percent of total billed charges	182	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	227	percent of total billed charges	227	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Cigna	PPO		68	68% of all negotiated rates	145	percent of total billed charges	145	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Coalition	PPO		59	59% of all negotiated rates	186	percent of total billed charges	186	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Coventry	PPO		75	75% of all negotiated rates	114	percent of total billed charges	114	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Humana-Commerical	PPO		70	70% of all negotiated rates	136	percent of total billed charges	136	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Multiplan	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	One Health	PPO		55	55% of all negotiated rates	205	percent of total billed charges	205	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Optum Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	P3	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	136	percent of total billed charges	136	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Select Health	HMO		41	41% of all negotiated rates	268	percent of total billed charges	268	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	302	percent of total billed charges	302	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Sierra/HPN	HMO		60	60% of all negotiated rates	182	percent of total billed charges	182	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Silversummit Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	296	percent of total billed charges	296	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Teachers Trust	PPO		68	68% of all negotiated rates	145	percent of total billed charges	145	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	TriWest	PPO		30	30% of all negotiated rates	318	percent of total billed charges	318	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	136	percent of total billed charges	136	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	United Healthcare	PPO		60	60% of all negotiated rates	182	percent of total billed charges	182	455	
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	433	Coinsurance and deductible may apply
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	433	Coinsurance and deductible may apply
65222 CORNEAL FB REMOV W/ SL/LP  ED CHARGE	65222	CPT	3232107	LOCAL	450	RC		outpatient			455	386	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	52	fee schedule	52	433	Coinsurance and deductible may apply
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Aetna Medicare	HMO		26	26% of all negotiated rates	472	percent of total billed charges	472	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Alignment Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	255	percent of total billed charges	255	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	319	percent of total billed charges	319	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Cigna	PPO		68	68% of all negotiated rates	204	percent of total billed charges	204	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Coalition	PPO		59	59% of all negotiated rates	262	percent of total billed charges	262	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Coventry	PPO		75	75% of all negotiated rates	160	percent of total billed charges	160	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Humana-Commerical	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Multiplan	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	One Health	PPO		55	55% of all negotiated rates	287	percent of total billed charges	287	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Optum Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	P3	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Select Health	HMO		41	41% of all negotiated rates	377	percent of total billed charges	377	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	425	percent of total billed charges	425	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Sierra/HPN	HMO		60	60% of all negotiated rates	255	percent of total billed charges	255	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Silversummit Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	415	percent of total billed charges	415	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Teachers Trust	PPO		68	68% of all negotiated rates	204	percent of total billed charges	204	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	TriWest	PPO		30	30% of all negotiated rates	447	percent of total billed charges	447	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	United Healthcare	PPO		60	60% of all negotiated rates	255	percent of total billed charges	255	638	
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	608	Coinsurance and deductible may apply
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	608	Coinsurance and deductible may apply
69000 DRAIN EXTERNAL EAR LESION	69000	CPT	45069000	LOCAL	450	RC		outpatient			638	543	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	608	Coinsurance and deductible may apply
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Alignment Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	148	percent of total billed charges	148	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Coalition	PPO		59	59% of all negotiated rates	121	percent of total billed charges	121	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Humana-Commerical	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	One Health	PPO		55	55% of all negotiated rates	133	percent of total billed charges	133	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Optum Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	P3	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Select Health	HMO		41	41% of all negotiated rates	174	percent of total billed charges	174	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Silversummit Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	192	percent of total billed charges	192	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Teachers Trust	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	TriWest	PPO		30	30% of all negotiated rates	207	percent of total billed charges	207	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	281	Coinsurance and deductible may apply
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	281	Coinsurance and deductible may apply
69200 ED FB REMOVE EXTERNAL AUDITORY CANAL W/O ANES CHARGE	69200	CPT	3232004	LOCAL	450	RC		outpatient			295	251	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	281	Coinsurance and deductible may apply
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Alignment Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	148	percent of total billed charges	148	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Coalition	PPO		59	59% of all negotiated rates	121	percent of total billed charges	121	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Humana-Commerical	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Multiplan	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	One Health	PPO		55	55% of all negotiated rates	133	percent of total billed charges	133	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Optum Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	P3	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Select Health	HMO		41	41% of all negotiated rates	174	percent of total billed charges	174	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Silversummit Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	192	percent of total billed charges	192	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Teachers Trust	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	TriWest	PPO		30	30% of all negotiated rates	207	percent of total billed charges	207	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	281	Coinsurance and deductible may apply
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	281	Coinsurance and deductible may apply
69210 CERUMEN REMOVAL	69210	CPT	3232103	LOCAL	450	RC		outpatient			295	251	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	281	Coinsurance and deductible may apply
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Aetna Medicare	HMO		26	26% of all negotiated rates	1384	percent of total billed charges	1384	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Alignment Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	748	percent of total billed charges	748	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	935	percent of total billed charges	935	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Cigna	PPO		68	68% of all negotiated rates	598	percent of total billed charges	598	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Coalition	PPO		59	59% of all negotiated rates	767	percent of total billed charges	767	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Coventry	PPO		75	75% of all negotiated rates	468	percent of total billed charges	468	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	374	percent of total billed charges	374	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Humana-Commerical	PPO		70	70% of all negotiated rates	561	percent of total billed charges	561	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	One Health	PPO		55	55% of all negotiated rates	842	percent of total billed charges	842	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Optum Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	P3	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Select Health	HMO		41	41% of all negotiated rates	1103	percent of total billed charges	1103	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1244	percent of total billed charges	1244	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Sierra/HPN	HMO		60	60% of all negotiated rates	748	percent of total billed charges	748	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Silversummit Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Teachers Trust	PPO		68	68% of all negotiated rates	598	percent of total billed charges	598	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	561	percent of total billed charges	561	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	United Healthcare	PPO		60	60% of all negotiated rates	748	percent of total billed charges	748	1870	
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	164	fee schedule	164	1781	Coinsurance and deductible may apply
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	164	fee schedule	164	1781	Coinsurance and deductible may apply
92950 CARDIOPULM RESUSCITA ED Charge	92950	CPT	3239505	LOCAL	450	RC		outpatient			1870	1590	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	164	fee schedule	164	1781	Coinsurance and deductible may apply
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Aetna Medicare	HMO		26	26% of all negotiated rates	894	percent of total billed charges	894	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Alignment Medicare	HMO		39	39% of all negotiated rates	737	percent of total billed charges	737	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	483	percent of total billed charges	483	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	604	percent of total billed charges	604	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	737	percent of total billed charges	737	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Cigna	PPO		68	68% of all negotiated rates	386	percent of total billed charges	386	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Coalition	PPO		59	59% of all negotiated rates	495	percent of total billed charges	495	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Coventry	PPO		75	75% of all negotiated rates	302	percent of total billed charges	302	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	242	percent of total billed charges	242	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Humana-Commerical	PPO		70	70% of all negotiated rates	362	percent of total billed charges	362	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	737	percent of total billed charges	737	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	One Health	PPO		55	55% of all negotiated rates	543	percent of total billed charges	543	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Optum Medicare	HMO		39	39% of all negotiated rates	737	percent of total billed charges	737	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	P3	HMO		39	39% of all negotiated rates	737	percent of total billed charges	737	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Select Health	HMO		41	41% of all negotiated rates	712	percent of total billed charges	712	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	803	percent of total billed charges	803	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Sierra/HPN	HMO		60	60% of all negotiated rates	483	percent of total billed charges	483	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Silversummit Medicare	HMO		39	39% of all negotiated rates	737	percent of total billed charges	737	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Teachers Trust	PPO		68	68% of all negotiated rates	386	percent of total billed charges	386	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	362	percent of total billed charges	362	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	United Healthcare	PPO		60	60% of all negotiated rates	483	percent of total billed charges	483	1208	
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	1150	Coinsurance and deductible may apply
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	1150	Coinsurance and deductible may apply
92953 ED EXT PACEMAKER NON INVASIVE CHARGE	92953	CPT	3239536	LOCAL	450	RC		outpatient			1208	1026	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	10	fee schedule	10	1150	Coinsurance and deductible may apply
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Aetna Medicare	HMO		26	26% of all negotiated rates	1841	percent of total billed charges	1841	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Alignment Medicare	HMO		39	39% of all negotiated rates	1518	percent of total billed charges	1518	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	995	percent of total billed charges	995	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1244	percent of total billed charges	1244	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1518	percent of total billed charges	1518	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Cigna	PPO		68	68% of all negotiated rates	796	percent of total billed charges	796	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Coalition	PPO		59	59% of all negotiated rates	1020	percent of total billed charges	1020	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Coventry	PPO		75	75% of all negotiated rates	622	percent of total billed charges	622	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	498	percent of total billed charges	498	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Humana-Commerical	PPO		70	70% of all negotiated rates	747	percent of total billed charges	747	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1518	percent of total billed charges	1518	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	One Health	PPO		55	55% of all negotiated rates	1120	percent of total billed charges	1120	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Optum Medicare	HMO		39	39% of all negotiated rates	1518	percent of total billed charges	1518	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	P3	HMO		39	39% of all negotiated rates	1518	percent of total billed charges	1518	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Select Health	HMO		41	41% of all negotiated rates	1468	percent of total billed charges	1468	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1655	percent of total billed charges	1655	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Sierra/HPN	HMO		60	60% of all negotiated rates	995	percent of total billed charges	995	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Silversummit Medicare	HMO		39	39% of all negotiated rates	1518	percent of total billed charges	1518	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Teachers Trust	PPO		68	68% of all negotiated rates	796	percent of total billed charges	796	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	747	percent of total billed charges	747	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	United Healthcare	PPO		60	60% of all negotiated rates	995	percent of total billed charges	995	2489	
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	2370	Coinsurance and deductible may apply
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	2370	Coinsurance and deductible may apply
92960 CARDIOVERSION	92960	CPT	3230093	LOCAL	450	RC		outpatient			2489	2115	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	2370	Coinsurance and deductible may apply
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Aetna Medicare	HMO		26	26% of all negotiated rates	437	percent of total billed charges	437	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Alignment Medicare	HMO		39	39% of all negotiated rates	361	percent of total billed charges	361	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	236	percent of total billed charges	236	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	296	percent of total billed charges	296	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	361	percent of total billed charges	361	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Cigna	PPO		68	68% of all negotiated rates	189	percent of total billed charges	189	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Coalition	PPO		59	59% of all negotiated rates	242	percent of total billed charges	242	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Coventry	PPO		75	75% of all negotiated rates	148	percent of total billed charges	148	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	118	percent of total billed charges	118	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Humana-Commerical	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	361	percent of total billed charges	361	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	One Health	PPO		55	55% of all negotiated rates	266	percent of total billed charges	266	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Optum Medicare	HMO		39	39% of all negotiated rates	361	percent of total billed charges	361	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	P3	HMO		39	39% of all negotiated rates	361	percent of total billed charges	361	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Select Health	HMO		41	41% of all negotiated rates	349	percent of total billed charges	349	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	393	percent of total billed charges	393	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Sierra/HPN	HMO		60	60% of all negotiated rates	236	percent of total billed charges	236	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Silversummit Medicare	HMO		39	39% of all negotiated rates	361	percent of total billed charges	361	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	Teachers Trust	PPO		68	68% of all negotiated rates	189	percent of total billed charges	189	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	177	percent of total billed charges	177	591	
99143 CONSCIOUS SED UNDER 5YRS ED Charge	99143	CPT	3230451	LOCAL	450	RC		outpatient			591	502	United Healthcare	PPO		60	60% of all negotiated rates	236	percent of total billed charges	236	591	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Aetna Medicare	HMO		26	26% of all negotiated rates	572	percent of total billed charges	572	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Alignment Medicare	HMO		39	39% of all negotiated rates	471	percent of total billed charges	471	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	309	percent of total billed charges	309	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	386	percent of total billed charges	386	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	471	percent of total billed charges	471	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Cigna	PPO		68	68% of all negotiated rates	247	percent of total billed charges	247	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Coalition	PPO		59	59% of all negotiated rates	317	percent of total billed charges	317	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Coventry	PPO		75	75% of all negotiated rates	193	percent of total billed charges	193	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	155	percent of total billed charges	155	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Humana-Commerical	PPO		70	70% of all negotiated rates	232	percent of total billed charges	232	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	471	percent of total billed charges	471	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	One Health	PPO		55	55% of all negotiated rates	348	percent of total billed charges	348	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Optum Medicare	HMO		39	39% of all negotiated rates	471	percent of total billed charges	471	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	P3	HMO		39	39% of all negotiated rates	471	percent of total billed charges	471	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Select Health	HMO		41	41% of all negotiated rates	456	percent of total billed charges	456	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	514	percent of total billed charges	514	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Sierra/HPN	HMO		60	60% of all negotiated rates	309	percent of total billed charges	309	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Silversummit Medicare	HMO		39	39% of all negotiated rates	471	percent of total billed charges	471	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	Teachers Trust	PPO		68	68% of all negotiated rates	247	percent of total billed charges	247	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	232	percent of total billed charges	232	773	
99144 CONSCIOUS SED MOD OVER 5 ED Charge	99144	CPT	3230057	LOCAL	450	RC		outpatient			773	657	United Healthcare	PPO		60	60% of all negotiated rates	309	percent of total billed charges	309	773	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Aetna Medicare	HMO		26	26% of all negotiated rates	147	percent of total billed charges	147	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Alignment Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	99	percent of total billed charges	99	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Cigna	PPO		68	68% of all negotiated rates	64	percent of total billed charges	64	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Coalition	PPO		59	59% of all negotiated rates	81	percent of total billed charges	81	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Coventry	PPO		75	75% of all negotiated rates	50	percent of total billed charges	50	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	40	percent of total billed charges	40	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Humana-Commerical	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	One Health	PPO		55	55% of all negotiated rates	89	percent of total billed charges	89	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Optum Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	P3	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Select Health	HMO		41	41% of all negotiated rates	117	percent of total billed charges	117	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	132	percent of total billed charges	132	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Sierra/HPN	HMO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Silversummit Medicare	HMO		39	39% of all negotiated rates	121	percent of total billed charges	121	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	Teachers Trust	PPO		68	68% of all negotiated rates	64	percent of total billed charges	64	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	60	percent of total billed charges	60	198	
99145 MOD SED SVC SAME MD EA 15 MIN ED CHARGE	99145	CPT	3230450	LOCAL	450	RC		outpatient			198	169	United Healthcare	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	198	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Cigna	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Coalition	PPO		59	59% of all negotiated rates	151	percent of total billed charges	151	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Humana-Commerical	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	One Health	PPO		55	55% of all negotiated rates	165	percent of total billed charges	165	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	244	percent of total billed charges	244	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Sierra/HPN	HMO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	Teachers Trust	PPO		68	68% of all negotiated rates	118	percent of total billed charges	118	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	110	percent of total billed charges	110	368	
99355 ED PROLONGED SERV OFFICE/OUT PT CHARGE	99355	CPT	3233550	LOCAL	450	RC		outpatient			368	312	United Healthcare	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Aetna Medicare	HMO		26	26% of all negotiated rates	4329	percent of total billed charges	4329	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Alignment Medicare	HMO		39	39% of all negotiated rates	3569	percent of total billed charges	3569	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2340	percent of total billed charges	2340	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2925	percent of total billed charges	2925	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3569	percent of total billed charges	3569	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Cigna	PPO		68	68% of all negotiated rates	1872	percent of total billed charges	1872	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Coalition	PPO		59	59% of all negotiated rates	2399	percent of total billed charges	2399	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Coventry	PPO		75	75% of all negotiated rates	1463	percent of total billed charges	1463	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1170	percent of total billed charges	1170	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Humana-Commerical	PPO		70	70% of all negotiated rates	1755	percent of total billed charges	1755	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3569	percent of total billed charges	3569	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	One Health	PPO		55	55% of all negotiated rates	2633	percent of total billed charges	2633	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Optum Medicare	HMO		39	39% of all negotiated rates	3569	percent of total billed charges	3569	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	P3	HMO		39	39% of all negotiated rates	3569	percent of total billed charges	3569	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Select Health	HMO		41	41% of all negotiated rates	3452	percent of total billed charges	3452	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3891	percent of total billed charges	3891	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Sierra/HPN	HMO		60	60% of all negotiated rates	2340	percent of total billed charges	2340	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Silversummit Medicare	HMO		39	39% of all negotiated rates	3569	percent of total billed charges	3569	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Teachers Trust	PPO		68	68% of all negotiated rates	1872	percent of total billed charges	1872	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1755	percent of total billed charges	1755	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	United Healthcare	PPO		60	60% of all negotiated rates	2340	percent of total billed charges	2340	5851	
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	611	fee schedule	611	5572	Coinsurance and deductible may apply
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	611	fee schedule	611	5572	Coinsurance and deductible may apply
AMPUTATION FINGER OR THUMB	26951	CPT	45026951	LOCAL	450	RC		outpatient			5851	4973	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	611	fee schedule	611	5572	Coinsurance and deductible may apply
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	67700	CPT	45067700	LOCAL	450	RC		outpatient			1001	851	Aetna Medicare	HMO		26	26% of all negotiated rates	740	percent of total billed charges	740	1001	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Aetna Medicare	HMO		26	26% of all negotiated rates	390	percent of total billed charges	390	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Alignment Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	264	percent of total billed charges	264	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Cigna	PPO		68	68% of all negotiated rates	169	percent of total billed charges	169	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Coalition	PPO		59	59% of all negotiated rates	216	percent of total billed charges	216	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Coventry	PPO		75	75% of all negotiated rates	132	percent of total billed charges	132	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	105	percent of total billed charges	105	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Humana-Commerical	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	One Health	PPO		55	55% of all negotiated rates	237	percent of total billed charges	237	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Optum Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	P3	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Select Health	HMO		41	41% of all negotiated rates	311	percent of total billed charges	311	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	351	percent of total billed charges	351	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Sierra/HPN	HMO		60	60% of all negotiated rates	211	percent of total billed charges	211	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Silversummit Medicare	HMO		39	39% of all negotiated rates	322	percent of total billed charges	322	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Teachers Trust	PPO		68	68% of all negotiated rates	169	percent of total billed charges	169	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	158	percent of total billed charges	158	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	United Healthcare	PPO		60	60% of all negotiated rates	211	percent of total billed charges	211	527	
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	502	Coinsurance and deductible may apply
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	502	Coinsurance and deductible may apply
CHANGE OF BLADDER TUBE	51705	CPT	45051705	LOCAL	450	RC		outpatient			527	448	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	502	Coinsurance and deductible may apply
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Aetna Medicare	HMO		26	26% of all negotiated rates	769	percent of total billed charges	769	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Alignment Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	416	percent of total billed charges	416	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	520	percent of total billed charges	520	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Cigna	PPO		68	68% of all negotiated rates	333	percent of total billed charges	333	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Coalition	PPO		59	59% of all negotiated rates	426	percent of total billed charges	426	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Coventry	PPO		75	75% of all negotiated rates	260	percent of total billed charges	260	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	208	percent of total billed charges	208	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Humana-Commerical	PPO		70	70% of all negotiated rates	312	percent of total billed charges	312	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	One Health	PPO		55	55% of all negotiated rates	468	percent of total billed charges	468	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Optum Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	P3	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Select Health	HMO		41	41% of all negotiated rates	613	percent of total billed charges	613	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	691	percent of total billed charges	691	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Sierra/HPN	HMO		60	60% of all negotiated rates	416	percent of total billed charges	416	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Silversummit Medicare	HMO		39	39% of all negotiated rates	634	percent of total billed charges	634	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Teachers Trust	PPO		68	68% of all negotiated rates	333	percent of total billed charges	333	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	312	percent of total billed charges	312	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	United Healthcare	PPO		60	60% of all negotiated rates	416	percent of total billed charges	416	1040	
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	458	fee schedule	458	990	Coinsurance and deductible may apply
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	458	fee schedule	458	990	Coinsurance and deductible may apply
CL TX PATELLAR DISLOC; W ANEST Charge	27562	CPT	45027562	LOCAL	450	RC		outpatient			1040	884	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	458	fee schedule	458	990	Coinsurance and deductible may apply
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Aetna Medicare	HMO		26	26% of all negotiated rates	1794	percent of total billed charges	1794	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Alignment Medicare	HMO		39	39% of all negotiated rates	1479	percent of total billed charges	1479	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	970	percent of total billed charges	970	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1212	percent of total billed charges	1212	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1479	percent of total billed charges	1479	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Cigna	PPO		68	68% of all negotiated rates	776	percent of total billed charges	776	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Coalition	PPO		59	59% of all negotiated rates	994	percent of total billed charges	994	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Coventry	PPO		75	75% of all negotiated rates	606	percent of total billed charges	606	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	485	percent of total billed charges	485	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Humana-Commerical	PPO		70	70% of all negotiated rates	727	percent of total billed charges	727	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1479	percent of total billed charges	1479	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	One Health	PPO		55	55% of all negotiated rates	1091	percent of total billed charges	1091	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Optum Medicare	HMO		39	39% of all negotiated rates	1479	percent of total billed charges	1479	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	P3	HMO		39	39% of all negotiated rates	1479	percent of total billed charges	1479	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Select Health	HMO		41	41% of all negotiated rates	1430	percent of total billed charges	1430	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1612	percent of total billed charges	1612	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Sierra/HPN	HMO		60	60% of all negotiated rates	970	percent of total billed charges	970	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Silversummit Medicare	HMO		39	39% of all negotiated rates	1479	percent of total billed charges	1479	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Teachers Trust	PPO		68	68% of all negotiated rates	776	percent of total billed charges	776	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	727	percent of total billed charges	727	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	United Healthcare	PPO		60	60% of all negotiated rates	970	percent of total billed charges	970	2424	
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	470	fee schedule	470	2309	Coinsurance and deductible may apply
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	470	fee schedule	470	2309	Coinsurance and deductible may apply
CLOSED TREATMENT OF ANKLE DISLOCATION REQUIRING ANESTHESIA C	27842	CPT	45027842	LOCAL	450	RC		outpatient			2424	2061	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	470	fee schedule	470	2309	Coinsurance and deductible may apply
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Aetna Medicare	HMO		26	26% of all negotiated rates	688	percent of total billed charges	688	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Alignment Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	465	percent of total billed charges	465	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Cigna	PPO		68	68% of all negotiated rates	297	percent of total billed charges	297	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Coalition	PPO		59	59% of all negotiated rates	381	percent of total billed charges	381	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Coventry	PPO		75	75% of all negotiated rates	232	percent of total billed charges	232	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	186	percent of total billed charges	186	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Humana-Commerical	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	One Health	PPO		55	55% of all negotiated rates	418	percent of total billed charges	418	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Optum Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	P3	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Select Health	HMO		41	41% of all negotiated rates	548	percent of total billed charges	548	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	618	percent of total billed charges	618	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Sierra/HPN	HMO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Silversummit Medicare	HMO		39	39% of all negotiated rates	567	percent of total billed charges	567	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Teachers Trust	PPO		68	68% of all negotiated rates	297	percent of total billed charges	297	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	279	percent of total billed charges	279	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	United Healthcare	PPO		60	60% of all negotiated rates	372	percent of total billed charges	372	929	
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	415	fee schedule	415	885	Coinsurance and deductible may apply
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	415	fee schedule	415	885	Coinsurance and deductible may apply
CLOSED TX MEDIAL MALLEOLUS ANKLE FX WITH MANIPULATION	27762	CPT	45027762	LOCAL	450	RC		outpatient			929	790	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	415	fee schedule	415	885	Coinsurance and deductible may apply
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Aetna Medicare	HMO		26	26% of all negotiated rates	706	percent of total billed charges	706	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Alignment Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	477	percent of total billed charges	477	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Cigna	PPO		68	68% of all negotiated rates	305	percent of total billed charges	305	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Coalition	PPO		59	59% of all negotiated rates	391	percent of total billed charges	391	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Coventry	PPO		75	75% of all negotiated rates	239	percent of total billed charges	239	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	191	percent of total billed charges	191	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Humana-Commerical	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	One Health	PPO		55	55% of all negotiated rates	430	percent of total billed charges	430	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Optum Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	P3	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Select Health	HMO		41	41% of all negotiated rates	563	percent of total billed charges	563	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	635	percent of total billed charges	635	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Sierra/HPN	HMO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Silversummit Medicare	HMO		39	39% of all negotiated rates	582	percent of total billed charges	582	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Teachers Trust	PPO		68	68% of all negotiated rates	305	percent of total billed charges	305	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	286	percent of total billed charges	286	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	United Healthcare	PPO		60	60% of all negotiated rates	382	percent of total billed charges	382	954	
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	216	fee schedule	216	909	Coinsurance and deductible may apply
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	216	fee schedule	216	909	Coinsurance and deductible may apply
CLOSED TX METATARSAL FX WITH MANIPULATION EACH	28475	CPT	45028475	LOCAL	450	RC		outpatient			954	811	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	216	fee schedule	216	909	Coinsurance and deductible may apply
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Aetna Medicare	HMO		26	26% of all negotiated rates	427	percent of total billed charges	427	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Alignment Medicare	HMO		39	39% of all negotiated rates	352	percent of total billed charges	352	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	231	percent of total billed charges	231	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	289	percent of total billed charges	289	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	352	percent of total billed charges	352	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Cigna	PPO		68	68% of all negotiated rates	185	percent of total billed charges	185	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Coalition	PPO		59	59% of all negotiated rates	237	percent of total billed charges	237	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Coventry	PPO		75	75% of all negotiated rates	144	percent of total billed charges	144	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	116	percent of total billed charges	116	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Humana-Commerical	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	352	percent of total billed charges	352	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	One Health	PPO		55	55% of all negotiated rates	260	percent of total billed charges	260	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Optum Medicare	HMO		39	39% of all negotiated rates	352	percent of total billed charges	352	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	P3	HMO		39	39% of all negotiated rates	352	percent of total billed charges	352	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Select Health	HMO		41	41% of all negotiated rates	341	percent of total billed charges	341	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	384	percent of total billed charges	384	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Sierra/HPN	HMO		60	60% of all negotiated rates	231	percent of total billed charges	231	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Silversummit Medicare	HMO		39	39% of all negotiated rates	352	percent of total billed charges	352	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Teachers Trust	PPO		68	68% of all negotiated rates	185	percent of total billed charges	185	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	173	percent of total billed charges	173	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	United Healthcare	PPO		60	60% of all negotiated rates	231	percent of total billed charges	231	578	
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	224	fee schedule	224	550	Coinsurance and deductible may apply
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	224	fee schedule	224	550	Coinsurance and deductible may apply
CLOSED TX ULNAR SHAFT FX W/O MANIPULATION	25530	CPT	45025530	LOCAL	450	RC		outpatient			578	491	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	224	fee schedule	224	550	Coinsurance and deductible may apply
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Aetna Medicare	HMO		26	26% of all negotiated rates	575	percent of total billed charges	575	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Alignment Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	311	percent of total billed charges	311	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	389	percent of total billed charges	389	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Cigna	PPO		68	68% of all negotiated rates	249	percent of total billed charges	249	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Coalition	PPO		59	59% of all negotiated rates	319	percent of total billed charges	319	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Coventry	PPO		75	75% of all negotiated rates	194	percent of total billed charges	194	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	155	percent of total billed charges	155	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Humana-Commerical	PPO		70	70% of all negotiated rates	233	percent of total billed charges	233	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	One Health	PPO		55	55% of all negotiated rates	350	percent of total billed charges	350	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Optum Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	P3	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Select Health	HMO		41	41% of all negotiated rates	458	percent of total billed charges	458	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	517	percent of total billed charges	517	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Sierra/HPN	HMO		60	60% of all negotiated rates	311	percent of total billed charges	311	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Silversummit Medicare	HMO		39	39% of all negotiated rates	474	percent of total billed charges	474	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Teachers Trust	PPO		68	68% of all negotiated rates	249	percent of total billed charges	249	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	233	percent of total billed charges	233	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	United Healthcare	PPO		60	60% of all negotiated rates	311	percent of total billed charges	311	777	
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	740	Coinsurance and deductible may apply
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	740	Coinsurance and deductible may apply
CLSD TX FX GREAT TOE W/MANIP	28495	CPT	45028495	LOCAL	450	RC		outpatient			777	660	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	142	fee schedule	142	740	Coinsurance and deductible may apply
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Aetna Medicare	HMO		26	26% of all negotiated rates	506	percent of total billed charges	506	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Alignment Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	342	percent of total billed charges	342	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Cigna	PPO		68	68% of all negotiated rates	219	percent of total billed charges	219	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Coalition	PPO		59	59% of all negotiated rates	280	percent of total billed charges	280	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Coventry	PPO		75	75% of all negotiated rates	171	percent of total billed charges	171	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Humana-Commerical	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	One Health	PPO		55	55% of all negotiated rates	308	percent of total billed charges	308	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Optum Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	P3	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Select Health	HMO		41	41% of all negotiated rates	403	percent of total billed charges	403	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	455	percent of total billed charges	455	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Sierra/HPN	HMO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Silversummit Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Teachers Trust	PPO		68	68% of all negotiated rates	219	percent of total billed charges	219	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	United Healthcare	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	289	fee schedule	289	651	Coinsurance and deductible may apply
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	289	fee schedule	289	651	Coinsurance and deductible may apply
CLSD TX METACARPOPHALANGEAL DISLOC W/MANIP AND W/O ANEST	26700	CPT	45026700	LOCAL	450	RC		outpatient			684	581	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	289	fee schedule	289	651	Coinsurance and deductible may apply
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Aetna Medicare	HMO		26	26% of all negotiated rates	1007	percent of total billed charges	1007	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Alignment Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	544	percent of total billed charges	544	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	680	percent of total billed charges	680	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Cigna	PPO		68	68% of all negotiated rates	435	percent of total billed charges	435	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Coalition	PPO		59	59% of all negotiated rates	558	percent of total billed charges	558	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Coventry	PPO		75	75% of all negotiated rates	340	percent of total billed charges	340	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	272	percent of total billed charges	272	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Humana-Commerical	PPO		70	70% of all negotiated rates	408	percent of total billed charges	408	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	One Health	PPO		55	55% of all negotiated rates	612	percent of total billed charges	612	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Optum Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	P3	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Select Health	HMO		41	41% of all negotiated rates	803	percent of total billed charges	803	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	905	percent of total billed charges	905	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Sierra/HPN	HMO		60	60% of all negotiated rates	544	percent of total billed charges	544	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Silversummit Medicare	HMO		39	39% of all negotiated rates	830	percent of total billed charges	830	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Teachers Trust	PPO		68	68% of all negotiated rates	435	percent of total billed charges	435	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	408	percent of total billed charges	408	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	United Healthcare	PPO		60	60% of all negotiated rates	544	percent of total billed charges	544	1361	
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	376	fee schedule	376	1296	Coinsurance and deductible may apply
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	376	fee schedule	376	1296	Coinsurance and deductible may apply
CLSD TX SHOULDER DISLOCATION FX HUMERAL TUBEROSITY W/MANIP	23665	CPT	45023665	LOCAL	450	RC		outpatient			1361	1157	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	376	fee schedule	376	1296	Coinsurance and deductible may apply
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Aetna Medicare	HMO		26	26% of all negotiated rates	534	percent of total billed charges	534	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Alignment Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	289	percent of total billed charges	289	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	361	percent of total billed charges	361	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Cigna	PPO		68	68% of all negotiated rates	231	percent of total billed charges	231	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Coalition	PPO		59	59% of all negotiated rates	296	percent of total billed charges	296	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Coventry	PPO		75	75% of all negotiated rates	180	percent of total billed charges	180	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Humana-Commerical	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	One Health	PPO		55	55% of all negotiated rates	325	percent of total billed charges	325	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Optum Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	P3	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Select Health	HMO		41	41% of all negotiated rates	426	percent of total billed charges	426	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	480	percent of total billed charges	480	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Sierra/HPN	HMO		60	60% of all negotiated rates	289	percent of total billed charges	289	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Silversummit Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Teachers Trust	PPO		68	68% of all negotiated rates	231	percent of total billed charges	231	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	216	percent of total billed charges	216	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	United Healthcare	PPO		60	60% of all negotiated rates	289	percent of total billed charges	289	721	
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	687	Coinsurance and deductible may apply
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	687	Coinsurance and deductible may apply
CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	27816	CPT	45027816	LOCAL	450	RC		outpatient			721	613	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	272	fee schedule	272	687	Coinsurance and deductible may apply
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Aetna Medicare	HMO		26	26% of all negotiated rates	3854	percent of total billed charges	3854	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Alignment Medicare	HMO		39	39% of all negotiated rates	3177	percent of total billed charges	3177	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2083	percent of total billed charges	2083	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2604	percent of total billed charges	2604	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3177	percent of total billed charges	3177	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Cigna	PPO		68	68% of all negotiated rates	1667	percent of total billed charges	1667	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Coalition	PPO		59	59% of all negotiated rates	2135	percent of total billed charges	2135	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Coventry	PPO		75	75% of all negotiated rates	1302	percent of total billed charges	1302	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1042	percent of total billed charges	1042	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Humana-Commerical	PPO		70	70% of all negotiated rates	1562	percent of total billed charges	1562	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3177	percent of total billed charges	3177	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Multiplan	PPO		80	80% of all negotiated rates	1042	percent of total billed charges	1042	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	One Health	PPO		55	55% of all negotiated rates	2344	percent of total billed charges	2344	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Optum Medicare	HMO		39	39% of all negotiated rates	3177	percent of total billed charges	3177	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	P3	HMO		39	39% of all negotiated rates	3177	percent of total billed charges	3177	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1562	percent of total billed charges	1562	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Select Health	HMO		41	41% of all negotiated rates	3073	percent of total billed charges	3073	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3463	percent of total billed charges	3463	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Sierra/HPN	HMO		60	60% of all negotiated rates	2083	percent of total billed charges	2083	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Silversummit Medicare	HMO		39	39% of all negotiated rates	3177	percent of total billed charges	3177	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3385	percent of total billed charges	3385	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Teachers Trust	PPO		68	68% of all negotiated rates	1667	percent of total billed charges	1667	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	TriWest	PPO		30	30% of all negotiated rates	3646	percent of total billed charges	3646	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1562	percent of total billed charges	1562	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	United Healthcare	PPO		60	60% of all negotiated rates	2083	percent of total billed charges	2083	5208	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Aetna	PPO	1500		case rate	1500	case rate	1500	4960	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	206	fee schedule	206	4960	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	206	fee schedule	206	4960	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
Critical Care	99291	CPT	3230620	LOCAL	450	RC		outpatient			5208	4427	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	206	fee schedule	206	4960	0-30^per interval cumulative^30 Minutes^30^5279.00^^^^^^|31-74^per interval cumulative^Minutes^1^4960.00^^^^^^|75-999^per interval cumulative^30 Minutes^30^1811.00^^^^^^
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Aetna Medicare	HMO		26	26% of all negotiated rates	472	percent of total billed charges	472	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Alignment Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	255	percent of total billed charges	255	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	319	percent of total billed charges	319	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Cigna	PPO		68	68% of all negotiated rates	204	percent of total billed charges	204	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Coalition	PPO		59	59% of all negotiated rates	262	percent of total billed charges	262	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Coventry	PPO		75	75% of all negotiated rates	160	percent of total billed charges	160	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Humana-Commerical	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	One Health	PPO		55	55% of all negotiated rates	287	percent of total billed charges	287	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Optum Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	P3	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Select Health	HMO		41	41% of all negotiated rates	377	percent of total billed charges	377	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	425	percent of total billed charges	425	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Sierra/HPN	HMO		60	60% of all negotiated rates	255	percent of total billed charges	255	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Silversummit Medicare	HMO		39	39% of all negotiated rates	389	percent of total billed charges	389	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Teachers Trust	PPO		68	68% of all negotiated rates	204	percent of total billed charges	204	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	United Healthcare	PPO		60	60% of all negotiated rates	255	percent of total billed charges	255	638	
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	608	Coinsurance and deductible may apply
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	608	Coinsurance and deductible may apply
DRAIN EXTERNAL EAR CANAL ABSCESS	69020	CPT	45069020	LOCAL	450	RC		outpatient			638	543	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	608	Coinsurance and deductible may apply
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Aetna Medicare	HMO		26	26% of all negotiated rates	469	percent of total billed charges	469	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Alignment Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	317	percent of total billed charges	317	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Cigna	PPO		68	68% of all negotiated rates	203	percent of total billed charges	203	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Coalition	PPO		59	59% of all negotiated rates	260	percent of total billed charges	260	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Coventry	PPO		75	75% of all negotiated rates	158	percent of total billed charges	158	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	127	percent of total billed charges	127	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Humana-Commerical	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	One Health	PPO		55	55% of all negotiated rates	285	percent of total billed charges	285	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Optum Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	P3	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Select Health	HMO		41	41% of all negotiated rates	374	percent of total billed charges	374	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	421	percent of total billed charges	421	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Sierra/HPN	HMO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Silversummit Medicare	HMO		39	39% of all negotiated rates	386	percent of total billed charges	386	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Teachers Trust	PPO		68	68% of all negotiated rates	203	percent of total billed charges	203	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	190	percent of total billed charges	190	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	United Healthcare	PPO		60	60% of all negotiated rates	253	percent of total billed charges	253	633	
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	144	fee schedule	144	603	Coinsurance and deductible may apply
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	144	fee schedule	144	603	Coinsurance and deductible may apply
DRAINAGE OF GUM LESION	41800	CPT	45041800	LOCAL	450	RC		outpatient			633	538	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	144	fee schedule	144	603	Coinsurance and deductible may apply
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Aetna Medicare	HMO		26	26% of all negotiated rates	1816	percent of total billed charges	1816	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Alignment Medicare	HMO		39	39% of all negotiated rates	1497	percent of total billed charges	1497	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	982	percent of total billed charges	982	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1227	percent of total billed charges	1227	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1497	percent of total billed charges	1497	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Cigna	PPO		68	68% of all negotiated rates	785	percent of total billed charges	785	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Coalition	PPO		59	59% of all negotiated rates	1006	percent of total billed charges	1006	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Coventry	PPO		75	75% of all negotiated rates	613	percent of total billed charges	613	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	491	percent of total billed charges	491	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Humana-Commerical	PPO		70	70% of all negotiated rates	736	percent of total billed charges	736	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1497	percent of total billed charges	1497	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	One Health	PPO		55	55% of all negotiated rates	1104	percent of total billed charges	1104	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Optum Medicare	HMO		39	39% of all negotiated rates	1497	percent of total billed charges	1497	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	P3	HMO		39	39% of all negotiated rates	1497	percent of total billed charges	1497	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Select Health	HMO		41	41% of all negotiated rates	1448	percent of total billed charges	1448	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1632	percent of total billed charges	1632	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Sierra/HPN	HMO		60	60% of all negotiated rates	982	percent of total billed charges	982	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Silversummit Medicare	HMO		39	39% of all negotiated rates	1497	percent of total billed charges	1497	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Teachers Trust	PPO		68	68% of all negotiated rates	785	percent of total billed charges	785	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	736	percent of total billed charges	736	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	United Healthcare	PPO		60	60% of all negotiated rates	982	percent of total billed charges	982	2454	
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	2337	Coinsurance and deductible may apply
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	2337	Coinsurance and deductible may apply
EXC BENIGN LESION W/MARGINS EXCEPT SKIN TAG-SCALP-NECK-HAND	11421	CPT	24453387	LOCAL	450	RC		outpatient			2454	2086	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	2337	Coinsurance and deductible may apply
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Aetna Medicare	HMO		26	26% of all negotiated rates	3792	percent of total billed charges	3792	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Alignment Medicare	HMO		39	39% of all negotiated rates	3126	percent of total billed charges	3126	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2050	percent of total billed charges	2050	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2562	percent of total billed charges	2562	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3126	percent of total billed charges	3126	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Cigna	PPO		68	68% of all negotiated rates	1640	percent of total billed charges	1640	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Coalition	PPO		59	59% of all negotiated rates	2101	percent of total billed charges	2101	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Coventry	PPO		75	75% of all negotiated rates	1281	percent of total billed charges	1281	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1025	percent of total billed charges	1025	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Humana-Commerical	PPO		70	70% of all negotiated rates	1537	percent of total billed charges	1537	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3126	percent of total billed charges	3126	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	One Health	PPO		55	55% of all negotiated rates	2306	percent of total billed charges	2306	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Optum Medicare	HMO		39	39% of all negotiated rates	3126	percent of total billed charges	3126	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	P3	HMO		39	39% of all negotiated rates	3126	percent of total billed charges	3126	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Select Health	HMO		41	41% of all negotiated rates	3023	percent of total billed charges	3023	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3407	percent of total billed charges	3407	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Sierra/HPN	HMO		60	60% of all negotiated rates	2050	percent of total billed charges	2050	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Silversummit Medicare	HMO		39	39% of all negotiated rates	3126	percent of total billed charges	3126	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Teachers Trust	PPO		68	68% of all negotiated rates	1640	percent of total billed charges	1640	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1537	percent of total billed charges	1537	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	United Healthcare	PPO		60	60% of all negotiated rates	2050	percent of total billed charges	2050	5124	
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	625	fee schedule	625	4880	Coinsurance and deductible may apply
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	625	fee schedule	625	4880	Coinsurance and deductible may apply
EXC TUMOR SOFT TISSUE LEG/ANKLE > 5CM	27634	CPT	45027634	LOCAL	450	RC		outpatient			5124	4355	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	625	fee schedule	625	4880	Coinsurance and deductible may apply
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Aetna Medicare	HMO		26	26% of all negotiated rates	1152	percent of total billed charges	1152	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Alignment Medicare	HMO		39	39% of all negotiated rates	950	percent of total billed charges	950	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	623	percent of total billed charges	623	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	779	percent of total billed charges	779	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	950	percent of total billed charges	950	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Cigna	PPO		68	68% of all negotiated rates	498	percent of total billed charges	498	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Coalition	PPO		59	59% of all negotiated rates	638	percent of total billed charges	638	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Coventry	PPO		75	75% of all negotiated rates	389	percent of total billed charges	389	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	311	percent of total billed charges	311	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Humana-Commerical	PPO		70	70% of all negotiated rates	467	percent of total billed charges	467	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	950	percent of total billed charges	950	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	One Health	PPO		55	55% of all negotiated rates	701	percent of total billed charges	701	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Optum Medicare	HMO		39	39% of all negotiated rates	950	percent of total billed charges	950	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	P3	HMO		39	39% of all negotiated rates	950	percent of total billed charges	950	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Select Health	HMO		41	41% of all negotiated rates	919	percent of total billed charges	919	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1036	percent of total billed charges	1036	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Sierra/HPN	HMO		60	60% of all negotiated rates	623	percent of total billed charges	623	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Silversummit Medicare	HMO		39	39% of all negotiated rates	950	percent of total billed charges	950	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Teachers Trust	PPO		68	68% of all negotiated rates	498	percent of total billed charges	498	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	467	percent of total billed charges	467	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	United Healthcare	PPO		60	60% of all negotiated rates	623	percent of total billed charges	623	1557	
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1483	Coinsurance and deductible may apply
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1483	Coinsurance and deductible may apply
Excision Benign Lesion Including Margins 0.6-1.0 CM Trunk Ar	11401	CPT	45011401	LOCAL	450	RC		outpatient			1557	1324	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	98	fee schedule	98	1483	Coinsurance and deductible may apply
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Aetna Medicare	HMO		26	26% of all negotiated rates	2294	percent of total billed charges	2294	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Alignment Medicare	HMO		39	39% of all negotiated rates	1891	percent of total billed charges	1891	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1240	percent of total billed charges	1240	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1550	percent of total billed charges	1550	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1891	percent of total billed charges	1891	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Cigna	PPO		68	68% of all negotiated rates	992	percent of total billed charges	992	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Coalition	PPO		59	59% of all negotiated rates	1271	percent of total billed charges	1271	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Coventry	PPO		75	75% of all negotiated rates	775	percent of total billed charges	775	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	620	percent of total billed charges	620	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Humana-Commerical	PPO		70	70% of all negotiated rates	930	percent of total billed charges	930	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1891	percent of total billed charges	1891	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	One Health	PPO		55	55% of all negotiated rates	1395	percent of total billed charges	1395	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Optum Medicare	HMO		39	39% of all negotiated rates	1891	percent of total billed charges	1891	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	P3	HMO		39	39% of all negotiated rates	1891	percent of total billed charges	1891	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Select Health	HMO		41	41% of all negotiated rates	1829	percent of total billed charges	1829	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2061	percent of total billed charges	2061	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Sierra/HPN	HMO		60	60% of all negotiated rates	1240	percent of total billed charges	1240	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Silversummit Medicare	HMO		39	39% of all negotiated rates	1891	percent of total billed charges	1891	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Teachers Trust	PPO		68	68% of all negotiated rates	992	percent of total billed charges	992	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	930	percent of total billed charges	930	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	United Healthcare	PPO		60	60% of all negotiated rates	1240	percent of total billed charges	1240	3100	
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	2952	Coinsurance and deductible may apply
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	2952	Coinsurance and deductible may apply
INJ SINGLE TENDON SHEATH/LIGAMENT	20550	CPT	24453382	LOCAL	450	RC		outpatient			3100	2635	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	39	fee schedule	39	2952	Coinsurance and deductible may apply
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Aetna Medicare	HMO		26	26% of all negotiated rates	302	percent of total billed charges	302	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Alignment Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	204	percent of total billed charges	204	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Cigna	PPO		68	68% of all negotiated rates	131	percent of total billed charges	131	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Coalition	PPO		59	59% of all negotiated rates	167	percent of total billed charges	167	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	82	percent of total billed charges	82	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Humana-Commerical	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Multiplan	PPO		80	80% of all negotiated rates	82	percent of total billed charges	82	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	One Health	PPO		55	55% of all negotiated rates	184	percent of total billed charges	184	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Optum Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	P3	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Select Health	HMO		41	41% of all negotiated rates	241	percent of total billed charges	241	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	272	percent of total billed charges	272	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Silversummit Medicare	HMO		39	39% of all negotiated rates	249	percent of total billed charges	249	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	265	percent of total billed charges	265	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Teachers Trust	PPO		68	68% of all negotiated rates	131	percent of total billed charges	131	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	TriWest	PPO		30	30% of all negotiated rates	286	percent of total billed charges	286	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	123	percent of total billed charges	123	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	408	
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Aetna	PPO	1500		case rate	1500	case rate	1500	389	Coinsurance and deductible may apply
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	389	Coinsurance and deductible may apply
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	389	Coinsurance and deductible may apply
Level 1	99281	CPT	3239281	LOCAL	450	RC		outpatient			408	347	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	19	fee schedule	19	389	Coinsurance and deductible may apply
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Aetna Medicare	HMO		26	26% of all negotiated rates	522	percent of total billed charges	522	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Alignment Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	282	percent of total billed charges	282	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	353	percent of total billed charges	353	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Cigna	PPO		68	68% of all negotiated rates	226	percent of total billed charges	226	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Coalition	PPO		59	59% of all negotiated rates	289	percent of total billed charges	289	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Coventry	PPO		75	75% of all negotiated rates	176	percent of total billed charges	176	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	141	percent of total billed charges	141	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Humana-Commerical	PPO		70	70% of all negotiated rates	212	percent of total billed charges	212	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Multiplan	PPO		80	80% of all negotiated rates	141	percent of total billed charges	141	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	One Health	PPO		55	55% of all negotiated rates	318	percent of total billed charges	318	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Optum Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	P3	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	212	percent of total billed charges	212	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Select Health	HMO		41	41% of all negotiated rates	416	percent of total billed charges	416	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	469	percent of total billed charges	469	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Sierra/HPN	HMO		60	60% of all negotiated rates	282	percent of total billed charges	282	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Silversummit Medicare	HMO		39	39% of all negotiated rates	430	percent of total billed charges	430	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	459	percent of total billed charges	459	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Teachers Trust	PPO		68	68% of all negotiated rates	226	percent of total billed charges	226	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	TriWest	PPO		30	30% of all negotiated rates	494	percent of total billed charges	494	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	212	percent of total billed charges	212	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	United Healthcare	PPO		60	60% of all negotiated rates	282	percent of total billed charges	282	706	
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Aetna	PPO	1500		case rate	1500	case rate	1500	672	Coinsurance and deductible may apply
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	672	Coinsurance and deductible may apply
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	672	Coinsurance and deductible may apply
Level 2	99282	CPT	3239282	LOCAL	450	RC		outpatient			706	600	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	672	Coinsurance and deductible may apply
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Aetna Medicare	HMO		26	26% of all negotiated rates	1169	percent of total billed charges	1169	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Alignment Medicare	HMO		39	39% of all negotiated rates	964	percent of total billed charges	964	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	632	percent of total billed charges	632	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	790	percent of total billed charges	790	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	964	percent of total billed charges	964	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Cigna	PPO		68	68% of all negotiated rates	506	percent of total billed charges	506	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Coalition	PPO		59	59% of all negotiated rates	648	percent of total billed charges	648	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Coventry	PPO		75	75% of all negotiated rates	395	percent of total billed charges	395	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	316	percent of total billed charges	316	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Humana-Commerical	PPO		70	70% of all negotiated rates	474	percent of total billed charges	474	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	964	percent of total billed charges	964	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Multiplan	PPO		80	80% of all negotiated rates	316	percent of total billed charges	316	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	One Health	PPO		55	55% of all negotiated rates	711	percent of total billed charges	711	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Optum Medicare	HMO		39	39% of all negotiated rates	964	percent of total billed charges	964	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	P3	HMO		39	39% of all negotiated rates	964	percent of total billed charges	964	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	474	percent of total billed charges	474	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Select Health	HMO		41	41% of all negotiated rates	932	percent of total billed charges	932	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1051	percent of total billed charges	1051	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Sierra/HPN	HMO		60	60% of all negotiated rates	632	percent of total billed charges	632	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Silversummit Medicare	HMO		39	39% of all negotiated rates	964	percent of total billed charges	964	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1027	percent of total billed charges	1027	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Teachers Trust	PPO		68	68% of all negotiated rates	506	percent of total billed charges	506	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	TriWest	PPO		30	30% of all negotiated rates	1106	percent of total billed charges	1106	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	474	percent of total billed charges	474	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	United Healthcare	PPO		60	60% of all negotiated rates	632	percent of total billed charges	632	1580	
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Aetna	PPO	1500		case rate	1500	case rate	1500	1505	Coinsurance and deductible may apply
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	1505	Coinsurance and deductible may apply
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	1505	Coinsurance and deductible may apply
Level 3	99283	CPT	3239283	LOCAL	450	RC		outpatient			1580	1343	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	57	fee schedule	57	1505	Coinsurance and deductible may apply
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Aetna Medicare	HMO		26	26% of all negotiated rates	1969	percent of total billed charges	1969	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Alignment Medicare	HMO		39	39% of all negotiated rates	1623	percent of total billed charges	1623	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1064	percent of total billed charges	1064	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1330	percent of total billed charges	1330	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1623	percent of total billed charges	1623	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Cigna	PPO		68	68% of all negotiated rates	851	percent of total billed charges	851	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Coalition	PPO		59	59% of all negotiated rates	1091	percent of total billed charges	1091	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Coventry	PPO		75	75% of all negotiated rates	665	percent of total billed charges	665	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	532	percent of total billed charges	532	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Humana-Commerical	PPO		70	70% of all negotiated rates	798	percent of total billed charges	798	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1623	percent of total billed charges	1623	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Multiplan	PPO		80	80% of all negotiated rates	532	percent of total billed charges	532	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	One Health	PPO		55	55% of all negotiated rates	1197	percent of total billed charges	1197	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Optum Medicare	HMO		39	39% of all negotiated rates	1623	percent of total billed charges	1623	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	P3	HMO		39	39% of all negotiated rates	1623	percent of total billed charges	1623	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	798	percent of total billed charges	798	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Select Health	HMO		41	41% of all negotiated rates	1570	percent of total billed charges	1570	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1769	percent of total billed charges	1769	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Sierra/HPN	HMO		60	60% of all negotiated rates	1064	percent of total billed charges	1064	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Silversummit Medicare	HMO		39	39% of all negotiated rates	1623	percent of total billed charges	1623	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1729	percent of total billed charges	1729	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Teachers Trust	PPO		68	68% of all negotiated rates	851	percent of total billed charges	851	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	TriWest	PPO		30	30% of all negotiated rates	1862	percent of total billed charges	1862	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	798	percent of total billed charges	798	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	United Healthcare	PPO		60	60% of all negotiated rates	1064	percent of total billed charges	1064	2661	
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Aetna	PPO	1500		case rate	1500	case rate	1500	2534	Coinsurance and deductible may apply
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	108	fee schedule	108	2534	Coinsurance and deductible may apply
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	108	fee schedule	108	2534	Coinsurance and deductible may apply
Level 4	99284	CPT	3239284	LOCAL	450	RC		outpatient			2661	2262	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	108	fee schedule	108	2534	Coinsurance and deductible may apply
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Aetna Medicare	HMO		26	26% of all negotiated rates	2643	percent of total billed charges	2643	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Alignment Medicare	HMO		39	39% of all negotiated rates	2179	percent of total billed charges	2179	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1429	percent of total billed charges	1429	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1786	percent of total billed charges	1786	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2179	percent of total billed charges	2179	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Cigna	PPO		68	68% of all negotiated rates	1143	percent of total billed charges	1143	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Coalition	PPO		59	59% of all negotiated rates	1465	percent of total billed charges	1465	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Coventry	PPO		75	75% of all negotiated rates	893	percent of total billed charges	893	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	714	percent of total billed charges	714	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Humana-Commerical	PPO		70	70% of all negotiated rates	1072	percent of total billed charges	1072	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2179	percent of total billed charges	2179	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Multiplan	PPO		80	80% of all negotiated rates	714	percent of total billed charges	714	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	One Health	PPO		55	55% of all negotiated rates	1607	percent of total billed charges	1607	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Optum Medicare	HMO		39	39% of all negotiated rates	2179	percent of total billed charges	2179	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	P3	HMO		39	39% of all negotiated rates	2179	percent of total billed charges	2179	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1072	percent of total billed charges	1072	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Select Health	HMO		41	41% of all negotiated rates	2108	percent of total billed charges	2108	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2375	percent of total billed charges	2375	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Sierra/HPN	HMO		60	60% of all negotiated rates	1429	percent of total billed charges	1429	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Silversummit Medicare	HMO		39	39% of all negotiated rates	2179	percent of total billed charges	2179	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2322	percent of total billed charges	2322	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Teachers Trust	PPO		68	68% of all negotiated rates	1143	percent of total billed charges	1143	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	TriWest	PPO		30	30% of all negotiated rates	2500	percent of total billed charges	2500	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1072	percent of total billed charges	1072	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	United Healthcare	PPO		60	60% of all negotiated rates	1429	percent of total billed charges	1429	3572	
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Aetna	PPO	1500		case rate	1500	case rate	1500	3402	Coinsurance and deductible may apply
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	3402	Coinsurance and deductible may apply
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	3402	Coinsurance and deductible may apply
Level 5	99285	CPT	3239285	LOCAL	450	RC		outpatient			3572	3036	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	159	fee schedule	159	3402	Coinsurance and deductible may apply
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Aetna Medicare	HMO		26	26% of all negotiated rates	2067	percent of total billed charges	2067	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Alignment Medicare	HMO		39	39% of all negotiated rates	1704	percent of total billed charges	1704	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1117	percent of total billed charges	1117	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1397	percent of total billed charges	1397	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1704	percent of total billed charges	1704	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Cigna	PPO		68	68% of all negotiated rates	894	percent of total billed charges	894	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Coalition	PPO		59	59% of all negotiated rates	1145	percent of total billed charges	1145	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Coventry	PPO		75	75% of all negotiated rates	698	percent of total billed charges	698	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	559	percent of total billed charges	559	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Humana-Commerical	PPO		70	70% of all negotiated rates	838	percent of total billed charges	838	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1704	percent of total billed charges	1704	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	One Health	PPO		55	55% of all negotiated rates	1257	percent of total billed charges	1257	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Optum Medicare	HMO		39	39% of all negotiated rates	1704	percent of total billed charges	1704	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	P3	HMO		39	39% of all negotiated rates	1704	percent of total billed charges	1704	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Select Health	HMO		41	41% of all negotiated rates	1648	percent of total billed charges	1648	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1857	percent of total billed charges	1857	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Sierra/HPN	HMO		60	60% of all negotiated rates	1117	percent of total billed charges	1117	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Silversummit Medicare	HMO		39	39% of all negotiated rates	1704	percent of total billed charges	1704	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Teachers Trust	PPO		68	68% of all negotiated rates	894	percent of total billed charges	894	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	838	percent of total billed charges	838	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	United Healthcare	PPO		60	60% of all negotiated rates	1117	percent of total billed charges	1117	2793	
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	2660	Coinsurance and deductible may apply
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	2660	Coinsurance and deductible may apply
PERCUTANEOUS REMOVAL AND REPLACEMENT GTUBE	43762	CPT	45043762	LOCAL	450	RC		outpatient			2793	2374	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	2660	Coinsurance and deductible may apply
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Aetna Medicare	HMO		26	26% of all negotiated rates	473	percent of total billed charges	473	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Alignment Medicare	HMO		39	39% of all negotiated rates	390	percent of total billed charges	390	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	256	percent of total billed charges	256	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	320	percent of total billed charges	320	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	390	percent of total billed charges	390	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Cigna	PPO		68	68% of all negotiated rates	205	percent of total billed charges	205	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Coalition	PPO		59	59% of all negotiated rates	262	percent of total billed charges	262	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Coventry	PPO		75	75% of all negotiated rates	160	percent of total billed charges	160	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	128	percent of total billed charges	128	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Humana-Commerical	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	390	percent of total billed charges	390	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	One Health	PPO		55	55% of all negotiated rates	288	percent of total billed charges	288	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Optum Medicare	HMO		39	39% of all negotiated rates	390	percent of total billed charges	390	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	P3	HMO		39	39% of all negotiated rates	390	percent of total billed charges	390	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Select Health	HMO		41	41% of all negotiated rates	377	percent of total billed charges	377	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	425	percent of total billed charges	425	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Sierra/HPN	HMO		60	60% of all negotiated rates	256	percent of total billed charges	256	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Silversummit Medicare	HMO		39	39% of all negotiated rates	390	percent of total billed charges	390	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Teachers Trust	PPO		68	68% of all negotiated rates	205	percent of total billed charges	205	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	192	percent of total billed charges	192	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	United Healthcare	PPO		60	60% of all negotiated rates	256	percent of total billed charges	256	639	
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	124	fee schedule	124	609	Coinsurance and deductible may apply
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	124	fee schedule	124	609	Coinsurance and deductible may apply
REMOVE FOREIGN BODY LARYNX	31511	CPT	45031511	LOCAL	450	RC		outpatient			639	544	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	124	fee schedule	124	609	Coinsurance and deductible may apply
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Aetna Medicare	HMO		26	26% of all negotiated rates	2198	percent of total billed charges	2198	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Alignment Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1485	percent of total billed charges	1485	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Cigna	PPO		68	68% of all negotiated rates	951	percent of total billed charges	951	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Coalition	PPO		59	59% of all negotiated rates	1218	percent of total billed charges	1218	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Coventry	PPO		75	75% of all negotiated rates	743	percent of total billed charges	743	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	594	percent of total billed charges	594	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Humana-Commerical	PPO		70	70% of all negotiated rates	891	percent of total billed charges	891	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	One Health	PPO		55	55% of all negotiated rates	1337	percent of total billed charges	1337	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Optum Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	P3	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Select Health	HMO		41	41% of all negotiated rates	1753	percent of total billed charges	1753	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1975	percent of total billed charges	1975	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Sierra/HPN	HMO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Silversummit Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Teachers Trust	PPO		68	68% of all negotiated rates	951	percent of total billed charges	951	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	891	percent of total billed charges	891	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	United Healthcare	PPO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2970	
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	214	fee schedule	214	2829	Coinsurance and deductible may apply
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	214	fee schedule	214	2829	Coinsurance and deductible may apply
TRACHEOTOMY	31603	CPT	3236034	LOCAL	450	RC		outpatient			2970	2525	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	214	fee schedule	214	2829	Coinsurance and deductible may apply
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Aetna Medicare	HMO		26	26% of all negotiated rates	545	percent of total billed charges	545	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Alignment Medicare	HMO		39	39% of all negotiated rates	450	percent of total billed charges	450	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	295	percent of total billed charges	295	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	369	percent of total billed charges	369	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	450	percent of total billed charges	450	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Cigna	PPO		68	68% of all negotiated rates	236	percent of total billed charges	236	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Coalition	PPO		59	59% of all negotiated rates	302	percent of total billed charges	302	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Coventry	PPO		75	75% of all negotiated rates	184	percent of total billed charges	184	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	147	percent of total billed charges	147	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Humana-Commerical	PPO		70	70% of all negotiated rates	221	percent of total billed charges	221	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	450	percent of total billed charges	450	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	One Health	PPO		55	55% of all negotiated rates	332	percent of total billed charges	332	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Optum Medicare	HMO		39	39% of all negotiated rates	450	percent of total billed charges	450	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	P3	HMO		39	39% of all negotiated rates	450	percent of total billed charges	450	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Select Health	HMO		41	41% of all negotiated rates	435	percent of total billed charges	435	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	490	percent of total billed charges	490	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Sierra/HPN	HMO		60	60% of all negotiated rates	295	percent of total billed charges	295	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Silversummit Medicare	HMO		39	39% of all negotiated rates	450	percent of total billed charges	450	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Teachers Trust	PPO		68	68% of all negotiated rates	236	percent of total billed charges	236	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	221	percent of total billed charges	221	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	United Healthcare	PPO		60	60% of all negotiated rates	295	percent of total billed charges	295	737	
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	702	Coinsurance and deductible may apply
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	702	Coinsurance and deductible may apply
TRACHEOTOMY TUBE CHANGE	31502	CPT	45031502	LOCAL	450	RC		outpatient			737	627	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	33	fee schedule	33	702	Coinsurance and deductible may apply
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Aetna Medicare	HMO		26	26% of all negotiated rates	604	percent of total billed charges	604	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Alignment Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	326	percent of total billed charges	326	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	408	percent of total billed charges	408	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Cigna	PPO		68	68% of all negotiated rates	261	percent of total billed charges	261	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Coalition	PPO		59	59% of all negotiated rates	334	percent of total billed charges	334	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Coventry	PPO		75	75% of all negotiated rates	204	percent of total billed charges	204	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	163	percent of total billed charges	163	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Humana-Commerical	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	One Health	PPO		55	55% of all negotiated rates	367	percent of total billed charges	367	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Optum Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	P3	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Select Health	HMO		41	41% of all negotiated rates	481	percent of total billed charges	481	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	543	percent of total billed charges	543	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Sierra/HPN	HMO		60	60% of all negotiated rates	326	percent of total billed charges	326	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Silversummit Medicare	HMO		39	39% of all negotiated rates	498	percent of total billed charges	498	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Teachers Trust	PPO		68	68% of all negotiated rates	261	percent of total billed charges	261	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	245	percent of total billed charges	245	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	United Healthcare	PPO		60	60% of all negotiated rates	326	percent of total billed charges	326	816	
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	473	fee schedule	473	777	Coinsurance and deductible may apply
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	473	fee schedule	473	777	Coinsurance and deductible may apply
TX THIGH FRACTURE	27501	CPT	45027501	LOCAL	450	RC		outpatient			816	693	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	473	fee schedule	473	777	Coinsurance and deductible may apply
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Aetna Medicare	HMO		26	26% of all negotiated rates	218	percent of total billed charges	218	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Alignment Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	148	percent of total billed charges	148	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Cigna	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Coalition	PPO		59	59% of all negotiated rates	121	percent of total billed charges	121	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Coventry	PPO		75	75% of all negotiated rates	74	percent of total billed charges	74	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	59	percent of total billed charges	59	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Humana-Commerical	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	One Health	PPO		55	55% of all negotiated rates	133	percent of total billed charges	133	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Optum Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	P3	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Select Health	HMO		41	41% of all negotiated rates	174	percent of total billed charges	174	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	196	percent of total billed charges	196	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Sierra/HPN	HMO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Silversummit Medicare	HMO		39	39% of all negotiated rates	180	percent of total billed charges	180	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Teachers Trust	PPO		68	68% of all negotiated rates	94	percent of total billed charges	94	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	89	percent of total billed charges	89	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	United Healthcare	PPO		60	60% of all negotiated rates	118	percent of total billed charges	118	295	
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	281	Coinsurance and deductible may apply
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	281	Coinsurance and deductible may apply
UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE	69209	CPT	45069209	LOCAL	450	RC		outpatient			295	251	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	12	fee schedule	12	281	Coinsurance and deductible may apply
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Aetna	PPO		38	38% of all negotiated rates	765	percent of total billed charges	765	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Aetna Medicare	HMO		26	26% of all negotiated rates	913	percent of total billed charges	913	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Alignment Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	617	percent of total billed charges	617	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Cigna	PPO		68	68% of all negotiated rates	395	percent of total billed charges	395	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Coalition	PPO		59	59% of all negotiated rates	506	percent of total billed charges	506	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Coventry	PPO		75	75% of all negotiated rates	308	percent of total billed charges	308	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Humana-Commerical	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Multiplan	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	One Health	PPO		55	55% of all negotiated rates	555	percent of total billed charges	555	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Optum Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	P3	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Select Health	HMO		41	41% of all negotiated rates	728	percent of total billed charges	728	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	820	percent of total billed charges	820	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Sierra/HPN	HMO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Silversummit Medicare	HMO		39	39% of all negotiated rates	753	percent of total billed charges	753	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	802	percent of total billed charges	802	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Teachers Trust	PPO		65	65% of all negotiated rates	432	percent of total billed charges	432	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	TriWest	PPO		30	30% of all negotiated rates	864	percent of total billed charges	864	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	370	percent of total billed charges	370	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	United Healthcare	PPO		60	60% of all negotiated rates	494	percent of total billed charges	494	1234	
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	54	fee schedule	54	1175	Coinsurance and deductible may apply
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	54	fee schedule	54	1175	Coinsurance and deductible may apply
BRONCHOSPASM EVALUAT	94060	CPT	4160601	LOCAL	460	RC		outpatient			1234	1049	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	54	fee schedule	54	1175	Coinsurance and deductible may apply
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Aetna	PPO		38	38% of all negotiated rates	429	percent of total billed charges	429	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Aetna Medicare	HMO		26	26% of all negotiated rates	512	percent of total billed charges	512	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Alignment Medicare	HMO		39	39% of all negotiated rates	422	percent of total billed charges	422	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	277	percent of total billed charges	277	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	346	percent of total billed charges	346	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	422	percent of total billed charges	422	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Cigna	PPO		68	68% of all negotiated rates	221	percent of total billed charges	221	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Coalition	PPO		59	59% of all negotiated rates	284	percent of total billed charges	284	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Coventry	PPO		75	75% of all negotiated rates	173	percent of total billed charges	173	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Humana-Commerical	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	422	percent of total billed charges	422	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	One Health	PPO		55	55% of all negotiated rates	311	percent of total billed charges	311	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Optum Medicare	HMO		39	39% of all negotiated rates	422	percent of total billed charges	422	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	P3	HMO		39	39% of all negotiated rates	422	percent of total billed charges	422	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Select Health	HMO		41	41% of all negotiated rates	408	percent of total billed charges	408	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	460	percent of total billed charges	460	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Sierra/HPN	HMO		60	60% of all negotiated rates	277	percent of total billed charges	277	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Silversummit Medicare	HMO		39	39% of all negotiated rates	422	percent of total billed charges	422	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	450	percent of total billed charges	450	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Teachers Trust	PPO		65	65% of all negotiated rates	242	percent of total billed charges	242	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	TriWest	PPO		30	30% of all negotiated rates	484	percent of total billed charges	484	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	208	percent of total billed charges	208	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	United Healthcare	PPO		60	60% of all negotiated rates	277	percent of total billed charges	277	692	
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	659	Coinsurance and deductible may apply
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	659	Coinsurance and deductible may apply
DIFFUSING CAPACITY-CARBON	94729	CPT	4167202	LOCAL	460	RC		outpatient			692	588	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	659	Coinsurance and deductible may apply
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Aetna	PPO		38	38% of all negotiated rates	402	percent of total billed charges	402	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Aetna Medicare	HMO		26	26% of all negotiated rates	479	percent of total billed charges	479	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Alignment Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	259	percent of total billed charges	259	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	324	percent of total billed charges	324	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Cigna	PPO		68	68% of all negotiated rates	207	percent of total billed charges	207	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Coalition	PPO		59	59% of all negotiated rates	266	percent of total billed charges	266	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Coventry	PPO		75	75% of all negotiated rates	162	percent of total billed charges	162	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	130	percent of total billed charges	130	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Humana-Commerical	PPO		70	70% of all negotiated rates	194	percent of total billed charges	194	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Multiplan	PPO		80	80% of all negotiated rates	130	percent of total billed charges	130	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	One Health	PPO		55	55% of all negotiated rates	292	percent of total billed charges	292	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Optum Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	P3	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	194	percent of total billed charges	194	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Select Health	HMO		41	41% of all negotiated rates	382	percent of total billed charges	382	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	431	percent of total billed charges	431	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Sierra/HPN	HMO		60	60% of all negotiated rates	259	percent of total billed charges	259	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Silversummit Medicare	HMO		39	39% of all negotiated rates	395	percent of total billed charges	395	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	421	percent of total billed charges	421	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Teachers Trust	PPO		65	65% of all negotiated rates	227	percent of total billed charges	227	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	TriWest	PPO		30	30% of all negotiated rates	453	percent of total billed charges	453	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	194	percent of total billed charges	194	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	United Healthcare	PPO		60	60% of all negotiated rates	259	percent of total billed charges	259	648	
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	617	Coinsurance and deductible may apply
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	617	Coinsurance and deductible may apply
GAS DILUTION/WASHOUT DETE	94727	CPT	4162402	LOCAL	460	RC		outpatient			648	551	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	38	fee schedule	38	617	Coinsurance and deductible may apply
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Aetna	PPO		38	38% of all negotiated rates	115	percent of total billed charges	115	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Aetna Medicare	HMO		26	26% of all negotiated rates	137	percent of total billed charges	137	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Alignment Medicare	HMO		39	39% of all negotiated rates	113	percent of total billed charges	113	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	74	percent of total billed charges	74	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	92	percent of total billed charges	92	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	113	percent of total billed charges	113	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Cigna	PPO		68	68% of all negotiated rates	59	percent of total billed charges	59	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Coalition	PPO		59	59% of all negotiated rates	76	percent of total billed charges	76	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Coventry	PPO		75	75% of all negotiated rates	46	percent of total billed charges	46	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Humana-Commerical	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	113	percent of total billed charges	113	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Multiplan	PPO		80	80% of all negotiated rates	37	percent of total billed charges	37	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	One Health	PPO		55	55% of all negotiated rates	83	percent of total billed charges	83	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Optum Medicare	HMO		39	39% of all negotiated rates	113	percent of total billed charges	113	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	P3	HMO		39	39% of all negotiated rates	113	percent of total billed charges	113	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Select Health	HMO		41	41% of all negotiated rates	109	percent of total billed charges	109	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	123	percent of total billed charges	123	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Sierra/HPN	HMO		60	60% of all negotiated rates	74	percent of total billed charges	74	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Silversummit Medicare	HMO		39	39% of all negotiated rates	113	percent of total billed charges	113	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	120	percent of total billed charges	120	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Teachers Trust	PPO		65	65% of all negotiated rates	65	percent of total billed charges	65	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	TriWest	PPO		30	30% of all negotiated rates	129	percent of total billed charges	129	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	55	percent of total billed charges	55	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	United Healthcare	PPO		60	60% of all negotiated rates	74	percent of total billed charges	74	185	
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	176	Coinsurance and deductible may apply
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	176	Coinsurance and deductible may apply
INHALATION TREATMENT	94640	CPT	3230046	LOCAL	460	RC		outpatient			185	157	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	176	Coinsurance and deductible may apply
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Aetna	PPO		38	38% of all negotiated rates	16	percent of total billed charges	16	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Aetna Medicare	HMO		26	26% of all negotiated rates	19	percent of total billed charges	19	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Alignment Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	13	percent of total billed charges	13	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Cigna	PPO		68	68% of all negotiated rates	8	percent of total billed charges	8	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Coalition	PPO		59	59% of all negotiated rates	10	percent of total billed charges	10	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Humana-Commerical	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Multiplan	PPO		80	80% of all negotiated rates	5	percent of total billed charges	5	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	One Health	PPO		55	55% of all negotiated rates	11	percent of total billed charges	11	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Optum Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	P3	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Select Health	HMO		41	41% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	17	percent of total billed charges	17	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Sierra/HPN	HMO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Silversummit Medicare	HMO		39	39% of all negotiated rates	15	percent of total billed charges	15	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	16	percent of total billed charges	16	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Teachers Trust	PPO		65	65% of all negotiated rates	9	percent of total billed charges	9	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	TriWest	PPO		30	30% of all negotiated rates	18	percent of total billed charges	18	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	8	percent of total billed charges	8	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	United Healthcare	PPO		60	60% of all negotiated rates	10	percent of total billed charges	10	25	
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	24	Coinsurance and deductible may apply
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	24	Coinsurance and deductible may apply
PULSE OXIMETRY	94760	CPT	4163712	LOCAL	460	RC		outpatient			25	21	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3	fee schedule	3	24	Coinsurance and deductible may apply
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Aetna	PPO		38	38% of all negotiated rates	424	percent of total billed charges	424	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Aetna Medicare	HMO		26	26% of all negotiated rates	506	percent of total billed charges	506	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Alignment Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	342	percent of total billed charges	342	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Cigna	PPO		68	68% of all negotiated rates	219	percent of total billed charges	219	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Coalition	PPO		59	59% of all negotiated rates	280	percent of total billed charges	280	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Coventry	PPO		75	75% of all negotiated rates	171	percent of total billed charges	171	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Humana-Commerical	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Multiplan	PPO		80	80% of all negotiated rates	137	percent of total billed charges	137	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	One Health	PPO		55	55% of all negotiated rates	308	percent of total billed charges	308	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Optum Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	P3	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Select Health	HMO		41	41% of all negotiated rates	403	percent of total billed charges	403	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	455	percent of total billed charges	455	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Sierra/HPN	HMO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Silversummit Medicare	HMO		39	39% of all negotiated rates	417	percent of total billed charges	417	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	444	percent of total billed charges	444	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Teachers Trust	PPO		65	65% of all negotiated rates	239	percent of total billed charges	239	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	TriWest	PPO		30	30% of all negotiated rates	478	percent of total billed charges	478	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	205	percent of total billed charges	205	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	United Healthcare	PPO		60	60% of all negotiated rates	273	percent of total billed charges	273	684	
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	651	Coinsurance and deductible may apply
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	651	Coinsurance and deductible may apply
SPIROMETRY (PFT)	94010	CPT	4160106	LOCAL	460	RC		outpatient			684	581	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	32	fee schedule	32	651	Coinsurance and deductible may apply
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Aetna	PPO		38	38% of all negotiated rates	252	percent of total billed charges	252	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Aetna Medicare	HMO		26	26% of all negotiated rates	301	percent of total billed charges	301	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Alignment Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	203	percent of total billed charges	203	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Cigna	PPO		68	68% of all negotiated rates	130	percent of total billed charges	130	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Coventry	PPO		75	75% of all negotiated rates	102	percent of total billed charges	102	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Humana-Commerical	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Multiplan	PPO		80	80% of all negotiated rates	81	percent of total billed charges	81	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Optum Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	P3	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Select Health	HMO		41	41% of all negotiated rates	240	percent of total billed charges	240	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	270	percent of total billed charges	270	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Sierra/HPN	HMO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Silversummit Medicare	HMO		39	39% of all negotiated rates	248	percent of total billed charges	248	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	264	percent of total billed charges	264	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	TriWest	PPO		30	30% of all negotiated rates	284	percent of total billed charges	284	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	122	percent of total billed charges	122	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	United Healthcare	PPO		60	60% of all negotiated rates	163	percent of total billed charges	163	406	
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Coalition	PPO	25	 	case rate	25	case rate	25	387	Coinsurance and deductible may apply
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	68	fee schedule	68	387	Coinsurance and deductible may apply
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	One Health	PPO	200		case rate	200	case rate	200	387	200. cap on PT per visit
ST Eval of Auditory Rehab Status Charge	92626	CPT	4513721	LOCAL	471	RC		outpatient			406	345	Teachers Trust	PPO	103	 	case rate	103	case rate	103	387	Coinsurance and deductible may apply
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Aetna	PPO		38	38% of all negotiated rates	1259	percent of total billed charges	1259	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Aetna Medicare	HMO		26	26% of all negotiated rates	1503	percent of total billed charges	1503	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Alignment Medicare	HMO		39	39% of all negotiated rates	1239	percent of total billed charges	1239	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	812	percent of total billed charges	812	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1015	percent of total billed charges	1015	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1239	percent of total billed charges	1239	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Cigna	PPO		68	68% of all negotiated rates	650	percent of total billed charges	650	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Coventry	PPO		75	75% of all negotiated rates	508	percent of total billed charges	508	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	406	percent of total billed charges	406	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Humana-Commerical	PPO		70	70% of all negotiated rates	609	percent of total billed charges	609	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1239	percent of total billed charges	1239	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Multiplan	PPO		80	80% of all negotiated rates	406	percent of total billed charges	406	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Optum Medicare	HMO		39	39% of all negotiated rates	1239	percent of total billed charges	1239	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	P3	HMO		39	39% of all negotiated rates	1239	percent of total billed charges	1239	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	609	percent of total billed charges	609	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Select Health	HMO		41	41% of all negotiated rates	1198	percent of total billed charges	1198	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1350	percent of total billed charges	1350	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Sierra/HPN	HMO		60	60% of all negotiated rates	812	percent of total billed charges	812	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Silversummit Medicare	HMO		39	39% of all negotiated rates	1239	percent of total billed charges	1239	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1320	percent of total billed charges	1320	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Teachers Trust	PPO		65	65% of all negotiated rates	711	percent of total billed charges	711	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	TriWest	PPO		30	30% of all negotiated rates	1421	percent of total billed charges	1421	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	609	percent of total billed charges	609	2031	
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	1934	Coinsurance and deductible may apply
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	1934	Coinsurance and deductible may apply
92960 CARDIOVERSION IN ICU CHARGE	92960	CPT	3030058	LOCAL	480	RC		outpatient			2031	1726	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	1934	Coinsurance and deductible may apply
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Aetna	PPO		38	38% of all negotiated rates	221	percent of total billed charges	221	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Aetna Medicare	HMO		26	26% of all negotiated rates	264	percent of total billed charges	264	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Alignment Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	179	percent of total billed charges	179	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Coalition	PPO		59	59% of all negotiated rates	146	percent of total billed charges	146	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Humana-Commerical	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	One Health	PPO		55	55% of all negotiated rates	161	percent of total billed charges	161	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Optum Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	P3	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Select Health	HMO		41	41% of all negotiated rates	211	percent of total billed charges	211	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	237	percent of total billed charges	237	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Sierra/HPN	HMO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Silversummit Medicare	HMO		39	39% of all negotiated rates	218	percent of total billed charges	218	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	232	percent of total billed charges	232	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Teachers Trust	PPO		65	65% of all negotiated rates	125	percent of total billed charges	125	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	TriWest	PPO		30	30% of all negotiated rates	250	percent of total billed charges	250	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	107	percent of total billed charges	107	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	United Healthcare	PPO		60	60% of all negotiated rates	143	percent of total billed charges	143	357	
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	340	Coinsurance and deductible may apply
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	340	Coinsurance and deductible may apply
93503 SWAN GANZ CARDIAC - CHARGE	93503	CPT	3033710	LOCAL	480	RC		outpatient			357	303	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	115	fee schedule	115	340	Coinsurance and deductible may apply
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Aetna	PPO		38	38% of all negotiated rates	585	percent of total billed charges	585	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Aetna Medicare	HMO		26	26% of all negotiated rates	699	percent of total billed charges	699	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Alignment Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	472	percent of total billed charges	472	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Cigna	PPO		68	68% of all negotiated rates	302	percent of total billed charges	302	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Coalition	PPO		59	59% of all negotiated rates	387	percent of total billed charges	387	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Coventry	PPO		75	75% of all negotiated rates	236	percent of total billed charges	236	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	189	percent of total billed charges	189	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Humana-Commerical	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Multiplan	PPO		80	80% of all negotiated rates	189	percent of total billed charges	189	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	One Health	PPO		55	55% of all negotiated rates	425	percent of total billed charges	425	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Optum Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	P3	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Select Health	HMO		41	41% of all negotiated rates	557	percent of total billed charges	557	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	628	percent of total billed charges	628	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Sierra/HPN	HMO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Silversummit Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	614	percent of total billed charges	614	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Teachers Trust	PPO		65	65% of all negotiated rates	330	percent of total billed charges	330	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	TriWest	PPO		30	30% of all negotiated rates	661	percent of total billed charges	661	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	United Healthcare	PPO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	899	Coinsurance and deductible may apply
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	899	Coinsurance and deductible may apply
93017 TREADMILL CHARGE	93017	CPT	3020156	LOCAL	482	RC		outpatient			944	802	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	35	fee schedule	35	899	Coinsurance and deductible may apply
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Aetna	PPO		38	38% of all negotiated rates	2965	percent of total billed charges	2965	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Aetna	PPO		38	38% of all negotiated rates	2965	percent of total billed charges	2965	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Aetna Medicare	HMO		26	26% of all negotiated rates	3538	percent of total billed charges	3538	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Aetna Medicare	HMO		26	26% of all negotiated rates	3538	percent of total billed charges	3538	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Alignment Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Alignment Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2391	percent of total billed charges	2391	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2391	percent of total billed charges	2391	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Cigna	PPO		68	68% of all negotiated rates	1530	percent of total billed charges	1530	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Cigna	PPO		68	68% of all negotiated rates	1530	percent of total billed charges	1530	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Coalition	PPO		59	59% of all negotiated rates	1960	percent of total billed charges	1960	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Coalition	PPO		59	59% of all negotiated rates	1960	percent of total billed charges	1960	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Coventry	PPO		75	75% of all negotiated rates	1195	percent of total billed charges	1195	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Coventry	PPO		75	75% of all negotiated rates	1195	percent of total billed charges	1195	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Humana-Commerical	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Humana-Commerical	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Multiplan	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Multiplan	PPO		80	80% of all negotiated rates	956	percent of total billed charges	956	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	One Health	PPO		55	55% of all negotiated rates	2152	percent of total billed charges	2152	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	One Health	PPO		55	55% of all negotiated rates	2152	percent of total billed charges	2152	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Optum Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Optum Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	P3	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	P3	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Select Health	HMO		41	41% of all negotiated rates	2821	percent of total billed charges	2821	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Select Health	HMO		41	41% of all negotiated rates	2821	percent of total billed charges	2821	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3180	percent of total billed charges	3180	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3180	percent of total billed charges	3180	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Sierra/HPN	HMO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Sierra/HPN	HMO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Silversummit Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Silversummit Medicare	HMO		39	39% of all negotiated rates	2917	percent of total billed charges	2917	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3108	percent of total billed charges	3108	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3108	percent of total billed charges	3108	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Teachers Trust	PPO		65	65% of all negotiated rates	1674	percent of total billed charges	1674	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Teachers Trust	PPO		65	65% of all negotiated rates	1674	percent of total billed charges	1674	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	TriWest	PPO		30	30% of all negotiated rates	3347	percent of total billed charges	3347	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	TriWest	PPO		30	30% of all negotiated rates	3347	percent of total billed charges	3347	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1435	percent of total billed charges	1435	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	United Healthcare	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	United Healthcare	PPO		60	60% of all negotiated rates	1913	percent of total billed charges	1913	4782	
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	4554	Coinsurance and deductible may apply
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	4554	Coinsurance and deductible may apply
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	4554	Coinsurance and deductible may apply
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	4554	Coinsurance and deductible may apply
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	4554	Coinsurance and deductible may apply
93306 TT ECHO COMPLETE CHARGE	93306	CPT	4183306	LOCAL	483	RC		outpatient			4782	4064	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	204	fee schedule	204	4554	Coinsurance and deductible may apply
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Aetna	PPO		38	38% of all negotiated rates	1430	percent of total billed charges	1430	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Aetna	PPO		38	38% of all negotiated rates	1430	percent of total billed charges	1430	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Aetna Medicare	HMO		26	26% of all negotiated rates	1706	percent of total billed charges	1706	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Aetna Medicare	HMO		26	26% of all negotiated rates	1706	percent of total billed charges	1706	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Alignment Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Alignment Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	922	percent of total billed charges	922	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	922	percent of total billed charges	922	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1153	percent of total billed charges	1153	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1153	percent of total billed charges	1153	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Cigna	PPO		68	68% of all negotiated rates	738	percent of total billed charges	738	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Cigna	PPO		68	68% of all negotiated rates	738	percent of total billed charges	738	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Coalition	PPO		59	59% of all negotiated rates	945	percent of total billed charges	945	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Coalition	PPO		59	59% of all negotiated rates	945	percent of total billed charges	945	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Coventry	PPO		75	75% of all negotiated rates	576	percent of total billed charges	576	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Coventry	PPO		75	75% of all negotiated rates	576	percent of total billed charges	576	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	461	percent of total billed charges	461	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	461	percent of total billed charges	461	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Humana-Commerical	PPO		70	70% of all negotiated rates	692	percent of total billed charges	692	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Humana-Commerical	PPO		70	70% of all negotiated rates	692	percent of total billed charges	692	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Multiplan	PPO		80	80% of all negotiated rates	461	percent of total billed charges	461	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Multiplan	PPO		80	80% of all negotiated rates	461	percent of total billed charges	461	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	One Health	PPO		55	55% of all negotiated rates	1038	percent of total billed charges	1038	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	One Health	PPO		55	55% of all negotiated rates	1038	percent of total billed charges	1038	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Optum Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Optum Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	P3	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	P3	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	692	percent of total billed charges	692	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	692	percent of total billed charges	692	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Select Health	HMO		41	41% of all negotiated rates	1360	percent of total billed charges	1360	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Select Health	HMO		41	41% of all negotiated rates	1360	percent of total billed charges	1360	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1533	percent of total billed charges	1533	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1533	percent of total billed charges	1533	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Sierra/HPN	HMO		60	60% of all negotiated rates	922	percent of total billed charges	922	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Sierra/HPN	HMO		60	60% of all negotiated rates	922	percent of total billed charges	922	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Silversummit Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Silversummit Medicare	HMO		39	39% of all negotiated rates	1407	percent of total billed charges	1407	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1499	percent of total billed charges	1499	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1499	percent of total billed charges	1499	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Teachers Trust	PPO		65	65% of all negotiated rates	807	percent of total billed charges	807	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Teachers Trust	PPO		65	65% of all negotiated rates	807	percent of total billed charges	807	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	TriWest	PPO		30	30% of all negotiated rates	1614	percent of total billed charges	1614	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	TriWest	PPO		30	30% of all negotiated rates	1614	percent of total billed charges	1614	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	692	percent of total billed charges	692	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	692	percent of total billed charges	692	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	United Healthcare	PPO		60	60% of all negotiated rates	922	percent of total billed charges	922	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	United Healthcare	PPO		60	60% of all negotiated rates	922	percent of total billed charges	922	2306	
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	117	fee schedule	117	2196	Coinsurance and deductible may apply
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	117	fee schedule	117	2196	Coinsurance and deductible may apply
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	117	fee schedule	117	2196	Coinsurance and deductible may apply
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	117	fee schedule	117	2196	Coinsurance and deductible may apply
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	117	fee schedule	117	2196	Coinsurance and deductible may apply
93307 ECHOCARDIOGRAM  2D M CHARGE	93307	CPT	4183077	LOCAL	483	RC		outpatient			2306	1960	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	117	fee schedule	117	2196	Coinsurance and deductible may apply
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Aetna	PPO		38	38% of all negotiated rates	585	percent of total billed charges	585	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Aetna	PPO		38	38% of all negotiated rates	585	percent of total billed charges	585	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Aetna Medicare	HMO		26	26% of all negotiated rates	699	percent of total billed charges	699	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Aetna Medicare	HMO		26	26% of all negotiated rates	699	percent of total billed charges	699	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Alignment Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Alignment Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	472	percent of total billed charges	472	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	472	percent of total billed charges	472	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Cigna	PPO		68	68% of all negotiated rates	302	percent of total billed charges	302	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Cigna	PPO		68	68% of all negotiated rates	302	percent of total billed charges	302	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Coalition	PPO		59	59% of all negotiated rates	387	percent of total billed charges	387	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Coalition	PPO		59	59% of all negotiated rates	387	percent of total billed charges	387	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Coventry	PPO		75	75% of all negotiated rates	236	percent of total billed charges	236	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Coventry	PPO		75	75% of all negotiated rates	236	percent of total billed charges	236	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	189	percent of total billed charges	189	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	189	percent of total billed charges	189	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Humana-Commerical	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Humana-Commerical	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Multiplan	PPO		80	80% of all negotiated rates	189	percent of total billed charges	189	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Multiplan	PPO		80	80% of all negotiated rates	189	percent of total billed charges	189	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	One Health	PPO		55	55% of all negotiated rates	425	percent of total billed charges	425	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	One Health	PPO		55	55% of all negotiated rates	425	percent of total billed charges	425	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Optum Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Optum Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	P3	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	P3	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Select Health	HMO		41	41% of all negotiated rates	557	percent of total billed charges	557	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Select Health	HMO		41	41% of all negotiated rates	557	percent of total billed charges	557	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	628	percent of total billed charges	628	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	628	percent of total billed charges	628	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Sierra/HPN	HMO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Sierra/HPN	HMO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Silversummit Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Silversummit Medicare	HMO		39	39% of all negotiated rates	576	percent of total billed charges	576	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	614	percent of total billed charges	614	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	614	percent of total billed charges	614	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Teachers Trust	PPO		65	65% of all negotiated rates	330	percent of total billed charges	330	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Teachers Trust	PPO		65	65% of all negotiated rates	330	percent of total billed charges	330	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	TriWest	PPO		30	30% of all negotiated rates	661	percent of total billed charges	661	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	TriWest	PPO		30	30% of all negotiated rates	661	percent of total billed charges	661	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	283	percent of total billed charges	283	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	United Healthcare	PPO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	United Healthcare	PPO		60	60% of all negotiated rates	378	percent of total billed charges	378	944	
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	899	Coinsurance and deductible may apply
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	899	Coinsurance and deductible may apply
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	899	Coinsurance and deductible may apply
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	899	Coinsurance and deductible may apply
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	899	Coinsurance and deductible may apply
93320 DOPPLER CARDIAC CHARGE	93320	CPT	4183200	LOCAL	483	RC		outpatient			944	802	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	49	fee schedule	49	899	Coinsurance and deductible may apply
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Aetna	PPO		38	38% of all negotiated rates	767	percent of total billed charges	767	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Aetna	PPO		38	38% of all negotiated rates	767	percent of total billed charges	767	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Aetna Medicare	HMO		26	26% of all negotiated rates	915	percent of total billed charges	915	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Aetna Medicare	HMO		26	26% of all negotiated rates	915	percent of total billed charges	915	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Alignment Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Alignment Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	495	percent of total billed charges	495	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	495	percent of total billed charges	495	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	618	percent of total billed charges	618	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	618	percent of total billed charges	618	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Cigna	PPO		68	68% of all negotiated rates	396	percent of total billed charges	396	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Cigna	PPO		68	68% of all negotiated rates	396	percent of total billed charges	396	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Coalition	PPO		59	59% of all negotiated rates	507	percent of total billed charges	507	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Coalition	PPO		59	59% of all negotiated rates	507	percent of total billed charges	507	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Coventry	PPO		75	75% of all negotiated rates	309	percent of total billed charges	309	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Coventry	PPO		75	75% of all negotiated rates	309	percent of total billed charges	309	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Humana-Commerical	PPO		70	70% of all negotiated rates	371	percent of total billed charges	371	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Humana-Commerical	PPO		70	70% of all negotiated rates	371	percent of total billed charges	371	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Multiplan	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Multiplan	PPO		80	80% of all negotiated rates	247	percent of total billed charges	247	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	One Health	PPO		55	55% of all negotiated rates	557	percent of total billed charges	557	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	One Health	PPO		55	55% of all negotiated rates	557	percent of total billed charges	557	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Optum Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Optum Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	P3	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	P3	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	371	percent of total billed charges	371	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	371	percent of total billed charges	371	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Select Health	HMO		41	41% of all negotiated rates	730	percent of total billed charges	730	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Select Health	HMO		41	41% of all negotiated rates	730	percent of total billed charges	730	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	823	percent of total billed charges	823	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	823	percent of total billed charges	823	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Sierra/HPN	HMO		60	60% of all negotiated rates	495	percent of total billed charges	495	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Sierra/HPN	HMO		60	60% of all negotiated rates	495	percent of total billed charges	495	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Silversummit Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Silversummit Medicare	HMO		39	39% of all negotiated rates	755	percent of total billed charges	755	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	804	percent of total billed charges	804	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	804	percent of total billed charges	804	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Teachers Trust	PPO		65	65% of all negotiated rates	433	percent of total billed charges	433	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Teachers Trust	PPO		65	65% of all negotiated rates	433	percent of total billed charges	433	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	TriWest	PPO		30	30% of all negotiated rates	866	percent of total billed charges	866	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	TriWest	PPO		30	30% of all negotiated rates	866	percent of total billed charges	866	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	371	percent of total billed charges	371	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	371	percent of total billed charges	371	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	United Healthcare	PPO		60	60% of all negotiated rates	495	percent of total billed charges	495	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	United Healthcare	PPO		60	60% of all negotiated rates	495	percent of total billed charges	495	1237	
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	1178	Coinsurance and deductible may apply
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	1178	Coinsurance and deductible may apply
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	1178	Coinsurance and deductible may apply
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	1178	Coinsurance and deductible may apply
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	1178	Coinsurance and deductible may apply
93325 DOPPLER COLOR FLOW CHARGE	93325	CPT	4183259	LOCAL	483	RC		outpatient			1237	1051	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	23	fee schedule	23	1178	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Aetna Medicare	HMO		26	26% of all negotiated rates	2249	percent of total billed charges	2249	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Alignment Medicare	HMO		39	39% of all negotiated rates	1854	percent of total billed charges	1854	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1215	percent of total billed charges	1215	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1519	percent of total billed charges	1519	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1854	percent of total billed charges	1854	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Coventry	PPO		75	75% of all negotiated rates	760	percent of total billed charges	760	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	608	percent of total billed charges	608	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Humana-Commerical	PPO		46	46% of all negotiated rates	1641	percent of total billed charges	1641	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1854	percent of total billed charges	1854	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Multiplan	PPO		80	80% of all negotiated rates	608	percent of total billed charges	608	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Multiplan	PPO		80	80% of all negotiated rates	608	percent of total billed charges	608	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Optum Medicare	HMO		39	39% of all negotiated rates	1854	percent of total billed charges	1854	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	P3	HMO		39	39% of all negotiated rates	1854	percent of total billed charges	1854	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1064	percent of total billed charges	1064	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Saint Mary's Health Plan	HMO		65	65% of all negotiated rates	1064	percent of total billed charges	1064	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Select Health	HMO		41	41% of all negotiated rates	1793	percent of total billed charges	1793	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Silversummit Medicare	HMO		39	39% of all negotiated rates	1854	percent of total billed charges	1854	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1975	percent of total billed charges	1975	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Southpoint (Gaghan South)	HMO		35	35% of all negotiated rates	1975	percent of total billed charges	1975	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	TriWest	PPO		30	30% of all negotiated rates	2127	percent of total billed charges	2127	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	TriWest	HMO		30	30% of all negotiated rates	2127	percent of total billed charges	2127	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1064	percent of total billed charges	1064	3039	
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Aetna	PPO	750		case rate	750	case rate	750	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Anthem Medicaid	HMO	381		NV Medicaid SDS Rate	381	fee schedule	381	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Cigna	PPO	756		case rate	756	case rate	756	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	HPN Medicaid	HMO	381		NV Medicaid SDS Rate	381	fee schedule	381	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Molina Medicaid	HMO	381		NV Medicaid SDS Rate	381	case rate	381	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	One Health	PPO	686		case rate	686	case rate	686	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Sierra/HPN	HMO	756		case rate	756	case rate	756	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2894	Coinsurance and deductible may apply
36569 INSERT PICC W/O SUBCUT PO CHARGE	36569	CPT	3026570	LOCAL	490	RC		outpatient			3039	2583	United Healthcare	PPO	686		case rate	686	case rate	686	2894	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Aetna Medicare	HMO		26	26% of all negotiated rates	2065	percent of total billed charges	2065	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Alignment Medicare	HMO		39	39% of all negotiated rates	1702	percent of total billed charges	1702	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1116	percent of total billed charges	1116	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1395	percent of total billed charges	1395	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1702	percent of total billed charges	1702	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Coventry	PPO		75	75% of all negotiated rates	698	percent of total billed charges	698	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	558	percent of total billed charges	558	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Humana-Commerical	PPO		46	46% of all negotiated rates	1507	percent of total billed charges	1507	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1702	percent of total billed charges	1702	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Multiplan	PPO		80	80% of all negotiated rates	558	percent of total billed charges	558	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Multiplan	PPO		80	80% of all negotiated rates	558	percent of total billed charges	558	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Optum Medicare	HMO		39	39% of all negotiated rates	1702	percent of total billed charges	1702	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	P3	HMO		39	39% of all negotiated rates	1702	percent of total billed charges	1702	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	977	percent of total billed charges	977	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Saint Mary's Health Plan	HMO		65	65% of all negotiated rates	977	percent of total billed charges	977	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Select Health	HMO		41	41% of all negotiated rates	1647	percent of total billed charges	1647	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Silversummit Medicare	HMO		39	39% of all negotiated rates	1702	percent of total billed charges	1702	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1814	percent of total billed charges	1814	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Southpoint (Gaghan South)	HMO		35	35% of all negotiated rates	1814	percent of total billed charges	1814	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	TriWest	PPO		30	30% of all negotiated rates	1954	percent of total billed charges	1954	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	TriWest	HMO		30	30% of all negotiated rates	1954	percent of total billed charges	1954	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	977	percent of total billed charges	977	2791	
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Aetna	PPO	750		case rate	750	case rate	750	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Anthem Medicaid	HMO	213		NV Medicaid SDS Rate	213	fee schedule	213	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Cigna	PPO	756		case rate	756	case rate	756	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	HPN Medicaid	HMO	213		NV Medicaid SDS Rate	213	fee schedule	213	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Molina Medicaid	HMO	213		NV Medicaid SDS Rate	213	case rate	213	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	One Health	PPO	686		case rate	686	case rate	686	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Sierra/HPN	HMO	756		case rate	756	case rate	756	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2658	Coinsurance and deductible may apply
36589 REM VEN CATH W/O PORT/PMP CHARGE	36589	CPT	3275515	LOCAL	490	RC		outpatient			2791	2372	United Healthcare	PPO	686		case rate	686	case rate	686	2658	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Aetna Medicare	HMO		26	26% of all negotiated rates	534	percent of total billed charges	534	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Alignment Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	289	percent of total billed charges	289	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	361	percent of total billed charges	361	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Coventry	PPO		75	75% of all negotiated rates	180	percent of total billed charges	180	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Humana-Commerical	PPO		46	46% of all negotiated rates	390	percent of total billed charges	390	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Multiplan	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Multiplan	PPO		80	80% of all negotiated rates	144	percent of total billed charges	144	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Optum Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	P3	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	252	percent of total billed charges	252	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Saint Mary's Health Plan	HMO		65	65% of all negotiated rates	252	percent of total billed charges	252	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Select Health	HMO		41	41% of all negotiated rates	426	percent of total billed charges	426	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Silversummit Medicare	HMO		39	39% of all negotiated rates	440	percent of total billed charges	440	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	469	percent of total billed charges	469	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Southpoint (Gaghan South)	HMO		35	35% of all negotiated rates	469	percent of total billed charges	469	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	TriWest	PPO		30	30% of all negotiated rates	505	percent of total billed charges	505	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	TriWest	HMO		30	30% of all negotiated rates	505	percent of total billed charges	505	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	252	percent of total billed charges	252	721	
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Aetna	PPO	750		case rate	750	case rate	750	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Anthem Medicaid	HMO	42		NV Medicaid SDS Rate	42	fee schedule	42	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Cigna	PPO	1625		case rate	1625	case rate	1625	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	HPN Medicaid	HMO	42		NV Medicaid SDS Rate	42	fee schedule	42	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Molina Medicaid	HMO	42		NV Medicaid SDS Rate	42	case rate	42	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	One Health	PPO	474		case rate	474	case rate	474	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	687	Coinsurance and deductible may apply
51700 FOLEY CATHETER IRRIGATION CHARGE	51700	CPT	3275170	LOCAL	490	RC		outpatient			721	613	United Healthcare	PPO	474		case rate	474	case rate	474	687	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Aetna Medicare	HMO		26	26% of all negotiated rates	203	percent of total billed charges	203	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Alignment Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	110	percent of total billed charges	110	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	137	percent of total billed charges	137	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Coventry	PPO		75	75% of all negotiated rates	69	percent of total billed charges	69	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Humana-Commerical	PPO		46	46% of all negotiated rates	148	percent of total billed charges	148	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Multiplan	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Multiplan	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Optum Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	P3	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	96	percent of total billed charges	96	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Saint Mary's Health Plan	HMO		65	65% of all negotiated rates	96	percent of total billed charges	96	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Select Health	HMO		41	41% of all negotiated rates	162	percent of total billed charges	162	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Silversummit Medicare	HMO		39	39% of all negotiated rates	167	percent of total billed charges	167	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	178	percent of total billed charges	178	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Southpoint (Gaghan South)	HMO		35	35% of all negotiated rates	178	percent of total billed charges	178	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	TriWest	PPO		30	30% of all negotiated rates	192	percent of total billed charges	192	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	TriWest	HMO		30	30% of all negotiated rates	192	percent of total billed charges	192	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	96	percent of total billed charges	96	274	
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Aetna	PPO	750		case rate	750	case rate	750	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Anthem Medicaid	HMO	28		NV Medicaid SDS Rate	28	fee schedule	28	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Cigna	PPO	1625		case rate	1625	case rate	1625	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	HPN Medicaid	HMO	28		NV Medicaid SDS Rate	28	fee schedule	28	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Molina Medicaid	HMO	28		NV Medicaid SDS Rate	28	case rate	28	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	One Health	PPO	474		case rate	474	case rate	474	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	261	Coinsurance and deductible may apply
51702 FOLEY CATHETER CHANGE CHARGE	51702	CPT	3275172	LOCAL	490	RC		outpatient			274	233	United Healthcare	PPO	474		case rate	474	case rate	474	261	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Aetna Medicare	HMO		26	26% of all negotiated rates	5878	percent of total billed charges	5878	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Alignment Medicare	HMO		39	39% of all negotiated rates	4845	percent of total billed charges	4845	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3177	percent of total billed charges	3177	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3972	percent of total billed charges	3972	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4845	percent of total billed charges	4845	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Coventry	PPO		75	75% of all negotiated rates	1986	percent of total billed charges	1986	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1589	percent of total billed charges	1589	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Humana-Commerical	PPO		46	46% of all negotiated rates	4289	percent of total billed charges	4289	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4845	percent of total billed charges	4845	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Multiplan	PPO		80	80% of all negotiated rates	1589	percent of total billed charges	1589	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Optum Medicare	HMO		39	39% of all negotiated rates	4845	percent of total billed charges	4845	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	P3	HMO		39	39% of all negotiated rates	4845	percent of total billed charges	4845	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2780	percent of total billed charges	2780	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Select Health	HMO		41	41% of all negotiated rates	4687	percent of total billed charges	4687	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Silversummit Medicare	HMO		39	39% of all negotiated rates	4845	percent of total billed charges	4845	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5163	percent of total billed charges	5163	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	TriWest	PPO		30	30% of all negotiated rates	5560	percent of total billed charges	5560	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2780	percent of total billed charges	2780	7943	
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Aetna	PPO	1150		case rate	1150	case rate	1150	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Anthem Medicaid	HMO	624		NV Medicaid SDS Rate	624	fee schedule	624	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Cigna	PPO	1157		case rate	1157	case rate	1157	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	HPN Medicaid	HMO	624		NV Medicaid SDS Rate	624	fee schedule	624	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Molina Medicaid	HMO	624		NV Medicaid SDS Rate	624	case rate	624	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	One Health	PPO	1061		case rate	1061	case rate	1061	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	7565	Coinsurance and deductible may apply
ADJACENT TISSUE  TRANSFER/REARRANGEMENT SCALP/ARMS/LEGS DEFE	14020	CPT	49014020	LOCAL	490	RC		outpatient			7943	6752	United Healthcare	PPO	1061		case rate	1061	case rate	1061	7565	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Aetna Medicare	HMO		26	26% of all negotiated rates	2652	percent of total billed charges	2652	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Alignment Medicare	HMO		39	39% of all negotiated rates	2186	percent of total billed charges	2186	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1433	percent of total billed charges	1433	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1792	percent of total billed charges	1792	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2186	percent of total billed charges	2186	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Coventry	PPO		75	75% of all negotiated rates	896	percent of total billed charges	896	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	717	percent of total billed charges	717	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Humana-Commerical	PPO		46	46% of all negotiated rates	1935	percent of total billed charges	1935	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2186	percent of total billed charges	2186	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Multiplan	PPO		80	80% of all negotiated rates	717	percent of total billed charges	717	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Optum Medicare	HMO		39	39% of all negotiated rates	2186	percent of total billed charges	2186	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	P3	HMO		39	39% of all negotiated rates	2186	percent of total billed charges	2186	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1254	percent of total billed charges	1254	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Select Health	HMO		41	41% of all negotiated rates	2114	percent of total billed charges	2114	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Silversummit Medicare	HMO		39	39% of all negotiated rates	2186	percent of total billed charges	2186	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2329	percent of total billed charges	2329	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	TriWest	PPO		30	30% of all negotiated rates	2509	percent of total billed charges	2509	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1254	percent of total billed charges	1254	3584	
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Aetna	PPO	950		case rate	950	case rate	950	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Cigna	PPO	1014		case rate	1014	case rate	1014	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	One Health	PPO	1273		case rate	1273	case rate	1273	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	3413	Coinsurance and deductible may apply
Amputation Toe	28810	CPT	49028810	LOCAL	490	RC		outpatient			3584	3046	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3413	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Aetna Medicare	HMO		26	26% of all negotiated rates	13068	percent of total billed charges	13068	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Alignment Medicare	HMO		39	39% of all negotiated rates	10772	percent of total billed charges	10772	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	7064	percent of total billed charges	7064	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8829	percent of total billed charges	8829	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10772	percent of total billed charges	10772	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Coventry	PPO		75	75% of all negotiated rates	4415	percent of total billed charges	4415	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3532	percent of total billed charges	3532	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Humana-Commerical	PPO		46	46% of all negotiated rates	9536	percent of total billed charges	9536	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10772	percent of total billed charges	10772	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Multiplan	PPO		80	80% of all negotiated rates	3532	percent of total billed charges	3532	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Optum Medicare	HMO		39	39% of all negotiated rates	10772	percent of total billed charges	10772	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	P3	HMO		39	39% of all negotiated rates	10772	percent of total billed charges	10772	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	6181	percent of total billed charges	6181	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Select Health	HMO		41	41% of all negotiated rates	10419	percent of total billed charges	10419	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Silversummit Medicare	HMO		39	39% of all negotiated rates	10772	percent of total billed charges	10772	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11478	percent of total billed charges	11478	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	TriWest	PPO		30	30% of all negotiated rates	12361	percent of total billed charges	12361	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	6181	percent of total billed charges	6181	17659	
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Aetna	PPO	1350		case rate	1350	case rate	1350	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	fee schedule	1965	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Cigna	PPO	1427		case rate	1427	case rate	1427	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	fee schedule	1965	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	case rate	1965	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	One Health	PPO	2818		case rate	2818	case rate	2818	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	16818	Coinsurance and deductible may apply
Anterior Cruciate Ligament Repair	27407	CPT	49027407	LOCAL	490	RC		outpatient			17659	15010	United Healthcare	PPO	2818		case rate	2818	case rate	2818	16818	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Aetna Medicare	HMO		26	26% of all negotiated rates	7211	percent of total billed charges	7211	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Alignment Medicare	HMO		39	39% of all negotiated rates	5944	percent of total billed charges	5944	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3898	percent of total billed charges	3898	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4873	percent of total billed charges	4873	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5944	percent of total billed charges	5944	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Coventry	PPO		75	75% of all negotiated rates	2436	percent of total billed charges	2436	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1949	percent of total billed charges	1949	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Humana-Commerical	PPO		46	46% of all negotiated rates	5262	percent of total billed charges	5262	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5944	percent of total billed charges	5944	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Multiplan	PPO		80	80% of all negotiated rates	1949	percent of total billed charges	1949	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Optum Medicare	HMO		39	39% of all negotiated rates	5944	percent of total billed charges	5944	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	P3	HMO		39	39% of all negotiated rates	5944	percent of total billed charges	5944	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3411	percent of total billed charges	3411	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Select Health	HMO		41	41% of all negotiated rates	5750	percent of total billed charges	5750	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Silversummit Medicare	HMO		39	39% of all negotiated rates	5944	percent of total billed charges	5944	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6334	percent of total billed charges	6334	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	TriWest	PPO		30	30% of all negotiated rates	6822	percent of total billed charges	6822	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3411	percent of total billed charges	3411	9745	
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Aetna	PPO	1350		case rate	1350	case rate	1350	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Anthem Medicaid	HMO	6234		NV Medicaid SDS Rate	6234	fee schedule	6234	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Cigna	PPO	1427		case rate	1427	case rate	1427	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	HPN Medicaid	HMO	6234		NV Medicaid SDS Rate	6234	fee schedule	6234	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Molina Medicaid	HMO	6234		NV Medicaid SDS Rate	6234	case rate	6234	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	One Health	PPO	2818		case rate	2818	case rate	2818	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	9281	Coinsurance and deductible may apply
Arthrodesis Pantalar	28705	CPT	49028705	LOCAL	490	RC		outpatient			9745	8283	United Healthcare	PPO	2818		case rate	2818	case rate	2818	9281	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Aetna Medicare	HMO		26	26% of all negotiated rates	11196	percent of total billed charges	11196	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Alignment Medicare	HMO		39	39% of all negotiated rates	9229	percent of total billed charges	9229	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6052	percent of total billed charges	6052	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7565	percent of total billed charges	7565	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	9229	percent of total billed charges	9229	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Coventry	PPO		75	75% of all negotiated rates	3782	percent of total billed charges	3782	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3026	percent of total billed charges	3026	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Humana-Commerical	PPO		46	46% of all negotiated rates	8170	percent of total billed charges	8170	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	9229	percent of total billed charges	9229	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Multiplan	PPO		80	80% of all negotiated rates	3026	percent of total billed charges	3026	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Optum Medicare	HMO		39	39% of all negotiated rates	9229	percent of total billed charges	9229	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	P3	HMO		39	39% of all negotiated rates	9229	percent of total billed charges	9229	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	5295	percent of total billed charges	5295	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Select Health	HMO		41	41% of all negotiated rates	8926	percent of total billed charges	8926	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Silversummit Medicare	HMO		39	39% of all negotiated rates	9229	percent of total billed charges	9229	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9834	percent of total billed charges	9834	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	TriWest	PPO		30	30% of all negotiated rates	10591	percent of total billed charges	10591	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	5295	percent of total billed charges	5295	15129	
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Aetna	PPO	1350		case rate	1350	case rate	1350	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Anthem Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Cigna	PPO	1427		case rate	1427	case rate	1427	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	HPN Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Molina Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	case rate	2792	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	One Health	PPO	2818		case rate	2818	case rate	2818	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	14409	Coinsurance and deductible may apply
Arthrodesis Shoulder	23800	CPT	49023800	LOCAL	490	RC		outpatient			15129	12860	United Healthcare	PPO	2818		case rate	2818	case rate	2818	14409	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Aetna Medicare	HMO		26	26% of all negotiated rates	7455	percent of total billed charges	7455	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Alignment Medicare	HMO		39	39% of all negotiated rates	6146	percent of total billed charges	6146	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4030	percent of total billed charges	4030	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5037	percent of total billed charges	5037	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6146	percent of total billed charges	6146	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Coventry	PPO		75	75% of all negotiated rates	2519	percent of total billed charges	2519	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2015	percent of total billed charges	2015	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Humana-Commerical	PPO		46	46% of all negotiated rates	5440	percent of total billed charges	5440	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6146	percent of total billed charges	6146	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Multiplan	PPO		80	80% of all negotiated rates	2015	percent of total billed charges	2015	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Optum Medicare	HMO		39	39% of all negotiated rates	6146	percent of total billed charges	6146	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	P3	HMO		39	39% of all negotiated rates	6146	percent of total billed charges	6146	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3526	percent of total billed charges	3526	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Select Health	HMO		41	41% of all negotiated rates	5944	percent of total billed charges	5944	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Silversummit Medicare	HMO		39	39% of all negotiated rates	6146	percent of total billed charges	6146	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6549	percent of total billed charges	6549	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	TriWest	PPO		30	30% of all negotiated rates	7052	percent of total billed charges	7052	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3526	percent of total billed charges	3526	10075	
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Aetna	PPO	1350		case rate	1350	case rate	1350	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Anthem Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Cigna	PPO	1427		case rate	1427	case rate	1427	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	HPN Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Molina Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	case rate	2792	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	One Health	PPO	2818		case rate	2818	case rate	2818	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	9595	Coinsurance and deductible may apply
Arthrodesis Tarsal Joint	28730	CPT	49028730	LOCAL	490	RC		outpatient			10075	8564	United Healthcare	PPO	2818		case rate	2818	case rate	2818	9595	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Aetna Medicare	HMO		26	26% of all negotiated rates	6637	percent of total billed charges	6637	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Alignment Medicare	HMO		39	39% of all negotiated rates	5471	percent of total billed charges	5471	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3588	percent of total billed charges	3588	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4485	percent of total billed charges	4485	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5471	percent of total billed charges	5471	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Coventry	PPO		75	75% of all negotiated rates	2242	percent of total billed charges	2242	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1794	percent of total billed charges	1794	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Humana-Commerical	PPO		46	46% of all negotiated rates	4843	percent of total billed charges	4843	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5471	percent of total billed charges	5471	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Multiplan	PPO		80	80% of all negotiated rates	1794	percent of total billed charges	1794	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Optum Medicare	HMO		39	39% of all negotiated rates	5471	percent of total billed charges	5471	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	P3	HMO		39	39% of all negotiated rates	5471	percent of total billed charges	5471	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3139	percent of total billed charges	3139	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Select Health	HMO		41	41% of all negotiated rates	5292	percent of total billed charges	5292	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Silversummit Medicare	HMO		39	39% of all negotiated rates	5471	percent of total billed charges	5471	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5830	percent of total billed charges	5830	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	TriWest	PPO		30	30% of all negotiated rates	6278	percent of total billed charges	6278	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3139	percent of total billed charges	3139	8969	
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Aetna	PPO	1550		case rate	1550	case rate	1550	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Anthem Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Cigna	PPO	1625		case rate	1625	case rate	1625	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	HPN Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Molina Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	case rate	2792	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	One Health	PPO	2818		case rate	2818	case rate	2818	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	8542	Coinsurance and deductible may apply
Arthrodesis Tendon Lengthening	28737	CPT	49028737	LOCAL	490	RC		outpatient			8969	7624	United Healthcare	PPO	2818		case rate	2818	case rate	2818	8542	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Aetna Medicare	HMO		26	26% of all negotiated rates	4569	percent of total billed charges	4569	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Alignment Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2470	percent of total billed charges	2470	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3087	percent of total billed charges	3087	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Coventry	PPO		75	75% of all negotiated rates	1544	percent of total billed charges	1544	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1235	percent of total billed charges	1235	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Humana-Commerical	PPO		46	46% of all negotiated rates	3334	percent of total billed charges	3334	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Multiplan	PPO		80	80% of all negotiated rates	1235	percent of total billed charges	1235	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Optum Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	P3	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2161	percent of total billed charges	2161	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Select Health	HMO		41	41% of all negotiated rates	3643	percent of total billed charges	3643	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Silversummit Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4013	percent of total billed charges	4013	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	TriWest	PPO		30	30% of all negotiated rates	4322	percent of total billed charges	4322	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2161	percent of total billed charges	2161	6174	
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Aetna	PPO	1350		case rate	1350	case rate	1350	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Cigna	PPO	1427		case rate	1427	case rate	1427	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	One Health	PPO	1441		case rate	1441	case rate	1441	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	5880	Coinsurance and deductible may apply
Arthrodesis Thumb	26841	CPT	49026841	LOCAL	490	RC		outpatient			6174	5248	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5880	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Aetna Medicare	HMO		26	26% of all negotiated rates	10761	percent of total billed charges	10761	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Alignment Medicare	HMO		39	39% of all negotiated rates	8871	percent of total billed charges	8871	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5817	percent of total billed charges	5817	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7271	percent of total billed charges	7271	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8871	percent of total billed charges	8871	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Coventry	PPO		75	75% of all negotiated rates	3636	percent of total billed charges	3636	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2909	percent of total billed charges	2909	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Humana-Commerical	PPO		46	46% of all negotiated rates	7853	percent of total billed charges	7853	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8871	percent of total billed charges	8871	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Multiplan	PPO		80	80% of all negotiated rates	2909	percent of total billed charges	2909	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Optum Medicare	HMO		39	39% of all negotiated rates	8871	percent of total billed charges	8871	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	P3	HMO		39	39% of all negotiated rates	8871	percent of total billed charges	8871	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	5090	percent of total billed charges	5090	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Select Health	HMO		41	41% of all negotiated rates	8580	percent of total billed charges	8580	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Silversummit Medicare	HMO		39	39% of all negotiated rates	8871	percent of total billed charges	8871	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9453	percent of total billed charges	9453	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	TriWest	PPO		30	30% of all negotiated rates	10180	percent of total billed charges	10180	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	5090	percent of total billed charges	5090	14543	
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Aetna	PPO	1350		case rate	1350	case rate	1350	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Anthem Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Cigna	PPO	1427		case rate	1427	case rate	1427	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	HPN Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Molina Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	case rate	2792	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	One Health	PPO	2818		case rate	2818	case rate	2818	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	13850	Coinsurance and deductible may apply
Arthrodesis Tibiofibular Joint	27871	CPT	49027871	LOCAL	490	RC		outpatient			14543	12361	United Healthcare	PPO	2818		case rate	2818	case rate	2818	13850	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Aetna Medicare	HMO		26	26% of all negotiated rates	15005	percent of total billed charges	15005	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Alignment Medicare	HMO		39	39% of all negotiated rates	12369	percent of total billed charges	12369	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8111	percent of total billed charges	8111	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10139	percent of total billed charges	10139	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12369	percent of total billed charges	12369	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Coventry	PPO		75	75% of all negotiated rates	5069	percent of total billed charges	5069	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4056	percent of total billed charges	4056	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Humana-Commerical	PPO		46	46% of all negotiated rates	10950	percent of total billed charges	10950	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12369	percent of total billed charges	12369	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Multiplan	PPO		80	80% of all negotiated rates	4056	percent of total billed charges	4056	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Optum Medicare	HMO		39	39% of all negotiated rates	12369	percent of total billed charges	12369	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	P3	HMO		39	39% of all negotiated rates	12369	percent of total billed charges	12369	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	7097	percent of total billed charges	7097	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Select Health	HMO		41	41% of all negotiated rates	11964	percent of total billed charges	11964	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Silversummit Medicare	HMO		39	39% of all negotiated rates	12369	percent of total billed charges	12369	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13180	percent of total billed charges	13180	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	TriWest	PPO		30	30% of all negotiated rates	14194	percent of total billed charges	14194	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	7097	percent of total billed charges	7097	20278	
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Aetna	PPO	1350		case rate	1350	case rate	1350	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Anthem Medicaid	HMO	6234		NV Medicaid SDS Rate	6234	fee schedule	6234	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Cigna	PPO	1427		case rate	1427	case rate	1427	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	HPN Medicaid	HMO	6234		NV Medicaid SDS Rate	6234	fee schedule	6234	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Molina Medicaid	HMO	6234		NV Medicaid SDS Rate	6234	case rate	6234	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	One Health	PPO	2818		case rate	2818	case rate	2818	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	19312	Coinsurance and deductible may apply
Arthrodesis Triple	28715	CPT	49028715	LOCAL	490	RC		outpatient			20278	17236	United Healthcare	PPO	2818		case rate	2818	case rate	2818	19312	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Aetna Medicare	HMO		26	26% of all negotiated rates	4853	percent of total billed charges	4853	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Alignment Medicare	HMO		39	39% of all negotiated rates	4001	percent of total billed charges	4001	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2623	percent of total billed charges	2623	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3279	percent of total billed charges	3279	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4001	percent of total billed charges	4001	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Coventry	PPO		75	75% of all negotiated rates	1640	percent of total billed charges	1640	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1312	percent of total billed charges	1312	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Humana-Commerical	PPO		46	46% of all negotiated rates	3541	percent of total billed charges	3541	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4001	percent of total billed charges	4001	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Multiplan	PPO		80	80% of all negotiated rates	1312	percent of total billed charges	1312	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Optum Medicare	HMO		39	39% of all negotiated rates	4001	percent of total billed charges	4001	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	P3	HMO		39	39% of all negotiated rates	4001	percent of total billed charges	4001	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2295	percent of total billed charges	2295	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Select Health	HMO		41	41% of all negotiated rates	3869	percent of total billed charges	3869	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Silversummit Medicare	HMO		39	39% of all negotiated rates	4001	percent of total billed charges	4001	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4263	percent of total billed charges	4263	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	TriWest	PPO		30	30% of all negotiated rates	4591	percent of total billed charges	4591	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2295	percent of total billed charges	2295	6558	
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Aetna	PPO	1350		case rate	1350	case rate	1350	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	fee schedule	1965	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Cigna	PPO	1427		case rate	1427	case rate	1427	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	fee schedule	1965	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	case rate	1965	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	One Health	PPO	1872		case rate	1872	case rate	1872	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	6246	Coinsurance and deductible may apply
Arthrodesis Wrist	25820	CPT	49025820	LOCAL	490	RC		outpatient			6558	5575	United Healthcare	PPO	1872		case rate	1872	case rate	1872	6246	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Aetna Medicare	HMO		26	26% of all negotiated rates	2047	percent of total billed charges	2047	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Alignment Medicare	HMO		39	39% of all negotiated rates	1687	percent of total billed charges	1687	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1106	percent of total billed charges	1106	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1383	percent of total billed charges	1383	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1687	percent of total billed charges	1687	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Coventry	PPO		75	75% of all negotiated rates	691	percent of total billed charges	691	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	553	percent of total billed charges	553	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Humana-Commerical	PPO		46	46% of all negotiated rates	1493	percent of total billed charges	1493	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1687	percent of total billed charges	1687	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Multiplan	PPO		80	80% of all negotiated rates	553	percent of total billed charges	553	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Optum Medicare	HMO		39	39% of all negotiated rates	1687	percent of total billed charges	1687	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	P3	HMO		39	39% of all negotiated rates	1687	percent of total billed charges	1687	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	968	percent of total billed charges	968	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Select Health	HMO		41	41% of all negotiated rates	1632	percent of total billed charges	1632	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Silversummit Medicare	HMO		39	39% of all negotiated rates	1687	percent of total billed charges	1687	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1798	percent of total billed charges	1798	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	TriWest	PPO		30	30% of all negotiated rates	1936	percent of total billed charges	1936	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	968	percent of total billed charges	968	2766	
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Aetna	PPO	1150		case rate	1150	case rate	1150	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Cigna	PPO	1157		case rate	1157	case rate	1157	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	One Health	PPO	1441		case rate	1441	case rate	1441	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2634	Coinsurance and deductible may apply
Arthroscopy Ankle	29897	CPT	49029897	LOCAL	490	RC		outpatient			2766	2351	United Healthcare	PPO	1441		case rate	1441	case rate	1441	2634	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Aetna Medicare	HMO		26	26% of all negotiated rates	2584	percent of total billed charges	2584	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Alignment Medicare	HMO		39	39% of all negotiated rates	2130	percent of total billed charges	2130	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1397	percent of total billed charges	1397	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1746	percent of total billed charges	1746	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2130	percent of total billed charges	2130	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Coventry	PPO		75	75% of all negotiated rates	873	percent of total billed charges	873	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	698	percent of total billed charges	698	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Humana-Commerical	PPO		46	46% of all negotiated rates	1886	percent of total billed charges	1886	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2130	percent of total billed charges	2130	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Multiplan	PPO		80	80% of all negotiated rates	698	percent of total billed charges	698	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Optum Medicare	HMO		39	39% of all negotiated rates	2130	percent of total billed charges	2130	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	P3	HMO		39	39% of all negotiated rates	2130	percent of total billed charges	2130	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1222	percent of total billed charges	1222	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Select Health	HMO		41	41% of all negotiated rates	2060	percent of total billed charges	2060	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Silversummit Medicare	HMO		39	39% of all negotiated rates	2130	percent of total billed charges	2130	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2270	percent of total billed charges	2270	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	TriWest	PPO		30	30% of all negotiated rates	2445	percent of total billed charges	2445	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1222	percent of total billed charges	1222	3492	
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Aetna	PPO	1150		case rate	1150	case rate	1150	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Cigna	PPO	1157		case rate	1157	case rate	1157	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	One Health	PPO	1441		case rate	1441	case rate	1441	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3326	Coinsurance and deductible may apply
ARTHROSCOPY ANKLE P SYNOVECTOMY 29895	29895	CPT	49029895	LOCAL	490	RC		outpatient			3492	2968	United Healthcare	PPO	1441		case rate	1441	case rate	1441	3326	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Aetna Medicare	HMO		26	26% of all negotiated rates	8981	percent of total billed charges	8981	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Alignment Medicare	HMO		39	39% of all negotiated rates	7404	percent of total billed charges	7404	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4855	percent of total billed charges	4855	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6068	percent of total billed charges	6068	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7404	percent of total billed charges	7404	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Coventry	PPO		75	75% of all negotiated rates	3034	percent of total billed charges	3034	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2427	percent of total billed charges	2427	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Humana-Commerical	PPO		46	46% of all negotiated rates	6554	percent of total billed charges	6554	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7404	percent of total billed charges	7404	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Multiplan	PPO		80	80% of all negotiated rates	2427	percent of total billed charges	2427	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Optum Medicare	HMO		39	39% of all negotiated rates	7404	percent of total billed charges	7404	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	P3	HMO		39	39% of all negotiated rates	7404	percent of total billed charges	7404	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	4248	percent of total billed charges	4248	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Select Health	HMO		41	41% of all negotiated rates	7161	percent of total billed charges	7161	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Silversummit Medicare	HMO		39	39% of all negotiated rates	7404	percent of total billed charges	7404	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	7889	percent of total billed charges	7889	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	TriWest	PPO		30	30% of all negotiated rates	8496	percent of total billed charges	8496	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	4248	percent of total billed charges	4248	12137	
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Aetna	PPO	1150		case rate	1150	case rate	1150	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Cigna	PPO	1157		case rate	1157	case rate	1157	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	One Health	PPO	2818		case rate	2818	case rate	2818	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	11559	Coinsurance and deductible may apply
Arthroscopy Elbow	29830	CPT	49029830	LOCAL	490	RC		outpatient			12137	10316	United Healthcare	PPO	2818		case rate	2818	case rate	2818	11559	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Aetna Medicare	HMO		26	26% of all negotiated rates	4450	percent of total billed charges	4450	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Alignment Medicare	HMO		39	39% of all negotiated rates	3668	percent of total billed charges	3668	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2405	percent of total billed charges	2405	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3007	percent of total billed charges	3007	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3668	percent of total billed charges	3668	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Coventry	PPO		75	75% of all negotiated rates	1503	percent of total billed charges	1503	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1203	percent of total billed charges	1203	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Humana-Commerical	PPO		46	46% of all negotiated rates	3247	percent of total billed charges	3247	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3668	percent of total billed charges	3668	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Multiplan	PPO		80	80% of all negotiated rates	1203	percent of total billed charges	1203	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Optum Medicare	HMO		39	39% of all negotiated rates	3668	percent of total billed charges	3668	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	P3	HMO		39	39% of all negotiated rates	3668	percent of total billed charges	3668	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2105	percent of total billed charges	2105	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Select Health	HMO		41	41% of all negotiated rates	3548	percent of total billed charges	3548	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Silversummit Medicare	HMO		39	39% of all negotiated rates	3668	percent of total billed charges	3668	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3909	percent of total billed charges	3909	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	TriWest	PPO		30	30% of all negotiated rates	4209	percent of total billed charges	4209	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2105	percent of total billed charges	2105	6013	
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Aetna	PPO	1150		case rate	1150	case rate	1150	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Cigna	PPO	1157		case rate	1157	case rate	1157	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	One Health	PPO	1441		case rate	1441	case rate	1441	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	5727	Coinsurance and deductible may apply
Arthroscopy Knee	29870	CPT	49029870	LOCAL	490	RC		outpatient			6013	5111	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5727	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Aetna Medicare	HMO		26	26% of all negotiated rates	4845	percent of total billed charges	4845	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Alignment Medicare	HMO		39	39% of all negotiated rates	3994	percent of total billed charges	3994	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2619	percent of total billed charges	2619	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3273	percent of total billed charges	3273	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3994	percent of total billed charges	3994	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Coventry	PPO		75	75% of all negotiated rates	1637	percent of total billed charges	1637	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1309	percent of total billed charges	1309	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Humana-Commerical	PPO		46	46% of all negotiated rates	3535	percent of total billed charges	3535	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3994	percent of total billed charges	3994	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Multiplan	PPO		80	80% of all negotiated rates	1309	percent of total billed charges	1309	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Optum Medicare	HMO		39	39% of all negotiated rates	3994	percent of total billed charges	3994	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	P3	HMO		39	39% of all negotiated rates	3994	percent of total billed charges	3994	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2291	percent of total billed charges	2291	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Select Health	HMO		41	41% of all negotiated rates	3863	percent of total billed charges	3863	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Silversummit Medicare	HMO		39	39% of all negotiated rates	3994	percent of total billed charges	3994	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4255	percent of total billed charges	4255	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	TriWest	PPO		30	30% of all negotiated rates	4583	percent of total billed charges	4583	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2291	percent of total billed charges	2291	6547	
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Aetna	PPO	1150		case rate	1150	case rate	1150	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Anthem Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Cigna	PPO	1157		case rate	1157	case rate	1157	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	HPN Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	fee schedule	2792	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Molina Medicaid	HMO	2792		NV Medicaid SDS Rate	2792	case rate	2792	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	One Health	PPO	2818		case rate	2818	case rate	2818	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6235	Coinsurance and deductible may apply
Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct	29888	CPT	49029888	LOCAL	490	RC		outpatient			6547	5565	United Healthcare	PPO	2818		case rate	2818	case rate	2818	6235	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Aetna Medicare	HMO		26	26% of all negotiated rates	3140	percent of total billed charges	3140	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Alignment Medicare	HMO		39	39% of all negotiated rates	2588	percent of total billed charges	2588	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1697	percent of total billed charges	1697	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2122	percent of total billed charges	2122	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2588	percent of total billed charges	2588	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Coventry	PPO		75	75% of all negotiated rates	1061	percent of total billed charges	1061	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	849	percent of total billed charges	849	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Humana-Commerical	PPO		46	46% of all negotiated rates	2291	percent of total billed charges	2291	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2588	percent of total billed charges	2588	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Multiplan	PPO		80	80% of all negotiated rates	849	percent of total billed charges	849	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Optum Medicare	HMO		39	39% of all negotiated rates	2588	percent of total billed charges	2588	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	P3	HMO		39	39% of all negotiated rates	2588	percent of total billed charges	2588	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1485	percent of total billed charges	1485	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Select Health	HMO		41	41% of all negotiated rates	2503	percent of total billed charges	2503	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Silversummit Medicare	HMO		39	39% of all negotiated rates	2588	percent of total billed charges	2588	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2758	percent of total billed charges	2758	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	TriWest	PPO		30	30% of all negotiated rates	2970	percent of total billed charges	2970	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1485	percent of total billed charges	1485	4243	
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Aetna	PPO	1150		case rate	1150	case rate	1150	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Cigna	PPO	1157		case rate	1157	case rate	1157	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	One Health	PPO	1441		case rate	1441	case rate	1441	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder	29805	CPT	49029805	LOCAL	490	RC		outpatient			4243	3607	United Healthcare	PPO	1441		case rate	1441	case rate	1441	4041	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Aetna Medicare	HMO		26	26% of all negotiated rates	2261	percent of total billed charges	2261	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Alignment Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1222	percent of total billed charges	1222	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1528	percent of total billed charges	1528	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Coventry	PPO		75	75% of all negotiated rates	764	percent of total billed charges	764	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	611	percent of total billed charges	611	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Humana-Commerical	PPO		46	46% of all negotiated rates	1650	percent of total billed charges	1650	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Multiplan	PPO		80	80% of all negotiated rates	611	percent of total billed charges	611	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Optum Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	P3	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1069	percent of total billed charges	1069	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Select Health	HMO		41	41% of all negotiated rates	1803	percent of total billed charges	1803	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Silversummit Medicare	HMO		39	39% of all negotiated rates	1864	percent of total billed charges	1864	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1986	percent of total billed charges	1986	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	TriWest	PPO		30	30% of all negotiated rates	2139	percent of total billed charges	2139	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1069	percent of total billed charges	1069	3056	
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Aetna	PPO	1150		case rate	1150	case rate	1150	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Cigna	PPO	2266		case rate	2266	case rate	2266	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	One Health	PPO	2818		case rate	2818	case rate	2818	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Sierra Healthcare Options	PPO	2266		case rate	2266	case rate	2266	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Sierra/HPN	HMO	2266		case rate	2266	case rate	2266	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with Bicep Tendon Repair	29828	CPT	49029828	LOCAL	490	RC		outpatient			3056	2597	United Healthcare	PPO	2818		case rate	2818	case rate	2818	2910	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Aetna Medicare	HMO		26	26% of all negotiated rates	2707	percent of total billed charges	2707	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Alignment Medicare	HMO		39	39% of all negotiated rates	2232	percent of total billed charges	2232	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1463	percent of total billed charges	1463	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1829	percent of total billed charges	1829	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2232	percent of total billed charges	2232	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Coventry	PPO		75	75% of all negotiated rates	915	percent of total billed charges	915	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	732	percent of total billed charges	732	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Humana-Commerical	PPO		46	46% of all negotiated rates	1975	percent of total billed charges	1975	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2232	percent of total billed charges	2232	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Multiplan	PPO		80	80% of all negotiated rates	732	percent of total billed charges	732	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Optum Medicare	HMO		39	39% of all negotiated rates	2232	percent of total billed charges	2232	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	P3	HMO		39	39% of all negotiated rates	2232	percent of total billed charges	2232	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1280	percent of total billed charges	1280	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Select Health	HMO		41	41% of all negotiated rates	2158	percent of total billed charges	2158	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Silversummit Medicare	HMO		39	39% of all negotiated rates	2232	percent of total billed charges	2232	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2378	percent of total billed charges	2378	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	TriWest	PPO		30	30% of all negotiated rates	2561	percent of total billed charges	2561	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1280	percent of total billed charges	1280	3658	
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Aetna	PPO	1150		case rate	1150	case rate	1150	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	fee schedule	1965	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Cigna	PPO	1157		case rate	1157	case rate	1157	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	fee schedule	1965	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	1965	case rate	1965	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	One Health	PPO	2818		case rate	2818	case rate	2818	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3484	Coinsurance and deductible may apply
Arthroscopy Shoulder with SLAP Repair	29807	CPT	49029807	LOCAL	490	RC		outpatient			3658	3109	United Healthcare	PPO	2818		case rate	2818	case rate	2818	3484	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Aetna Medicare	HMO		26	26% of all negotiated rates	1009	percent of total billed charges	1009	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Alignment Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	546	percent of total billed charges	546	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	682	percent of total billed charges	682	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Coventry	PPO		75	75% of all negotiated rates	341	percent of total billed charges	341	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	273	percent of total billed charges	273	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Humana-Commerical	PPO		46	46% of all negotiated rates	737	percent of total billed charges	737	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Multiplan	PPO		80	80% of all negotiated rates	273	percent of total billed charges	273	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Optum Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	P3	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	477	percent of total billed charges	477	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Select Health	HMO		41	41% of all negotiated rates	805	percent of total billed charges	805	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Silversummit Medicare	HMO		39	39% of all negotiated rates	832	percent of total billed charges	832	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	887	percent of total billed charges	887	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	TriWest	PPO		30	30% of all negotiated rates	955	percent of total billed charges	955	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	477	percent of total billed charges	477	1364	
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Aetna	PPO	750		case rate	750	case rate	750	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Anthem Medicaid	HMO	416		NV Medicaid SDS Rate	416	fee schedule	416	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Cigna	PPO	756		case rate	756	case rate	756	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	HPN Medicaid	HMO	416		NV Medicaid SDS Rate	416	fee schedule	416	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Molina Medicaid	HMO	416		NV Medicaid SDS Rate	416	case rate	416	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	One Health	PPO	1061		case rate	1061	case rate	1061	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Sierra/HPN	HMO	756		case rate	756	case rate	756	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	1299	Coinsurance and deductible may apply
Biopsy Breast	19100	CPT	49019100	LOCAL	490	RC		outpatient			1364	1159	United Healthcare	PPO	1061		case rate	1061	case rate	1061	1299	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Aetna Medicare	HMO		26	26% of all negotiated rates	825	percent of total billed charges	825	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Alignment Medicare	HMO		39	39% of all negotiated rates	680	percent of total billed charges	680	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	446	percent of total billed charges	446	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	558	percent of total billed charges	558	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	680	percent of total billed charges	680	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Coventry	PPO		75	75% of all negotiated rates	279	percent of total billed charges	279	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	223	percent of total billed charges	223	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Humana-Commerical	PPO		46	46% of all negotiated rates	602	percent of total billed charges	602	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	680	percent of total billed charges	680	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Multiplan	PPO		80	80% of all negotiated rates	223	percent of total billed charges	223	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Optum Medicare	HMO		39	39% of all negotiated rates	680	percent of total billed charges	680	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	P3	HMO		39	39% of all negotiated rates	680	percent of total billed charges	680	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	390	percent of total billed charges	390	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Select Health	HMO		41	41% of all negotiated rates	658	percent of total billed charges	658	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Silversummit Medicare	HMO		39	39% of all negotiated rates	680	percent of total billed charges	680	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	725	percent of total billed charges	725	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	TriWest	PPO		30	30% of all negotiated rates	781	percent of total billed charges	781	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	390	percent of total billed charges	390	1115	
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Aetna	PPO	950		case rate	950	case rate	950	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1116	948	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Cigna	PPO	1014		case rate	1014	case rate	1014	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1116	948	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1116	948	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	One Health	PPO	1061		case rate	1061	case rate	1061	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	1062	Coinsurance and deductible may apply
Biopsy Muscle	20200	CPT	49020200	LOCAL	490	RC		outpatient			1115	948	United Healthcare	PPO	1061		case rate	1061	case rate	1061	1062	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Aetna Medicare	HMO		26	26% of all negotiated rates	3958	percent of total billed charges	3958	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Alignment Medicare	HMO		39	39% of all negotiated rates	3263	percent of total billed charges	3263	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2139	percent of total billed charges	2139	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2674	percent of total billed charges	2674	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3263	percent of total billed charges	3263	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Coventry	PPO		75	75% of all negotiated rates	1337	percent of total billed charges	1337	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1070	percent of total billed charges	1070	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Humana-Commerical	PPO		46	46% of all negotiated rates	2888	percent of total billed charges	2888	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3263	percent of total billed charges	3263	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Multiplan	PPO		80	80% of all negotiated rates	1070	percent of total billed charges	1070	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Optum Medicare	HMO		39	39% of all negotiated rates	3263	percent of total billed charges	3263	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	P3	HMO		39	39% of all negotiated rates	3263	percent of total billed charges	3263	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1872	percent of total billed charges	1872	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Select Health	HMO		41	41% of all negotiated rates	3156	percent of total billed charges	3156	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Silversummit Medicare	HMO		39	39% of all negotiated rates	3263	percent of total billed charges	3263	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3477	percent of total billed charges	3477	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	TriWest	PPO		30	30% of all negotiated rates	3744	percent of total billed charges	3744	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1872	percent of total billed charges	1872	5349	
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Aetna	PPO	1150		case rate	1150	case rate	1150	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Cigna	PPO	1157		case rate	1157	case rate	1157	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	One Health	PPO	1441		case rate	1441	case rate	1441	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	5094	Coinsurance and deductible may apply
Bunionectomy Akin	28298	CPT	49028298	LOCAL	490	RC		outpatient			5349	4546	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5094	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Aetna Medicare	HMO		26	26% of all negotiated rates	1448	percent of total billed charges	1448	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Alignment Medicare	HMO		39	39% of all negotiated rates	1193	percent of total billed charges	1193	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	782	percent of total billed charges	782	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	978	percent of total billed charges	978	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1193	percent of total billed charges	1193	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Coventry	PPO		75	75% of all negotiated rates	489	percent of total billed charges	489	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	391	percent of total billed charges	391	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Humana-Commerical	PPO		46	46% of all negotiated rates	1056	percent of total billed charges	1056	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1193	percent of total billed charges	1193	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Multiplan	PPO		80	80% of all negotiated rates	391	percent of total billed charges	391	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Optum Medicare	HMO		39	39% of all negotiated rates	1193	percent of total billed charges	1193	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	P3	HMO		39	39% of all negotiated rates	1193	percent of total billed charges	1193	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	685	percent of total billed charges	685	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Select Health	HMO		41	41% of all negotiated rates	1154	percent of total billed charges	1154	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Silversummit Medicare	HMO		39	39% of all negotiated rates	1193	percent of total billed charges	1193	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1271	percent of total billed charges	1271	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	TriWest	PPO		30	30% of all negotiated rates	1369	percent of total billed charges	1369	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	685	percent of total billed charges	685	1956	
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Aetna	PPO	1150		case rate	1150	case rate	1150	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Cigna	PPO	1157		case rate	1157	case rate	1157	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	One Health	PPO	1273		case rate	1273	case rate	1273	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	1863	Coinsurance and deductible may apply
Bunionectomy with Osteotomy	28310	CPT	49028310	LOCAL	490	RC		outpatient			1956	1663	United Healthcare	PPO	1273		case rate	1273	case rate	1273	1863	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Aetna Medicare	HMO		26	26% of all negotiated rates	2632	percent of total billed charges	2632	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Alignment Medicare	HMO		39	39% of all negotiated rates	2170	percent of total billed charges	2170	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1423	percent of total billed charges	1423	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1779	percent of total billed charges	1779	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2170	percent of total billed charges	2170	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Coventry	PPO		75	75% of all negotiated rates	889	percent of total billed charges	889	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	711	percent of total billed charges	711	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Humana-Commerical	PPO		46	46% of all negotiated rates	1921	percent of total billed charges	1921	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2170	percent of total billed charges	2170	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Multiplan	PPO		80	80% of all negotiated rates	711	percent of total billed charges	711	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Optum Medicare	HMO		39	39% of all negotiated rates	2170	percent of total billed charges	2170	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	P3	HMO		39	39% of all negotiated rates	2170	percent of total billed charges	2170	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1245	percent of total billed charges	1245	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Select Health	HMO		41	41% of all negotiated rates	2099	percent of total billed charges	2099	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Silversummit Medicare	HMO		39	39% of all negotiated rates	2170	percent of total billed charges	2170	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2312	percent of total billed charges	2312	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	TriWest	PPO		30	30% of all negotiated rates	2490	percent of total billed charges	2490	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1245	percent of total billed charges	1245	3557	
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Aetna	PPO	950		case rate	950	case rate	950	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Anthem Medicaid	HMO	615		NV Medicaid SDS Rate	615	fee schedule	615	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Cigna	PPO	1014		case rate	1014	case rate	1014	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	HPN Medicaid	HMO	615		NV Medicaid SDS Rate	615	fee schedule	615	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Molina Medicaid	HMO	615		NV Medicaid SDS Rate	615	case rate	615	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	One Health	PPO	1273		case rate	1273	case rate	1273	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	3388	Coinsurance and deductible may apply
Carpal Tunnel Release	64721	CPT	49064721	LOCAL	490	RC		outpatient			3557	3024	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3388	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Aetna Medicare	HMO		26	26% of all negotiated rates	6286	percent of total billed charges	6286	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Alignment Medicare	HMO		39	39% of all negotiated rates	5182	percent of total billed charges	5182	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3398	percent of total billed charges	3398	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4247	percent of total billed charges	4247	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5182	percent of total billed charges	5182	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Coventry	PPO		75	75% of all negotiated rates	2124	percent of total billed charges	2124	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1699	percent of total billed charges	1699	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Humana-Commerical	PPO		46	46% of all negotiated rates	4587	percent of total billed charges	4587	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5182	percent of total billed charges	5182	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Multiplan	PPO		80	80% of all negotiated rates	1699	percent of total billed charges	1699	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Optum Medicare	HMO		39	39% of all negotiated rates	5182	percent of total billed charges	5182	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	P3	HMO		39	39% of all negotiated rates	5182	percent of total billed charges	5182	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2973	percent of total billed charges	2973	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Select Health	HMO		41	41% of all negotiated rates	5012	percent of total billed charges	5012	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Silversummit Medicare	HMO		39	39% of all negotiated rates	5182	percent of total billed charges	5182	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5521	percent of total billed charges	5521	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	TriWest	PPO		30	30% of all negotiated rates	5946	percent of total billed charges	5946	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2973	percent of total billed charges	2973	8495	
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Aetna	PPO	1550		case rate	1550	case rate	1550	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Cigna	PPO	1625		case rate	1625	case rate	1625	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	case rate	1590	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	One Health	PPO	2818		case rate	2818	case rate	2818	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic	47562	CPT	49047562	LOCAL	490	RC		outpatient			8495	7220	United Healthcare	PPO	2818		case rate	2818	case rate	2818	8090	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Aetna Medicare	HMO		26	26% of all negotiated rates	6984	percent of total billed charges	6984	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Alignment Medicare	HMO		39	39% of all negotiated rates	5757	percent of total billed charges	5757	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3775	percent of total billed charges	3775	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4719	percent of total billed charges	4719	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5757	percent of total billed charges	5757	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Coventry	PPO		75	75% of all negotiated rates	2359	percent of total billed charges	2359	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1887	percent of total billed charges	1887	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Humana-Commerical	PPO		46	46% of all negotiated rates	5096	percent of total billed charges	5096	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5757	percent of total billed charges	5757	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Multiplan	PPO		80	80% of all negotiated rates	1887	percent of total billed charges	1887	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Optum Medicare	HMO		39	39% of all negotiated rates	5757	percent of total billed charges	5757	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	P3	HMO		39	39% of all negotiated rates	5757	percent of total billed charges	5757	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3303	percent of total billed charges	3303	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Select Health	HMO		41	41% of all negotiated rates	5568	percent of total billed charges	5568	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Silversummit Medicare	HMO		39	39% of all negotiated rates	5757	percent of total billed charges	5757	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6134	percent of total billed charges	6134	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	TriWest	PPO		30	30% of all negotiated rates	6606	percent of total billed charges	6606	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3303	percent of total billed charges	3303	9437	
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Aetna	PPO	1550		case rate	1550	case rate	1550	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Cigna	PPO	1625		case rate	1625	case rate	1625	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	case rate	1590	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	One Health	PPO	2818		case rate	2818	case rate	2818	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	8988	Coinsurance and deductible may apply
Cholecystectomy Laparoscopic with Cholangiogram	47563	CPT	49047563	LOCAL	490	RC		outpatient			9437	8022	United Healthcare	PPO	2818		case rate	2818	case rate	2818	8988	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Aetna Medicare	HMO		26	26% of all negotiated rates	1159	percent of total billed charges	1159	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Alignment Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	627	percent of total billed charges	627	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	783	percent of total billed charges	783	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Coventry	PPO		75	75% of all negotiated rates	392	percent of total billed charges	392	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	313	percent of total billed charges	313	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Humana-Commerical	PPO		46	46% of all negotiated rates	846	percent of total billed charges	846	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Multiplan	PPO		80	80% of all negotiated rates	313	percent of total billed charges	313	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Optum Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	P3	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	548	percent of total billed charges	548	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Select Health	HMO		41	41% of all negotiated rates	924	percent of total billed charges	924	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Silversummit Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1018	percent of total billed charges	1018	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	TriWest	PPO		30	30% of all negotiated rates	1097	percent of total billed charges	1097	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	548	percent of total billed charges	548	1567	
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Aetna	PPO	750		case rate	750	case rate	750	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Anthem Medicaid	HMO	105		NV Medicaid SDS Rate	105	fee schedule	105	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Cigna	PPO	756		case rate	756	case rate	756	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	HPN Medicaid	HMO	105		NV Medicaid SDS Rate	105	fee schedule	105	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Molina Medicaid	HMO	105		NV Medicaid SDS Rate	105	case rate	105	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	One Health	PPO	474		case rate	474	case rate	474	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Sierra/HPN	HMO	756		case rate	756	case rate	756	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	1492	Coinsurance and deductible may apply
CLSD TX POST HIP ARTHRO W	27265	CPT	3230001	LOCAL	490	RC		outpatient			1567	1332	United Healthcare	PPO	474		case rate	474	case rate	474	1492	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Aetna Medicare	HMO		26	26% of all negotiated rates	1793	percent of total billed charges	1793	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Alignment Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	969	percent of total billed charges	969	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1211	percent of total billed charges	1211	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Coventry	PPO		75	75% of all negotiated rates	606	percent of total billed charges	606	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	484	percent of total billed charges	484	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Humana-Commerical	PPO		46	46% of all negotiated rates	1308	percent of total billed charges	1308	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Multiplan	PPO		80	80% of all negotiated rates	484	percent of total billed charges	484	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Optum Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	P3	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	848	percent of total billed charges	848	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Select Health	HMO		41	41% of all negotiated rates	1429	percent of total billed charges	1429	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Silversummit Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1575	percent of total billed charges	1575	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	TriWest	PPO		30	30% of all negotiated rates	1696	percent of total billed charges	1696	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	848	percent of total billed charges	848	2422	
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Aetna	PPO	950		case rate	950	case rate	950	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Cigna	PPO	1014		case rate	1014	case rate	1014	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	One Health	PPO	1061		case rate	1061	case rate	1061	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2307	Coinsurance and deductible may apply
Colonoscopy	45378	CPT	49045378	LOCAL	490	RC		outpatient			2422	2059	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2307	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Aetna Medicare	HMO		26	26% of all negotiated rates	1676	percent of total billed charges	1676	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Alignment Medicare	HMO		39	39% of all negotiated rates	1382	percent of total billed charges	1382	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	906	percent of total billed charges	906	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1132	percent of total billed charges	1132	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1382	percent of total billed charges	1382	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Coventry	PPO		75	75% of all negotiated rates	566	percent of total billed charges	566	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	453	percent of total billed charges	453	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Humana-Commerical	PPO		46	46% of all negotiated rates	1223	percent of total billed charges	1223	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1382	percent of total billed charges	1382	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Multiplan	PPO		80	80% of all negotiated rates	453	percent of total billed charges	453	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Optum Medicare	HMO		39	39% of all negotiated rates	1382	percent of total billed charges	1382	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	P3	HMO		39	39% of all negotiated rates	1382	percent of total billed charges	1382	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	793	percent of total billed charges	793	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Select Health	HMO		41	41% of all negotiated rates	1336	percent of total billed charges	1336	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Silversummit Medicare	HMO		39	39% of all negotiated rates	1382	percent of total billed charges	1382	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1472	percent of total billed charges	1472	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	TriWest	PPO		30	30% of all negotiated rates	1585	percent of total billed charges	1585	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	793	percent of total billed charges	793	2265	
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Aetna	PPO	950		case rate	950	case rate	950	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Cigna	PPO	1014		case rate	1014	case rate	1014	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	One Health	PPO	1061		case rate	1061	case rate	1061	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2157	Coinsurance and deductible may apply
Colonoscopy Screening	45378	CPT	49010121	LOCAL	490	RC		outpatient			2265	1925	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2157	Coinsurance and deductible may apply
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Aetna Medicare	HMO		26	26% of all negotiated rates	1692	percent of total billed charges	1692	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Alignment Medicare	HMO		39	39% of all negotiated rates	1395	percent of total billed charges	1395	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	915	percent of total billed charges	915	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1143	percent of total billed charges	1143	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1395	percent of total billed charges	1395	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Coventry	PPO		75	75% of all negotiated rates	572	percent of total billed charges	572	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	457	percent of total billed charges	457	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Humana-Commerical	PPO		46	46% of all negotiated rates	1235	percent of total billed charges	1235	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1395	percent of total billed charges	1395	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Optum Medicare	HMO		39	39% of all negotiated rates	1395	percent of total billed charges	1395	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	P3	HMO		39	39% of all negotiated rates	1395	percent of total billed charges	1395	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Select Health	HMO		41	41% of all negotiated rates	1349	percent of total billed charges	1349	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	Silversummit Medicare	HMO		39	39% of all negotiated rates	1395	percent of total billed charges	1395	2287	
Colonoscopy Screening High Risk			49010105	LOCAL	490	RC		outpatient			2287	1944	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	800	percent of total billed charges	800	2287	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Aetna Medicare	HMO		26	26% of all negotiated rates	1825	percent of total billed charges	1825	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Alignment Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	987	percent of total billed charges	987	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1233	percent of total billed charges	1233	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Coventry	PPO		75	75% of all negotiated rates	617	percent of total billed charges	617	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Humana-Commerical	PPO		46	46% of all negotiated rates	1332	percent of total billed charges	1332	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Multiplan	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Optum Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	P3	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	863	percent of total billed charges	863	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Select Health	HMO		41	41% of all negotiated rates	1455	percent of total billed charges	1455	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Silversummit Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1603	percent of total billed charges	1603	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	TriWest	PPO		30	30% of all negotiated rates	1727	percent of total billed charges	1727	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	863	percent of total billed charges	863	2466	
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Aetna	PPO	950		case rate	950	case rate	950	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Cigna	PPO	1014		case rate	1014	case rate	1014	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	One Health	PPO	1061		case rate	1061	case rate	1061	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2349	Coinsurance and deductible may apply
Colonoscopy w/ Submucosal Injection	45381	CPT	49045381	LOCAL	490	RC		outpatient			2466	2096	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Aetna Medicare	HMO		26	26% of all negotiated rates	1825	percent of total billed charges	1825	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Alignment Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	987	percent of total billed charges	987	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1233	percent of total billed charges	1233	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Coventry	PPO		75	75% of all negotiated rates	617	percent of total billed charges	617	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Humana-Commerical	PPO		46	46% of all negotiated rates	1332	percent of total billed charges	1332	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Multiplan	PPO		80	80% of all negotiated rates	493	percent of total billed charges	493	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Optum Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	P3	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	863	percent of total billed charges	863	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Select Health	HMO		41	41% of all negotiated rates	1455	percent of total billed charges	1455	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Silversummit Medicare	HMO		39	39% of all negotiated rates	1505	percent of total billed charges	1505	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1603	percent of total billed charges	1603	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	TriWest	PPO		30	30% of all negotiated rates	1727	percent of total billed charges	1727	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	863	percent of total billed charges	863	2466	
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Aetna	PPO	950		case rate	950	case rate	950	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Cigna	PPO	1014		case rate	1014	case rate	1014	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	One Health	PPO	1061		case rate	1061	case rate	1061	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2349	Coinsurance and deductible may apply
Colonoscopy with Biopsy	45380	CPT	49045380	LOCAL	490	RC		outpatient			2466	2096	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2349	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Aetna Medicare	HMO		26	26% of all negotiated rates	1385	percent of total billed charges	1385	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Alignment Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	748	percent of total billed charges	748	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	936	percent of total billed charges	936	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Coventry	PPO		75	75% of all negotiated rates	468	percent of total billed charges	468	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	374	percent of total billed charges	374	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Humana-Commerical	PPO		46	46% of all negotiated rates	1010	percent of total billed charges	1010	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Multiplan	PPO		80	80% of all negotiated rates	374	percent of total billed charges	374	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Optum Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	P3	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	655	percent of total billed charges	655	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Select Health	HMO		41	41% of all negotiated rates	1104	percent of total billed charges	1104	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Silversummit Medicare	HMO		39	39% of all negotiated rates	1141	percent of total billed charges	1141	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1216	percent of total billed charges	1216	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	TriWest	PPO		30	30% of all negotiated rates	1310	percent of total billed charges	1310	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	655	percent of total billed charges	655	1871	
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Aetna	PPO	950		case rate	950	case rate	950	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Cigna	PPO	1014		case rate	1014	case rate	1014	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	One Health	PPO	1061		case rate	1061	case rate	1061	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	1782	Coinsurance and deductible may apply
Colonoscopy with Dilation	45386	CPT	49045386	LOCAL	490	RC		outpatient			1871	1590	United Healthcare	PPO	1061		case rate	1061	case rate	1061	1782	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Aetna Medicare	HMO		26	26% of all negotiated rates	1882	percent of total billed charges	1882	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Alignment Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1017	percent of total billed charges	1017	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1272	percent of total billed charges	1272	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Coventry	PPO		75	75% of all negotiated rates	636	percent of total billed charges	636	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	509	percent of total billed charges	509	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Humana-Commerical	PPO		46	46% of all negotiated rates	1373	percent of total billed charges	1373	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Multiplan	PPO		80	80% of all negotiated rates	509	percent of total billed charges	509	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Optum Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	P3	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	890	percent of total billed charges	890	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Select Health	HMO		41	41% of all negotiated rates	1500	percent of total billed charges	1500	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Silversummit Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1653	percent of total billed charges	1653	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	TriWest	PPO		30	30% of all negotiated rates	1780	percent of total billed charges	1780	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	890	percent of total billed charges	890	2543	
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Aetna	PPO	950		case rate	950	case rate	950	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Cigna	PPO	1014		case rate	1014	case rate	1014	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	One Health	PPO	1061		case rate	1061	case rate	1061	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal	45384	CPT	49045384	LOCAL	490	RC		outpatient			2543	2162	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Aetna Medicare	HMO		26	26% of all negotiated rates	1882	percent of total billed charges	1882	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Alignment Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1017	percent of total billed charges	1017	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1272	percent of total billed charges	1272	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Coventry	PPO		75	75% of all negotiated rates	636	percent of total billed charges	636	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	509	percent of total billed charges	509	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Humana-Commerical	PPO		46	46% of all negotiated rates	1373	percent of total billed charges	1373	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Multiplan	PPO		80	80% of all negotiated rates	509	percent of total billed charges	509	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Optum Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	P3	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	890	percent of total billed charges	890	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Select Health	HMO		41	41% of all negotiated rates	1500	percent of total billed charges	1500	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Silversummit Medicare	HMO		39	39% of all negotiated rates	1551	percent of total billed charges	1551	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1653	percent of total billed charges	1653	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	TriWest	PPO		30	30% of all negotiated rates	1780	percent of total billed charges	1780	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	890	percent of total billed charges	890	2543	
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Aetna	PPO	950		case rate	950	case rate	950	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Anthem Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Cigna	PPO	1014		case rate	1014	case rate	1014	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	HPN Medicaid	HMO	333		NV Medicaid SDS Rate	333	fee schedule	333	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Molina Medicaid	HMO	333		NV Medicaid SDS Rate	333	case rate	333	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	One Health	PPO	1061		case rate	1061	case rate	1061	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2422	Coinsurance and deductible may apply
Colonoscopy with Lesion Removal Snare Technique	45385	CPT	49045385	LOCAL	490	RC		outpatient			2543	2162	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2422	Coinsurance and deductible may apply
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Aetna Medicare	HMO		26	26% of all negotiated rates	1793	percent of total billed charges	1793	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Alignment Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	969	percent of total billed charges	969	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1211	percent of total billed charges	1211	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Coventry	PPO		75	75% of all negotiated rates	606	percent of total billed charges	606	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	484	percent of total billed charges	484	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Humana-Commerical	PPO		46	46% of all negotiated rates	1308	percent of total billed charges	1308	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Optum Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	P3	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Select Health	HMO		41	41% of all negotiated rates	1429	percent of total billed charges	1429	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	Silversummit Medicare	HMO		39	39% of all negotiated rates	1478	percent of total billed charges	1478	2422	
COLORECTAL SCREENING HIGH RISK			49011111	LOCAL	490	RC		outpatient			2422	2059	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	848	percent of total billed charges	848	2422	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Aetna Medicare	HMO		26	26% of all negotiated rates	3444	percent of total billed charges	3444	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Alignment Medicare	HMO		39	39% of all negotiated rates	2839	percent of total billed charges	2839	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1862	percent of total billed charges	1862	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2327	percent of total billed charges	2327	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2839	percent of total billed charges	2839	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Coventry	PPO		75	75% of all negotiated rates	1164	percent of total billed charges	1164	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	931	percent of total billed charges	931	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Humana-Commerical	PPO		46	46% of all negotiated rates	2514	percent of total billed charges	2514	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2839	percent of total billed charges	2839	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Multiplan	PPO		80	80% of all negotiated rates	931	percent of total billed charges	931	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Optum Medicare	HMO		39	39% of all negotiated rates	2839	percent of total billed charges	2839	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	P3	HMO		39	39% of all negotiated rates	2839	percent of total billed charges	2839	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1629	percent of total billed charges	1629	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Select Health	HMO		41	41% of all negotiated rates	2746	percent of total billed charges	2746	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Silversummit Medicare	HMO		39	39% of all negotiated rates	2839	percent of total billed charges	2839	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3026	percent of total billed charges	3026	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	TriWest	PPO		30	30% of all negotiated rates	3258	percent of total billed charges	3258	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1629	percent of total billed charges	1629	4655	
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Aetna	PPO	1150		case rate	1150	case rate	1150	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Cigna	PPO	1157		case rate	1157	case rate	1157	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	One Health	PPO	1273		case rate	1273	case rate	1273	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4433	Coinsurance and deductible may apply
Correction Hallux Rigdus w/o Implant	28289	CPT	49028289	LOCAL	490	RC		outpatient			4655	3956	United Healthcare	PPO	1273		case rate	1273	case rate	1273	4433	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Aetna Medicare	HMO		26	26% of all negotiated rates	4615	percent of total billed charges	4615	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Alignment Medicare	HMO		39	39% of all negotiated rates	3805	percent of total billed charges	3805	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2495	percent of total billed charges	2495	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3119	percent of total billed charges	3119	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3805	percent of total billed charges	3805	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Coventry	PPO		75	75% of all negotiated rates	1559	percent of total billed charges	1559	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1247	percent of total billed charges	1247	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Humana-Commerical	PPO		46	46% of all negotiated rates	3368	percent of total billed charges	3368	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3805	percent of total billed charges	3805	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Multiplan	PPO		80	80% of all negotiated rates	1247	percent of total billed charges	1247	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Optum Medicare	HMO		39	39% of all negotiated rates	3805	percent of total billed charges	3805	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	P3	HMO		39	39% of all negotiated rates	3805	percent of total billed charges	3805	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2183	percent of total billed charges	2183	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Select Health	HMO		41	41% of all negotiated rates	3680	percent of total billed charges	3680	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Silversummit Medicare	HMO		39	39% of all negotiated rates	3805	percent of total billed charges	3805	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4054	percent of total billed charges	4054	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	TriWest	PPO		30	30% of all negotiated rates	4366	percent of total billed charges	4366	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2183	percent of total billed charges	2183	6237	
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Aetna	PPO	1150		case rate	1150	case rate	1150	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Anthem Medicaid	HMO	2817		NV Medicaid SDS Rate	2817	fee schedule	2817	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Cigna	PPO	1625		case rate	1625	case rate	1625	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	HPN Medicaid	HMO	2817		NV Medicaid SDS Rate	2817	fee schedule	2817	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Molina Medicaid	HMO	2817		NV Medicaid SDS Rate	2817	case rate	2817	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	One Health	PPO	2818		case rate	2818	case rate	2818	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	5940	Coinsurance and deductible may apply
Correction Hallux Rigidus with Cheilectomy 1st Metatarsal Ph	28291	CPT	49028291	LOCAL	490	RC		outpatient			6237	5301	United Healthcare	PPO	2818		case rate	2818	case rate	2818	5940	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Aetna Medicare	HMO		26	26% of all negotiated rates	5247	percent of total billed charges	5247	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Alignment Medicare	HMO		39	39% of all negotiated rates	4325	percent of total billed charges	4325	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2836	percent of total billed charges	2836	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3545	percent of total billed charges	3545	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4325	percent of total billed charges	4325	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Coventry	PPO		75	75% of all negotiated rates	1773	percent of total billed charges	1773	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1418	percent of total billed charges	1418	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Humana-Commerical	PPO		46	46% of all negotiated rates	3829	percent of total billed charges	3829	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4325	percent of total billed charges	4325	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Multiplan	PPO		80	80% of all negotiated rates	1418	percent of total billed charges	1418	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Optum Medicare	HMO		39	39% of all negotiated rates	4325	percent of total billed charges	4325	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	P3	HMO		39	39% of all negotiated rates	4325	percent of total billed charges	4325	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2482	percent of total billed charges	2482	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Select Health	HMO		41	41% of all negotiated rates	4183	percent of total billed charges	4183	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Silversummit Medicare	HMO		39	39% of all negotiated rates	4325	percent of total billed charges	4325	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4609	percent of total billed charges	4609	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	TriWest	PPO		30	30% of all negotiated rates	4963	percent of total billed charges	4963	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2482	percent of total billed charges	2482	7091	
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Aetna	PPO	950		case rate	950	case rate	950	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Cigna	PPO	1014		case rate	1014	case rate	1014	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	One Health	PPO	1441		case rate	1441	case rate	1441	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	6753	Coinsurance and deductible may apply
CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX	28292	CPT	49028292	LOCAL	490	RC		outpatient			7091	6027	United Healthcare	PPO	1441		case rate	1441	case rate	1441	6753	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Aetna Medicare	HMO		26	26% of all negotiated rates	3714	percent of total billed charges	3714	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Alignment Medicare	HMO		39	39% of all negotiated rates	3062	percent of total billed charges	3062	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2008	percent of total billed charges	2008	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2510	percent of total billed charges	2510	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3062	percent of total billed charges	3062	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Coventry	PPO		75	75% of all negotiated rates	1255	percent of total billed charges	1255	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1004	percent of total billed charges	1004	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Humana-Commerical	PPO		46	46% of all negotiated rates	2710	percent of total billed charges	2710	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3062	percent of total billed charges	3062	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Multiplan	PPO		80	80% of all negotiated rates	1004	percent of total billed charges	1004	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Optum Medicare	HMO		39	39% of all negotiated rates	3062	percent of total billed charges	3062	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	P3	HMO		39	39% of all negotiated rates	3062	percent of total billed charges	3062	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1757	percent of total billed charges	1757	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Select Health	HMO		41	41% of all negotiated rates	2961	percent of total billed charges	2961	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Silversummit Medicare	HMO		39	39% of all negotiated rates	3062	percent of total billed charges	3062	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3262	percent of total billed charges	3262	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	TriWest	PPO		30	30% of all negotiated rates	3513	percent of total billed charges	3513	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1757	percent of total billed charges	1757	5019	
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Aetna	PPO	1150		case rate	1150	case rate	1150	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Cigna	PPO	1157		case rate	1157	case rate	1157	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	One Health	PPO	1441		case rate	1441	case rate	1441	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4780	Coinsurance and deductible may apply
CORRECTION OF BUNION CHARGE	28296	CPT	49028296	LOCAL	490	RC		outpatient			5019	4266	United Healthcare	PPO	1441		case rate	1441	case rate	1441	4780	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Aetna Medicare	HMO		26	26% of all negotiated rates	1095	percent of total billed charges	1095	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Alignment Medicare	HMO		39	39% of all negotiated rates	902	percent of total billed charges	902	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	592	percent of total billed charges	592	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	740	percent of total billed charges	740	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	902	percent of total billed charges	902	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Coventry	PPO		75	75% of all negotiated rates	370	percent of total billed charges	370	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	296	percent of total billed charges	296	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Humana-Commerical	PPO		46	46% of all negotiated rates	799	percent of total billed charges	799	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	902	percent of total billed charges	902	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Multiplan	PPO		80	80% of all negotiated rates	296	percent of total billed charges	296	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Optum Medicare	HMO		39	39% of all negotiated rates	902	percent of total billed charges	902	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	P3	HMO		39	39% of all negotiated rates	902	percent of total billed charges	902	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	518	percent of total billed charges	518	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Select Health	HMO		41	41% of all negotiated rates	873	percent of total billed charges	873	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Silversummit Medicare	HMO		39	39% of all negotiated rates	902	percent of total billed charges	902	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	962	percent of total billed charges	962	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	TriWest	PPO		30	30% of all negotiated rates	1036	percent of total billed charges	1036	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	518	percent of total billed charges	518	1479	
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Aetna	PPO	950		case rate	950	case rate	950	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Anthem Medicaid	HMO	100		NV Medicaid SDS Rate	100	fee schedule	100	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Cigna	PPO	1014		case rate	1014	case rate	1014	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	HPN Medicaid	HMO	100		NV Medicaid SDS Rate	100	fee schedule	100	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Molina Medicaid	HMO	100		NV Medicaid SDS Rate	100	case rate	100	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	One Health	PPO	474		case rate	474	case rate	474	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	1409	Coinsurance and deductible may apply
Debridement Subcutaneous Tissue 20 SQ CM or Les	11042	CPT	49011042	LOCAL	490	RC		outpatient			1479	1258	United Healthcare	PPO	474		case rate	474	case rate	474	1409	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Aetna Medicare	HMO		26	26% of all negotiated rates	543	percent of total billed charges	543	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Alignment Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	294	percent of total billed charges	294	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	367	percent of total billed charges	367	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Coventry	PPO		75	75% of all negotiated rates	183	percent of total billed charges	183	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	147	percent of total billed charges	147	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Humana-Commerical	PPO		46	46% of all negotiated rates	396	percent of total billed charges	396	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Multiplan	PPO		80	80% of all negotiated rates	147	percent of total billed charges	147	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Optum Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	P3	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	257	percent of total billed charges	257	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Select Health	HMO		41	41% of all negotiated rates	433	percent of total billed charges	433	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Silversummit Medicare	HMO		39	39% of all negotiated rates	448	percent of total billed charges	448	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	477	percent of total billed charges	477	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	TriWest	PPO		30	30% of all negotiated rates	514	percent of total billed charges	514	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	257	percent of total billed charges	257	734	
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Aetna	PPO	750		case rate	750	case rate	750	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Anthem Medicaid	HMO	105		NV Medicaid SDS Rate	105	fee schedule	105	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Cigna	PPO	756		case rate	756	case rate	756	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	HPN Medicaid	HMO	105		NV Medicaid SDS Rate	105	fee schedule	105	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Molina Medicaid	HMO	105		NV Medicaid SDS Rate	105	case rate	105	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	One Health	PPO	474		case rate	474	case rate	474	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Sierra/HPN	HMO	756		case rate	756	case rate	756	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	699	Coinsurance and deductible may apply
DISLOCATION WRIST	25675	CPT	3236750	LOCAL	490	RC		outpatient			734	624	United Healthcare	PPO	474		case rate	474	case rate	474	699	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Aetna Medicare	HMO		26	26% of all negotiated rates	4692	percent of total billed charges	4692	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Alignment Medicare	HMO		39	39% of all negotiated rates	3868	percent of total billed charges	3868	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2536	percent of total billed charges	2536	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3170	percent of total billed charges	3170	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3868	percent of total billed charges	3868	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Coventry	PPO		75	75% of all negotiated rates	1585	percent of total billed charges	1585	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1268	percent of total billed charges	1268	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Humana-Commerical	PPO		46	46% of all negotiated rates	3424	percent of total billed charges	3424	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3868	percent of total billed charges	3868	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Multiplan	PPO		80	80% of all negotiated rates	1268	percent of total billed charges	1268	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Optum Medicare	HMO		39	39% of all negotiated rates	3868	percent of total billed charges	3868	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	P3	HMO		39	39% of all negotiated rates	3868	percent of total billed charges	3868	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2219	percent of total billed charges	2219	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Select Health	HMO		41	41% of all negotiated rates	3741	percent of total billed charges	3741	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Silversummit Medicare	HMO		39	39% of all negotiated rates	3868	percent of total billed charges	3868	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4122	percent of total billed charges	4122	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	TriWest	PPO		30	30% of all negotiated rates	4439	percent of total billed charges	4439	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2219	percent of total billed charges	2219	6341	
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Aetna	PPO	1550		case rate	1550	case rate	1550	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Cigna	PPO	1625		case rate	1625	case rate	1625	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	One Health	PPO	2818		case rate	2818	case rate	2818	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	6039	Coinsurance and deductible may apply
Distal Claviculectomy Including Distal Articular Surface - M	29824	CPT	49029824	LOCAL	490	RC		outpatient			6341	5390	United Healthcare	PPO	2818		case rate	2818	case rate	2818	6039	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Aetna Medicare	HMO		26	26% of all negotiated rates	4569	percent of total billed charges	4569	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Alignment Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2470	percent of total billed charges	2470	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3087	percent of total billed charges	3087	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Coventry	PPO		75	75% of all negotiated rates	1544	percent of total billed charges	1544	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1235	percent of total billed charges	1235	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Humana-Commerical	PPO		46	46% of all negotiated rates	3334	percent of total billed charges	3334	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Multiplan	PPO		80	80% of all negotiated rates	1235	percent of total billed charges	1235	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Optum Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	P3	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2161	percent of total billed charges	2161	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Select Health	HMO		41	41% of all negotiated rates	3643	percent of total billed charges	3643	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Silversummit Medicare	HMO		39	39% of all negotiated rates	3766	percent of total billed charges	3766	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4013	percent of total billed charges	4013	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	TriWest	PPO		30	30% of all negotiated rates	4322	percent of total billed charges	4322	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2161	percent of total billed charges	2161	6174	
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Aetna	PPO	1150		case rate	1150	case rate	1150	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Cigna	PPO	1157		case rate	1157	case rate	1157	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	One Health	PPO	1441		case rate	1441	case rate	1441	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	5880	Coinsurance and deductible may apply
Dupuytren's Contracture Release	26045	CPT	49026045	LOCAL	490	RC		outpatient			6174	5248	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5880	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Aetna Medicare	HMO		26	26% of all negotiated rates	1589	percent of total billed charges	1589	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Alignment Medicare	HMO		39	39% of all negotiated rates	1310	percent of total billed charges	1310	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	859	percent of total billed charges	859	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1074	percent of total billed charges	1074	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1310	percent of total billed charges	1310	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Coventry	PPO		75	75% of all negotiated rates	537	percent of total billed charges	537	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	429	percent of total billed charges	429	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Humana-Commerical	PPO		46	46% of all negotiated rates	1160	percent of total billed charges	1160	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1310	percent of total billed charges	1310	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Multiplan	PPO		80	80% of all negotiated rates	429	percent of total billed charges	429	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Optum Medicare	HMO		39	39% of all negotiated rates	1310	percent of total billed charges	1310	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	P3	HMO		39	39% of all negotiated rates	1310	percent of total billed charges	1310	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	752	percent of total billed charges	752	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Select Health	HMO		41	41% of all negotiated rates	1267	percent of total billed charges	1267	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Silversummit Medicare	HMO		39	39% of all negotiated rates	1310	percent of total billed charges	1310	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1396	percent of total billed charges	1396	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	TriWest	PPO		30	30% of all negotiated rates	1503	percent of total billed charges	1503	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	752	percent of total billed charges	752	2147	
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Aetna	PPO	750		case rate	750	case rate	750	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Anthem Medicaid	HMO	329		NV Medicaid SDS Rate	329	fee schedule	329	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Cigna	PPO	756		case rate	756	case rate	756	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	HPN Medicaid	HMO	329		NV Medicaid SDS Rate	329	fee schedule	329	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Molina Medicaid	HMO	329		NV Medicaid SDS Rate	329	case rate	329	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	One Health	PPO	1061		case rate	1061	case rate	1061	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Sierra/HPN	HMO	756		case rate	756	case rate	756	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy (ASC)	43235	CPT	49143235	LOCAL	490	RC		outpatient			2147	1825	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2045	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Aetna Medicare	HMO		26	26% of all negotiated rates	1553	percent of total billed charges	1553	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Alignment Medicare	HMO		39	39% of all negotiated rates	1280	percent of total billed charges	1280	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	840	percent of total billed charges	840	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1049	percent of total billed charges	1049	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1280	percent of total billed charges	1280	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Coventry	PPO		75	75% of all negotiated rates	525	percent of total billed charges	525	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	420	percent of total billed charges	420	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Humana-Commerical	PPO		46	46% of all negotiated rates	1133	percent of total billed charges	1133	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1280	percent of total billed charges	1280	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Multiplan	PPO		80	80% of all negotiated rates	420	percent of total billed charges	420	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Optum Medicare	HMO		39	39% of all negotiated rates	1280	percent of total billed charges	1280	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	P3	HMO		39	39% of all negotiated rates	1280	percent of total billed charges	1280	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	735	percent of total billed charges	735	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Select Health	HMO		41	41% of all negotiated rates	1238	percent of total billed charges	1238	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Silversummit Medicare	HMO		39	39% of all negotiated rates	1280	percent of total billed charges	1280	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1364	percent of total billed charges	1364	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	TriWest	PPO		30	30% of all negotiated rates	1469	percent of total billed charges	1469	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	735	percent of total billed charges	735	2099	
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Aetna	PPO	950		case rate	950	case rate	950	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Anthem Medicaid	HMO	329		NV Medicaid SDS Rate	329	fee schedule	329	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Cigna	PPO	1014		case rate	1014	case rate	1014	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	HPN Medicaid	HMO	329		NV Medicaid SDS Rate	329	fee schedule	329	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Molina Medicaid	HMO	329		NV Medicaid SDS Rate	329	case rate	329	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	One Health	PPO	1061		case rate	1061	case rate	1061	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Biopsy	43239	CPT	49043239	LOCAL	490	RC		outpatient			2099	1784	United Healthcare	PPO	1061		case rate	1061	case rate	1061	1999	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Aetna Medicare	HMO		26	26% of all negotiated rates	1600	percent of total billed charges	1600	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Alignment Medicare	HMO		39	39% of all negotiated rates	1319	percent of total billed charges	1319	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	865	percent of total billed charges	865	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1081	percent of total billed charges	1081	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1319	percent of total billed charges	1319	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Coventry	PPO		75	75% of all negotiated rates	540	percent of total billed charges	540	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	432	percent of total billed charges	432	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Humana-Commerical	PPO		46	46% of all negotiated rates	1167	percent of total billed charges	1167	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1319	percent of total billed charges	1319	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Multiplan	PPO		80	80% of all negotiated rates	432	percent of total billed charges	432	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Optum Medicare	HMO		39	39% of all negotiated rates	1319	percent of total billed charges	1319	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	P3	HMO		39	39% of all negotiated rates	1319	percent of total billed charges	1319	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	757	percent of total billed charges	757	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Select Health	HMO		41	41% of all negotiated rates	1276	percent of total billed charges	1276	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Silversummit Medicare	HMO		39	39% of all negotiated rates	1319	percent of total billed charges	1319	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1405	percent of total billed charges	1405	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	TriWest	PPO		30	30% of all negotiated rates	1513	percent of total billed charges	1513	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	757	percent of total billed charges	757	2162	
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Aetna	PPO	950		case rate	950	case rate	950	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Anthem Medicaid	HMO	481		NV Medicaid SDS Rate	481	fee schedule	481	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Cigna	PPO	1014		case rate	1014	case rate	1014	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	HPN Medicaid	HMO	481		NV Medicaid SDS Rate	481	fee schedule	481	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Molina Medicaid	HMO	481		NV Medicaid SDS Rate	481	case rate	481	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	One Health	PPO	1061		case rate	1061	case rate	1061	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2059	Coinsurance and deductible may apply
Esophagogastroduodenoscopy with Dilation	43245	CPT	49043245	LOCAL	490	RC		outpatient			2162	1838	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2059	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Aetna Medicare	HMO		26	26% of all negotiated rates	2775	percent of total billed charges	2775	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Alignment Medicare	HMO		39	39% of all negotiated rates	2287	percent of total billed charges	2287	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1500	percent of total billed charges	1500	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1875	percent of total billed charges	1875	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2287	percent of total billed charges	2287	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Coventry	PPO		75	75% of all negotiated rates	937	percent of total billed charges	937	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	750	percent of total billed charges	750	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Humana-Commerical	PPO		46	46% of all negotiated rates	2025	percent of total billed charges	2025	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2287	percent of total billed charges	2287	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Multiplan	PPO		80	80% of all negotiated rates	750	percent of total billed charges	750	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Optum Medicare	HMO		39	39% of all negotiated rates	2287	percent of total billed charges	2287	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	P3	HMO		39	39% of all negotiated rates	2287	percent of total billed charges	2287	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1312	percent of total billed charges	1312	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Select Health	HMO		41	41% of all negotiated rates	2212	percent of total billed charges	2212	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Silversummit Medicare	HMO		39	39% of all negotiated rates	2287	percent of total billed charges	2287	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2437	percent of total billed charges	2437	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	TriWest	PPO		30	30% of all negotiated rates	2625	percent of total billed charges	2625	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1312	percent of total billed charges	1312	3750	
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Aetna	PPO	950		case rate	950	case rate	950	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Cigna	PPO	1014		case rate	1014	case rate	1014	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	One Health	PPO	1061		case rate	1061	case rate	1061	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	3571	Coinsurance and deductible may apply
EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM	26116	CPT	49026116	LOCAL	490	RC		outpatient			3750	3187	United Healthcare	PPO	1061		case rate	1061	case rate	1061	3571	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Aetna Medicare	HMO		26	26% of all negotiated rates	2318	percent of total billed charges	2318	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Alignment Medicare	HMO		39	39% of all negotiated rates	1911	percent of total billed charges	1911	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1253	percent of total billed charges	1253	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1566	percent of total billed charges	1566	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1911	percent of total billed charges	1911	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Coventry	PPO		75	75% of all negotiated rates	783	percent of total billed charges	783	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	626	percent of total billed charges	626	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Humana-Commerical	PPO		46	46% of all negotiated rates	1691	percent of total billed charges	1691	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1911	percent of total billed charges	1911	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Multiplan	PPO		80	80% of all negotiated rates	626	percent of total billed charges	626	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Optum Medicare	HMO		39	39% of all negotiated rates	1911	percent of total billed charges	1911	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	P3	HMO		39	39% of all negotiated rates	1911	percent of total billed charges	1911	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1096	percent of total billed charges	1096	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Select Health	HMO		41	41% of all negotiated rates	1848	percent of total billed charges	1848	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Silversummit Medicare	HMO		39	39% of all negotiated rates	1911	percent of total billed charges	1911	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2036	percent of total billed charges	2036	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	TriWest	PPO		30	30% of all negotiated rates	2193	percent of total billed charges	2193	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1096	percent of total billed charges	1096	3132	
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Aetna	PPO	1150		case rate	1150	case rate	1150	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Cigna	PPO	2266		case rate	2266	case rate	2266	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	One Health	PPO	1273		case rate	1273	case rate	1273	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Sierra Healthcare Options	PPO	2266		case rate	2266	case rate	2266	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Sierra/HPN	HMO	2266		case rate	2266	case rate	2266	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2983	Coinsurance and deductible may apply
EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM	26111	CPT	49026111	LOCAL	490	RC		outpatient			3132	2662	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2983	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Aetna Medicare	HMO		26	26% of all negotiated rates	5237	percent of total billed charges	5237	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Alignment Medicare	HMO		39	39% of all negotiated rates	4317	percent of total billed charges	4317	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2831	percent of total billed charges	2831	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3539	percent of total billed charges	3539	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4317	percent of total billed charges	4317	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Coventry	PPO		75	75% of all negotiated rates	1769	percent of total billed charges	1769	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1415	percent of total billed charges	1415	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Humana-Commerical	PPO		46	46% of all negotiated rates	3822	percent of total billed charges	3822	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4317	percent of total billed charges	4317	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Multiplan	PPO		80	80% of all negotiated rates	1415	percent of total billed charges	1415	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Optum Medicare	HMO		39	39% of all negotiated rates	4317	percent of total billed charges	4317	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	P3	HMO		39	39% of all negotiated rates	4317	percent of total billed charges	4317	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2477	percent of total billed charges	2477	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Select Health	HMO		41	41% of all negotiated rates	4175	percent of total billed charges	4175	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Silversummit Medicare	HMO		39	39% of all negotiated rates	4317	percent of total billed charges	4317	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4600	percent of total billed charges	4600	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	TriWest	PPO		30	30% of all negotiated rates	4954	percent of total billed charges	4954	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2477	percent of total billed charges	2477	7077	
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Aetna	PPO	1150		case rate	1150	case rate	1150	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Cigna	PPO	2266		case rate	2266	case rate	2266	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	One Health	PPO	1273		case rate	1273	case rate	1273	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Sierra Healthcare Options	PPO	2266		case rate	2266	case rate	2266	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Sierra/HPN	HMO	2266		case rate	2266	case rate	2266	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6740	Coinsurance and deductible may apply
EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM	24071	CPT	49024071	LOCAL	490	RC		outpatient			7077	6015	United Healthcare	PPO	1273		case rate	1273	case rate	1273	6740	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Aetna Medicare	HMO		26	26% of all negotiated rates	2564	percent of total billed charges	2564	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Alignment Medicare	HMO		39	39% of all negotiated rates	2114	percent of total billed charges	2114	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1386	percent of total billed charges	1386	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1733	percent of total billed charges	1733	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2114	percent of total billed charges	2114	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Coventry	PPO		75	75% of all negotiated rates	866	percent of total billed charges	866	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	693	percent of total billed charges	693	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Humana-Commerical	PPO		46	46% of all negotiated rates	1871	percent of total billed charges	1871	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2114	percent of total billed charges	2114	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Multiplan	PPO		80	80% of all negotiated rates	693	percent of total billed charges	693	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Optum Medicare	HMO		39	39% of all negotiated rates	2114	percent of total billed charges	2114	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	P3	HMO		39	39% of all negotiated rates	2114	percent of total billed charges	2114	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1213	percent of total billed charges	1213	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Select Health	HMO		41	41% of all negotiated rates	2044	percent of total billed charges	2044	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Silversummit Medicare	HMO		39	39% of all negotiated rates	2114	percent of total billed charges	2114	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2252	percent of total billed charges	2252	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	TriWest	PPO		30	30% of all negotiated rates	2426	percent of total billed charges	2426	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1213	percent of total billed charges	1213	3465	
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Aetna	PPO	1150		case rate	1150	case rate	1150	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Cigna	PPO	1157		case rate	1157	case rate	1157	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	One Health	PPO	1273		case rate	1273	case rate	1273	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3300	Coinsurance and deductible may apply
Excision Bone Accessory	28122	CPT	49128122	LOCAL	490	RC		outpatient			3465	2945	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3300	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Aetna Medicare	HMO		26	26% of all negotiated rates	2528	percent of total billed charges	2528	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Alignment Medicare	HMO		39	39% of all negotiated rates	2084	percent of total billed charges	2084	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1366	percent of total billed charges	1366	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1708	percent of total billed charges	1708	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2084	percent of total billed charges	2084	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Coventry	PPO		75	75% of all negotiated rates	854	percent of total billed charges	854	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	683	percent of total billed charges	683	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Humana-Commerical	PPO		46	46% of all negotiated rates	1844	percent of total billed charges	1844	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2084	percent of total billed charges	2084	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Multiplan	PPO		80	80% of all negotiated rates	683	percent of total billed charges	683	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Optum Medicare	HMO		39	39% of all negotiated rates	2084	percent of total billed charges	2084	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	P3	HMO		39	39% of all negotiated rates	2084	percent of total billed charges	2084	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1195	percent of total billed charges	1195	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Select Health	HMO		41	41% of all negotiated rates	2015	percent of total billed charges	2015	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Silversummit Medicare	HMO		39	39% of all negotiated rates	2084	percent of total billed charges	2084	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2220	percent of total billed charges	2220	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	TriWest	PPO		30	30% of all negotiated rates	2391	percent of total billed charges	2391	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1195	percent of total billed charges	1195	3416	
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Aetna	PPO	1950		case rate	1950	case rate	1950	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Cigna	PPO	2257		case rate	2257	case rate	2257	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Coalition	PPO	2090		Coalition grouper rate	2090	case rate	2090	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	One Health	PPO	1273		case rate	1273	case rate	1273	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Sierra Healthcare Options	PPO	2257		case rate	2257	case rate	2257	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Sierra/HPN	HMO	2257		case rate	2257	case rate	2257	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	Teachers Trust	PPO	2090		Teachers grouper rate	2090	case rate	2090	3253	Coinsurance and deductible may apply
Excision Calcaneal Spur	28120	CPT	49028120	LOCAL	490	RC		outpatient			3416	2903	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3253	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Aetna Medicare	HMO		26	26% of all negotiated rates	5703	percent of total billed charges	5703	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Alignment Medicare	HMO		39	39% of all negotiated rates	4701	percent of total billed charges	4701	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3083	percent of total billed charges	3083	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3854	percent of total billed charges	3854	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4701	percent of total billed charges	4701	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Coventry	PPO		75	75% of all negotiated rates	1927	percent of total billed charges	1927	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1541	percent of total billed charges	1541	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Humana-Commerical	PPO		46	46% of all negotiated rates	4162	percent of total billed charges	4162	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4701	percent of total billed charges	4701	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Multiplan	PPO		80	80% of all negotiated rates	1541	percent of total billed charges	1541	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Optum Medicare	HMO		39	39% of all negotiated rates	4701	percent of total billed charges	4701	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	P3	HMO		39	39% of all negotiated rates	4701	percent of total billed charges	4701	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2697	percent of total billed charges	2697	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Select Health	HMO		41	41% of all negotiated rates	4547	percent of total billed charges	4547	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Silversummit Medicare	HMO		39	39% of all negotiated rates	4701	percent of total billed charges	4701	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5010	percent of total billed charges	5010	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	TriWest	PPO		30	30% of all negotiated rates	5395	percent of total billed charges	5395	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2697	percent of total billed charges	2697	7707	
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Aetna	PPO	1150		case rate	1150	case rate	1150	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Cigna	PPO	1157		case rate	1157	case rate	1157	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	One Health	PPO	1273		case rate	1273	case rate	1273	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	7340	Coinsurance and deductible may apply
Excision Cyst Pilonidal	11771	CPT	49011771	LOCAL	490	RC		outpatient			7707	6551	United Healthcare	PPO	1273		case rate	1273	case rate	1273	7340	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Aetna Medicare	HMO		26	26% of all negotiated rates	1116	percent of total billed charges	1116	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Alignment Medicare	HMO		39	39% of all negotiated rates	920	percent of total billed charges	920	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	603	percent of total billed charges	603	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	754	percent of total billed charges	754	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	920	percent of total billed charges	920	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Coventry	PPO		75	75% of all negotiated rates	377	percent of total billed charges	377	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	302	percent of total billed charges	302	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Humana-Commerical	PPO		46	46% of all negotiated rates	814	percent of total billed charges	814	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	920	percent of total billed charges	920	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Multiplan	PPO		80	80% of all negotiated rates	302	percent of total billed charges	302	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Optum Medicare	HMO		39	39% of all negotiated rates	920	percent of total billed charges	920	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	P3	HMO		39	39% of all negotiated rates	920	percent of total billed charges	920	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	528	percent of total billed charges	528	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Select Health	HMO		41	41% of all negotiated rates	890	percent of total billed charges	890	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Silversummit Medicare	HMO		39	39% of all negotiated rates	920	percent of total billed charges	920	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	980	percent of total billed charges	980	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	TriWest	PPO		30	30% of all negotiated rates	1055	percent of total billed charges	1055	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	528	percent of total billed charges	528	1508	
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Aetna	PPO	750		case rate	750	case rate	750	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Anthem Medicaid	HMO	416		NV Medicaid SDS Rate	416	fee schedule	416	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Cigna	PPO	756		case rate	756	case rate	756	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	HPN Medicaid	HMO	416		NV Medicaid SDS Rate	416	fee schedule	416	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Molina Medicaid	HMO	416		NV Medicaid SDS Rate	416	case rate	416	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	One Health	PPO	1061		case rate	1061	case rate	1061	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Sierra/HPN	HMO	756		case rate	756	case rate	756	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	1436	Coinsurance and deductible may apply
Excision Lesion Benign	11423	CPT	49011420	LOCAL	490	RC		outpatient			1508	1282	United Healthcare	PPO	1061		case rate	1061	case rate	1061	1436	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Aetna Medicare	HMO		26	26% of all negotiated rates	1086	percent of total billed charges	1086	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Alignment Medicare	HMO		39	39% of all negotiated rates	895	percent of total billed charges	895	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	587	percent of total billed charges	587	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	734	percent of total billed charges	734	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	895	percent of total billed charges	895	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Coventry	PPO		75	75% of all negotiated rates	367	percent of total billed charges	367	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	294	percent of total billed charges	294	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Humana-Commerical	PPO		46	46% of all negotiated rates	793	percent of total billed charges	793	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	895	percent of total billed charges	895	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Multiplan	PPO		80	80% of all negotiated rates	294	percent of total billed charges	294	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Optum Medicare	HMO		39	39% of all negotiated rates	895	percent of total billed charges	895	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	P3	HMO		39	39% of all negotiated rates	895	percent of total billed charges	895	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	514	percent of total billed charges	514	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Select Health	HMO		41	41% of all negotiated rates	866	percent of total billed charges	866	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Silversummit Medicare	HMO		39	39% of all negotiated rates	895	percent of total billed charges	895	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	954	percent of total billed charges	954	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	TriWest	PPO		30	30% of all negotiated rates	1028	percent of total billed charges	1028	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	514	percent of total billed charges	514	1468	
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Aetna	PPO	750		case rate	750	case rate	750	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Anthem Medicaid	HMO	115		NV Medicaid SDS Rate	115	fee schedule	115	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Cigna	PPO	756		case rate	756	case rate	756	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	HPN Medicaid	HMO	115		NV Medicaid SDS Rate	115	fee schedule	115	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Molina Medicaid	HMO	115		NV Medicaid SDS Rate	115	case rate	115	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	One Health	PPO	686		case rate	686	case rate	686	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Sierra/HPN	HMO	756		case rate	756	case rate	756	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	1398	Coinsurance and deductible may apply
Excision Lesion Malignant	11620	CPT	49011620	LOCAL	490	RC		outpatient			1468	1248	United Healthcare	PPO	686		case rate	686	case rate	686	1398	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Aetna Medicare	HMO		26	26% of all negotiated rates	3101	percent of total billed charges	3101	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Coventry	PPO		75	75% of all negotiated rates	1048	percent of total billed charges	1048	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Humana-Commerical	PPO		46	46% of all negotiated rates	2263	percent of total billed charges	2263	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1467	percent of total billed charges	1467	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2724	percent of total billed charges	2724	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1467	percent of total billed charges	1467	4191	
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Aetna	PPO	950		case rate	950	case rate	950	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Cigna	PPO	1014		case rate	1014	case rate	1014	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	One Health	PPO	1273		case rate	1273	case rate	1273	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	3991	Coinsurance and deductible may apply
Excision Neck Mass	21556	CPT	49021556	LOCAL	490	RC		outpatient			4191	3562	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3991	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Aetna Medicare	HMO		26	26% of all negotiated rates	2061	percent of total billed charges	2061	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Alignment Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1114	percent of total billed charges	1114	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1392	percent of total billed charges	1392	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Coventry	PPO		75	75% of all negotiated rates	696	percent of total billed charges	696	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	557	percent of total billed charges	557	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Humana-Commerical	PPO		46	46% of all negotiated rates	1504	percent of total billed charges	1504	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Multiplan	PPO		80	80% of all negotiated rates	557	percent of total billed charges	557	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Optum Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	P3	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	975	percent of total billed charges	975	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Select Health	HMO		41	41% of all negotiated rates	1643	percent of total billed charges	1643	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Silversummit Medicare	HMO		39	39% of all negotiated rates	1699	percent of total billed charges	1699	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1810	percent of total billed charges	1810	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	TriWest	PPO		30	30% of all negotiated rates	1949	percent of total billed charges	1949	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	975	percent of total billed charges	975	2785	
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Aetna	PPO	1150		case rate	1150	case rate	1150	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Cigna	PPO	1157		case rate	1157	case rate	1157	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	One Health	PPO	1061		case rate	1061	case rate	1061	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2652	Coinsurance and deductible may apply
"Excision of lesion of tendon sheath or joint capsule (eg, cy"	26160	CPT	49026160	LOCAL	490	RC		outpatient			2785	2367	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2652	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Aetna Medicare	HMO		26	26% of all negotiated rates	4727	percent of total billed charges	4727	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Alignment Medicare	HMO		39	39% of all negotiated rates	3897	percent of total billed charges	3897	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2555	percent of total billed charges	2555	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3194	percent of total billed charges	3194	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3897	percent of total billed charges	3897	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Coventry	PPO		75	75% of all negotiated rates	1597	percent of total billed charges	1597	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1278	percent of total billed charges	1278	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Humana-Commerical	PPO		46	46% of all negotiated rates	3450	percent of total billed charges	3450	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3897	percent of total billed charges	3897	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Multiplan	PPO		80	80% of all negotiated rates	1278	percent of total billed charges	1278	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Optum Medicare	HMO		39	39% of all negotiated rates	3897	percent of total billed charges	3897	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	P3	HMO		39	39% of all negotiated rates	3897	percent of total billed charges	3897	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2236	percent of total billed charges	2236	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Select Health	HMO		41	41% of all negotiated rates	3769	percent of total billed charges	3769	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Silversummit Medicare	HMO		39	39% of all negotiated rates	3897	percent of total billed charges	3897	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4152	percent of total billed charges	4152	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	TriWest	PPO		30	30% of all negotiated rates	4472	percent of total billed charges	4472	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2236	percent of total billed charges	2236	6388	
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Aetna	PPO	1150		case rate	1150	case rate	1150	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Anthem Medicaid	HMO	1576		NV Medicaid SDS Rate	1576	fee schedule	1576	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Cigna	PPO	1157		case rate	1157	case rate	1157	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	HPN Medicaid	HMO	1576		NV Medicaid SDS Rate	1576	fee schedule	1576	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Molina Medicaid	HMO	1576		NV Medicaid SDS Rate	1576	case rate	1576	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	One Health	PPO	1872		case rate	1872	case rate	1872	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6084	Coinsurance and deductible may apply
Excision Submandibular	42440	CPT	49042440	LOCAL	490	RC		outpatient			6388	5430	United Healthcare	PPO	1872		case rate	1872	case rate	1872	6084	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Aetna Medicare	HMO		26	26% of all negotiated rates	3182	percent of total billed charges	3182	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Alignment Medicare	HMO		39	39% of all negotiated rates	2623	percent of total billed charges	2623	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1720	percent of total billed charges	1720	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2150	percent of total billed charges	2150	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2623	percent of total billed charges	2623	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Coventry	PPO		75	75% of all negotiated rates	1075	percent of total billed charges	1075	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	860	percent of total billed charges	860	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Humana-Commerical	PPO		46	46% of all negotiated rates	2322	percent of total billed charges	2322	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2623	percent of total billed charges	2623	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Multiplan	PPO		80	80% of all negotiated rates	860	percent of total billed charges	860	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Optum Medicare	HMO		39	39% of all negotiated rates	2623	percent of total billed charges	2623	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	P3	HMO		39	39% of all negotiated rates	2623	percent of total billed charges	2623	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1505	percent of total billed charges	1505	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Select Health	HMO		41	41% of all negotiated rates	2537	percent of total billed charges	2537	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Silversummit Medicare	HMO		39	39% of all negotiated rates	2623	percent of total billed charges	2623	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2795	percent of total billed charges	2795	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	TriWest	PPO		30	30% of all negotiated rates	3010	percent of total billed charges	3010	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1505	percent of total billed charges	1505	4300	
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Aetna	PPO	950		case rate	950	case rate	950	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Cigna	PPO	2257		case rate	2257	case rate	2257	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	One Health	PPO	1061		case rate	1061	case rate	1061	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Sierra Healthcare Options	PPO	2257		case rate	2257	case rate	2257	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Sierra/HPN	HMO	2257		case rate	2257	case rate	2257	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	4095	Coinsurance and deductible may apply
Excision Tumor	21932	CPT	49021932	LOCAL	490	RC		outpatient			4300	3655	United Healthcare	PPO	1061		case rate	1061	case rate	1061	4095	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Aetna Medicare	HMO		26	26% of all negotiated rates	2626	percent of total billed charges	2626	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Alignment Medicare	HMO		39	39% of all negotiated rates	2165	percent of total billed charges	2165	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1420	percent of total billed charges	1420	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1775	percent of total billed charges	1775	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2165	percent of total billed charges	2165	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Coventry	PPO		75	75% of all negotiated rates	887	percent of total billed charges	887	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	710	percent of total billed charges	710	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Humana-Commerical	PPO		46	46% of all negotiated rates	1916	percent of total billed charges	1916	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2165	percent of total billed charges	2165	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Multiplan	PPO		80	80% of all negotiated rates	710	percent of total billed charges	710	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Optum Medicare	HMO		39	39% of all negotiated rates	2165	percent of total billed charges	2165	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	P3	HMO		39	39% of all negotiated rates	2165	percent of total billed charges	2165	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1242	percent of total billed charges	1242	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Select Health	HMO		41	41% of all negotiated rates	2094	percent of total billed charges	2094	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Silversummit Medicare	HMO		39	39% of all negotiated rates	2165	percent of total billed charges	2165	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2307	percent of total billed charges	2307	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	TriWest	PPO		30	30% of all negotiated rates	2484	percent of total billed charges	2484	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1242	percent of total billed charges	1242	3549	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Aetna	PPO	1150		case rate	1150	case rate	1150	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Cigna	PPO	1157		case rate	1157	case rate	1157	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	One Health	PPO	1061		case rate	1061	case rate	1061	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3380	Coinsurance and deductible may apply
"Excision, tumor, soft tissue of foot or toe, subcutaneous; l"	28045	CPT	3600000	LOCAL	490	RC		outpatient			3549	3017	United Healthcare	PPO	1061		case rate	1061	case rate	1061	3380	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Aetna Medicare	HMO		26	26% of all negotiated rates	2296	percent of total billed charges	2296	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Alignment Medicare	HMO		39	39% of all negotiated rates	1893	percent of total billed charges	1893	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1241	percent of total billed charges	1241	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1551	percent of total billed charges	1551	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1893	percent of total billed charges	1893	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Coventry	PPO		75	75% of all negotiated rates	776	percent of total billed charges	776	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	621	percent of total billed charges	621	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Humana-Commerical	PPO		46	46% of all negotiated rates	1675	percent of total billed charges	1675	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1893	percent of total billed charges	1893	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Multiplan	PPO		80	80% of all negotiated rates	621	percent of total billed charges	621	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Optum Medicare	HMO		39	39% of all negotiated rates	1893	percent of total billed charges	1893	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	P3	HMO		39	39% of all negotiated rates	1893	percent of total billed charges	1893	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1086	percent of total billed charges	1086	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Select Health	HMO		41	41% of all negotiated rates	1831	percent of total billed charges	1831	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Silversummit Medicare	HMO		39	39% of all negotiated rates	1893	percent of total billed charges	1893	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2017	percent of total billed charges	2017	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	TriWest	PPO		30	30% of all negotiated rates	2172	percent of total billed charges	2172	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1086	percent of total billed charges	1086	3103	
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Aetna	PPO	950		case rate	950	case rate	950	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Anthem Medicaid	HMO	313		NV Medicaid SDS Rate	313	fee schedule	313	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Cigna	PPO	1157		case rate	1157	case rate	1157	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	HPN Medicaid	HMO	313		NV Medicaid SDS Rate	313	fee schedule	313	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Molina Medicaid	HMO	313		NV Medicaid SDS Rate	313	case rate	313	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	One Health	PPO	1273		case rate	1273	case rate	1273	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2955	Coinsurance and deductible may apply
Exostectomy Metatarsal Base	28124	CPT	49028124	LOCAL	490	RC		outpatient			3103	2637	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2955	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Aetna Medicare	HMO		26	26% of all negotiated rates	2311	percent of total billed charges	2311	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Alignment Medicare	HMO		39	39% of all negotiated rates	1905	percent of total billed charges	1905	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1249	percent of total billed charges	1249	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1561	percent of total billed charges	1561	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1905	percent of total billed charges	1905	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Coventry	PPO		75	75% of all negotiated rates	781	percent of total billed charges	781	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	625	percent of total billed charges	625	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Humana-Commerical	PPO		46	46% of all negotiated rates	1686	percent of total billed charges	1686	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1905	percent of total billed charges	1905	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Multiplan	PPO		80	80% of all negotiated rates	625	percent of total billed charges	625	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Optum Medicare	HMO		39	39% of all negotiated rates	1905	percent of total billed charges	1905	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	P3	HMO		39	39% of all negotiated rates	1905	percent of total billed charges	1905	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1093	percent of total billed charges	1093	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Select Health	HMO		41	41% of all negotiated rates	1842	percent of total billed charges	1842	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Silversummit Medicare	HMO		39	39% of all negotiated rates	1905	percent of total billed charges	1905	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2030	percent of total billed charges	2030	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	TriWest	PPO		30	30% of all negotiated rates	2186	percent of total billed charges	2186	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1093	percent of total billed charges	1093	3123	
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Aetna	PPO	1150		case rate	1150	case rate	1150	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Cigna	PPO	1157		case rate	1157	case rate	1157	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	One Health	PPO	1273		case rate	1273	case rate	1273	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2974	Coinsurance and deductible may apply
Fasciotomy Plantar	28008	CPT	49028008	LOCAL	490	RC		outpatient			3123	2654	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2974	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Aetna Medicare	HMO		26	26% of all negotiated rates	294	percent of total billed charges	294	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Alignment Medicare	HMO		39	39% of all negotiated rates	242	percent of total billed charges	242	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	159	percent of total billed charges	159	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	198	percent of total billed charges	198	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	242	percent of total billed charges	242	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Coventry	PPO		75	75% of all negotiated rates	99	percent of total billed charges	99	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	79	percent of total billed charges	79	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Humana-Commerical	PPO		46	46% of all negotiated rates	214	percent of total billed charges	214	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	242	percent of total billed charges	242	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Multiplan	PPO		80	80% of all negotiated rates	79	percent of total billed charges	79	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Optum Medicare	HMO		39	39% of all negotiated rates	242	percent of total billed charges	242	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	P3	HMO		39	39% of all negotiated rates	242	percent of total billed charges	242	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	139	percent of total billed charges	139	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Select Health	HMO		41	41% of all negotiated rates	234	percent of total billed charges	234	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Silversummit Medicare	HMO		39	39% of all negotiated rates	242	percent of total billed charges	242	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	258	percent of total billed charges	258	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	TriWest	PPO		30	30% of all negotiated rates	278	percent of total billed charges	278	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	139	percent of total billed charges	139	397	
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Aetna	PPO	750		case rate	750	case rate	750	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Anthem Medicaid	HMO	67		NV Medicaid SDS Rate	67	fee schedule	67	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Cigna	PPO	1625		case rate	1625	case rate	1625	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	HPN Medicaid	HMO	67		NV Medicaid SDS Rate	67	fee schedule	67	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Molina Medicaid	HMO	67		NV Medicaid SDS Rate	67	case rate	67	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	One Health	PPO	474		case rate	474	case rate	474	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	378	Coinsurance and deductible may apply
Fine Needle Aspiration	10021	CPT	49010021	LOCAL	490	RC		outpatient			397	337	United Healthcare	PPO	474		case rate	474	case rate	474	378	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Aetna Medicare	HMO		26	26% of all negotiated rates	3987	percent of total billed charges	3987	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Alignment Medicare	HMO		39	39% of all negotiated rates	3286	percent of total billed charges	3286	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2155	percent of total billed charges	2155	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2694	percent of total billed charges	2694	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3286	percent of total billed charges	3286	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Coventry	PPO		75	75% of all negotiated rates	1347	percent of total billed charges	1347	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1078	percent of total billed charges	1078	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Humana-Commerical	PPO		46	46% of all negotiated rates	2909	percent of total billed charges	2909	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3286	percent of total billed charges	3286	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Multiplan	PPO		80	80% of all negotiated rates	1078	percent of total billed charges	1078	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Optum Medicare	HMO		39	39% of all negotiated rates	3286	percent of total billed charges	3286	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	P3	HMO		39	39% of all negotiated rates	3286	percent of total billed charges	3286	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1886	percent of total billed charges	1886	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Select Health	HMO		41	41% of all negotiated rates	3179	percent of total billed charges	3179	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Silversummit Medicare	HMO		39	39% of all negotiated rates	3286	percent of total billed charges	3286	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3502	percent of total billed charges	3502	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	TriWest	PPO		30	30% of all negotiated rates	3771	percent of total billed charges	3771	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1886	percent of total billed charges	1886	5388	
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Aetna	PPO	950		case rate	950	case rate	950	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Cigna	PPO	1014		case rate	1014	case rate	1014	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	One Health	PPO	1441		case rate	1441	case rate	1441	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	5131	Coinsurance and deductible may apply
Foreign Body Removal Ankle	27610	CPT	49027610	LOCAL	490	RC		outpatient			5388	4579	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5131	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Aetna Medicare	HMO		26	26% of all negotiated rates	4459	percent of total billed charges	4459	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Alignment Medicare	HMO		39	39% of all negotiated rates	3676	percent of total billed charges	3676	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2410	percent of total billed charges	2410	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3013	percent of total billed charges	3013	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3676	percent of total billed charges	3676	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Coventry	PPO		75	75% of all negotiated rates	1506	percent of total billed charges	1506	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1205	percent of total billed charges	1205	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Humana-Commerical	PPO		46	46% of all negotiated rates	3254	percent of total billed charges	3254	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3676	percent of total billed charges	3676	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Multiplan	PPO		80	80% of all negotiated rates	1205	percent of total billed charges	1205	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Optum Medicare	HMO		39	39% of all negotiated rates	3676	percent of total billed charges	3676	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	P3	HMO		39	39% of all negotiated rates	3676	percent of total billed charges	3676	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2109	percent of total billed charges	2109	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Select Health	HMO		41	41% of all negotiated rates	3555	percent of total billed charges	3555	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Silversummit Medicare	HMO		39	39% of all negotiated rates	3676	percent of total billed charges	3676	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3917	percent of total billed charges	3917	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	TriWest	PPO		30	30% of all negotiated rates	4218	percent of total billed charges	4218	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2109	percent of total billed charges	2109	6026	
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Aetna	PPO	1350		case rate	1350	case rate	1350	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Cigna	PPO	1427		case rate	1427	case rate	1427	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	One Health	PPO	1441		case rate	1441	case rate	1441	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	5739	Coinsurance and deductible may apply
Foreign Body Removal Elbow	24000	CPT	49024000	LOCAL	490	RC		outpatient			6026	5122	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5739	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Aetna Medicare	HMO		26	26% of all negotiated rates	1236	percent of total billed charges	1236	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Alignment Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	668	percent of total billed charges	668	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	835	percent of total billed charges	835	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Coventry	PPO		75	75% of all negotiated rates	418	percent of total billed charges	418	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	334	percent of total billed charges	334	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Humana-Commerical	PPO		46	46% of all negotiated rates	902	percent of total billed charges	902	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Multiplan	PPO		80	80% of all negotiated rates	334	percent of total billed charges	334	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Optum Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	P3	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	585	percent of total billed charges	585	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Select Health	HMO		41	41% of all negotiated rates	986	percent of total billed charges	986	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Silversummit Medicare	HMO		39	39% of all negotiated rates	1019	percent of total billed charges	1019	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1086	percent of total billed charges	1086	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	TriWest	PPO		30	30% of all negotiated rates	1169	percent of total billed charges	1169	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	585	percent of total billed charges	585	1671	
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Aetna	PPO	950		case rate	950	case rate	950	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Anthem Medicaid	HMO	127		NV Medicaid SDS Rate	127	fee schedule	127	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Cigna	PPO	756		case rate	756	case rate	756	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	HPN Medicaid	HMO	127		NV Medicaid SDS Rate	127	fee schedule	127	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Molina Medicaid	HMO	127		NV Medicaid SDS Rate	127	case rate	127	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	One Health	PPO	686		case rate	686	case rate	686	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Sierra/HPN	HMO	756		case rate	756	case rate	756	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	1591	Coinsurance and deductible may apply
Foreign Body Removal Foot	28190	CPT	49028190	LOCAL	490	RC		outpatient			1671	1420	United Healthcare	PPO	686		case rate	686	case rate	686	1591	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Aetna Medicare	HMO		26	26% of all negotiated rates	2853	percent of total billed charges	2853	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Alignment Medicare	HMO		39	39% of all negotiated rates	2352	percent of total billed charges	2352	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1542	percent of total billed charges	1542	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1928	percent of total billed charges	1928	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2352	percent of total billed charges	2352	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Coventry	PPO		75	75% of all negotiated rates	964	percent of total billed charges	964	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	771	percent of total billed charges	771	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Humana-Commerical	PPO		46	46% of all negotiated rates	2082	percent of total billed charges	2082	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2352	percent of total billed charges	2352	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Multiplan	PPO		80	80% of all negotiated rates	771	percent of total billed charges	771	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Optum Medicare	HMO		39	39% of all negotiated rates	2352	percent of total billed charges	2352	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	P3	HMO		39	39% of all negotiated rates	2352	percent of total billed charges	2352	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1349	percent of total billed charges	1349	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Select Health	HMO		41	41% of all negotiated rates	2275	percent of total billed charges	2275	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Silversummit Medicare	HMO		39	39% of all negotiated rates	2352	percent of total billed charges	2352	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2506	percent of total billed charges	2506	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	TriWest	PPO		30	30% of all negotiated rates	2699	percent of total billed charges	2699	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1349	percent of total billed charges	1349	3856	
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Aetna	PPO	1350		case rate	1350	case rate	1350	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Cigna	PPO	1427		case rate	1427	case rate	1427	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	One Health	PPO	1441		case rate	1441	case rate	1441	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	3672	Coinsurance and deductible may apply
Foreign Body Removal Knee	27310	CPT	49027310	LOCAL	490	RC		outpatient			3856	3277	United Healthcare	PPO	1441		case rate	1441	case rate	1441	3672	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Aetna Medicare	HMO		26	26% of all negotiated rates	3676	percent of total billed charges	3676	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Alignment Medicare	HMO		39	39% of all negotiated rates	3030	percent of total billed charges	3030	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1987	percent of total billed charges	1987	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2484	percent of total billed charges	2484	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3030	percent of total billed charges	3030	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Coventry	PPO		75	75% of all negotiated rates	1242	percent of total billed charges	1242	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	994	percent of total billed charges	994	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Humana-Commerical	PPO		46	46% of all negotiated rates	2682	percent of total billed charges	2682	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3030	percent of total billed charges	3030	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Multiplan	PPO		80	80% of all negotiated rates	994	percent of total billed charges	994	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Optum Medicare	HMO		39	39% of all negotiated rates	3030	percent of total billed charges	3030	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	P3	HMO		39	39% of all negotiated rates	3030	percent of total billed charges	3030	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1739	percent of total billed charges	1739	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Select Health	HMO		41	41% of all negotiated rates	2931	percent of total billed charges	2931	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Silversummit Medicare	HMO		39	39% of all negotiated rates	3030	percent of total billed charges	3030	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3229	percent of total billed charges	3229	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	TriWest	PPO		30	30% of all negotiated rates	3477	percent of total billed charges	3477	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1739	percent of total billed charges	1739	4968	
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Aetna	PPO	950		case rate	950	case rate	950	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Cigna	PPO	1014		case rate	1014	case rate	1014	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	One Health	PPO	1273		case rate	1273	case rate	1273	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	4731	Coinsurance and deductible may apply
Foreign Body Removal Lower Arm	25248	CPT	49025248	LOCAL	490	RC		outpatient			4968	4222	United Healthcare	PPO	1273		case rate	1273	case rate	1273	4731	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Aetna Medicare	HMO		26	26% of all negotiated rates	850	percent of total billed charges	850	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Alignment Medicare	HMO		39	39% of all negotiated rates	701	percent of total billed charges	701	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	459	percent of total billed charges	459	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	574	percent of total billed charges	574	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	701	percent of total billed charges	701	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Coventry	PPO		75	75% of all negotiated rates	287	percent of total billed charges	287	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	230	percent of total billed charges	230	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Humana-Commerical	PPO		46	46% of all negotiated rates	620	percent of total billed charges	620	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	701	percent of total billed charges	701	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Multiplan	PPO		80	80% of all negotiated rates	230	percent of total billed charges	230	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Optum Medicare	HMO		39	39% of all negotiated rates	701	percent of total billed charges	701	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	P3	HMO		39	39% of all negotiated rates	701	percent of total billed charges	701	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	402	percent of total billed charges	402	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Select Health	HMO		41	41% of all negotiated rates	678	percent of total billed charges	678	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Silversummit Medicare	HMO		39	39% of all negotiated rates	701	percent of total billed charges	701	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	747	percent of total billed charges	747	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	TriWest	PPO		30	30% of all negotiated rates	804	percent of total billed charges	804	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	402	percent of total billed charges	402	1149	
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Aetna	PPO	950		case rate	950	case rate	950	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1148	976	Anthem Medicaid	HMO	139		NV Medicaid SDS Rate	139	fee schedule	139	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Cigna	PPO	756		case rate	756	case rate	756	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1148	976	HPN Medicaid	HMO	139		NV Medicaid SDS Rate	139	fee schedule	139	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Molina Medicaid	HMO	139		NV Medicaid SDS Rate	139	case rate	139	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	One Health	PPO	686		case rate	686	case rate	686	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Sierra/HPN	HMO	756		case rate	756	case rate	756	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	1094	Coinsurance and deductible may apply
Foreign Body Removal Muscle	20520	CPT	49020520	LOCAL	490	RC		outpatient			1149	976	United Healthcare	PPO	686		case rate	686	case rate	686	1094	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Aetna Medicare	HMO		26	26% of all negotiated rates	5668	percent of total billed charges	5668	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Alignment Medicare	HMO		39	39% of all negotiated rates	4672	percent of total billed charges	4672	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3064	percent of total billed charges	3064	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3830	percent of total billed charges	3830	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4672	percent of total billed charges	4672	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Coventry	PPO		75	75% of all negotiated rates	1915	percent of total billed charges	1915	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1532	percent of total billed charges	1532	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Humana-Commerical	PPO		46	46% of all negotiated rates	4136	percent of total billed charges	4136	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4672	percent of total billed charges	4672	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Multiplan	PPO		80	80% of all negotiated rates	1532	percent of total billed charges	1532	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Optum Medicare	HMO		39	39% of all negotiated rates	4672	percent of total billed charges	4672	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	P3	HMO		39	39% of all negotiated rates	4672	percent of total billed charges	4672	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2681	percent of total billed charges	2681	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Select Health	HMO		41	41% of all negotiated rates	4519	percent of total billed charges	4519	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Silversummit Medicare	HMO		39	39% of all negotiated rates	4672	percent of total billed charges	4672	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4979	percent of total billed charges	4979	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	TriWest	PPO		30	30% of all negotiated rates	5362	percent of total billed charges	5362	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2681	percent of total billed charges	2681	7660	
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Aetna	PPO	1150		case rate	1150	case rate	1150	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Cigna	PPO	1157		case rate	1157	case rate	1157	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	fee schedule	1059	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1059	case rate	1059	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	One Health	PPO	1441		case rate	1441	case rate	1441	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	7295	Coinsurance and deductible may apply
Foreign Body Removal Shoulder	23040	CPT	49023040	LOCAL	490	RC		outpatient			7660	6511	United Healthcare	PPO	1441		case rate	1441	case rate	1441	7295	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Aetna Medicare	HMO		26	26% of all negotiated rates	2720	percent of total billed charges	2720	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Alignment Medicare	HMO		39	39% of all negotiated rates	2242	percent of total billed charges	2242	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1470	percent of total billed charges	1470	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1838	percent of total billed charges	1838	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2242	percent of total billed charges	2242	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Coventry	PPO		75	75% of all negotiated rates	919	percent of total billed charges	919	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	735	percent of total billed charges	735	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Humana-Commerical	PPO		46	46% of all negotiated rates	1985	percent of total billed charges	1985	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2242	percent of total billed charges	2242	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Multiplan	PPO		80	80% of all negotiated rates	735	percent of total billed charges	735	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Optum Medicare	HMO		39	39% of all negotiated rates	2242	percent of total billed charges	2242	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	P3	HMO		39	39% of all negotiated rates	2242	percent of total billed charges	2242	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1287	percent of total billed charges	1287	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Select Health	HMO		41	41% of all negotiated rates	2169	percent of total billed charges	2169	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Silversummit Medicare	HMO		39	39% of all negotiated rates	2242	percent of total billed charges	2242	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2389	percent of total billed charges	2389	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	TriWest	PPO		30	30% of all negotiated rates	2573	percent of total billed charges	2573	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1287	percent of total billed charges	1287	3676	
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Aetna	PPO	1150		case rate	1150	case rate	1150	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Cigna	PPO	1157		case rate	1157	case rate	1157	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	One Health	PPO	1273		case rate	1273	case rate	1273	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3501	Coinsurance and deductible may apply
Hammertoe Repair	28285	CPT	49028285	LOCAL	490	RC		outpatient			3676	3125	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3501	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Aetna Medicare	HMO		26	26% of all negotiated rates	1407	percent of total billed charges	1407	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Alignment Medicare	HMO		39	39% of all negotiated rates	1160	percent of total billed charges	1160	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	761	percent of total billed charges	761	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	951	percent of total billed charges	951	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1160	percent of total billed charges	1160	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Coventry	PPO		75	75% of all negotiated rates	475	percent of total billed charges	475	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	380	percent of total billed charges	380	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Humana-Commerical	PPO		46	46% of all negotiated rates	1027	percent of total billed charges	1027	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1160	percent of total billed charges	1160	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Multiplan	PPO		80	80% of all negotiated rates	380	percent of total billed charges	380	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Optum Medicare	HMO		39	39% of all negotiated rates	1160	percent of total billed charges	1160	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	P3	HMO		39	39% of all negotiated rates	1160	percent of total billed charges	1160	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	666	percent of total billed charges	666	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Select Health	HMO		41	41% of all negotiated rates	1122	percent of total billed charges	1122	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Silversummit Medicare	HMO		39	39% of all negotiated rates	1160	percent of total billed charges	1160	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1236	percent of total billed charges	1236	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	TriWest	PPO		30	30% of all negotiated rates	1331	percent of total billed charges	1331	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	666	percent of total billed charges	666	1902	
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Aetna	PPO	1150		case rate	1150	case rate	1150	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Cigna	PPO	1157		case rate	1157	case rate	1157	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	643	fee schedule	643	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	643	case rate	643	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	One Health	PPO	1273		case rate	1273	case rate	1273	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	1811	Coinsurance and deductible may apply
Hammertoe Repair with Tenotomy and Capsulotomy	28270	CPT	49028270	LOCAL	490	RC		outpatient			1902	1616	United Healthcare	PPO	1273		case rate	1273	case rate	1273	1811	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Aetna Medicare	HMO		26	26% of all negotiated rates	2944	percent of total billed charges	2944	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Alignment Medicare	HMO		39	39% of all negotiated rates	2427	percent of total billed charges	2427	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1591	percent of total billed charges	1591	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1989	percent of total billed charges	1989	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2427	percent of total billed charges	2427	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Coventry	PPO		75	75% of all negotiated rates	995	percent of total billed charges	995	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	796	percent of total billed charges	796	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Humana-Commerical	PPO		46	46% of all negotiated rates	2148	percent of total billed charges	2148	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2427	percent of total billed charges	2427	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Multiplan	PPO		80	80% of all negotiated rates	796	percent of total billed charges	796	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Optum Medicare	HMO		39	39% of all negotiated rates	2427	percent of total billed charges	2427	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	P3	HMO		39	39% of all negotiated rates	2427	percent of total billed charges	2427	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1392	percent of total billed charges	1392	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Select Health	HMO		41	41% of all negotiated rates	2347	percent of total billed charges	2347	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Silversummit Medicare	HMO		39	39% of all negotiated rates	2427	percent of total billed charges	2427	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2586	percent of total billed charges	2586	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	TriWest	PPO		30	30% of all negotiated rates	2785	percent of total billed charges	2785	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1392	percent of total billed charges	1392	3978	
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Aetna	PPO	1150		case rate	1150	case rate	1150	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Anthem Medicaid	HMO	734		NV Medicaid SDS Rate	734	fee schedule	734	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Cigna	PPO	1157		case rate	1157	case rate	1157	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	HPN Medicaid	HMO	734		NV Medicaid SDS Rate	734	fee schedule	734	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Molina Medicaid	HMO	734		NV Medicaid SDS Rate	734	case rate	734	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	One Health	PPO	1273		case rate	1273	case rate	1273	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3789	Coinsurance and deductible may apply
Hemorrhoidectomy	46255	CPT	49046255	LOCAL	490	RC		outpatient			3978	3382	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3789	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Aetna Medicare	HMO		26	26% of all negotiated rates	6863	percent of total billed charges	6863	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Alignment Medicare	HMO		39	39% of all negotiated rates	5658	percent of total billed charges	5658	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3710	percent of total billed charges	3710	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4637	percent of total billed charges	4637	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5658	percent of total billed charges	5658	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Coventry	PPO		75	75% of all negotiated rates	2319	percent of total billed charges	2319	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1855	percent of total billed charges	1855	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Humana-Commerical	PPO		46	46% of all negotiated rates	5008	percent of total billed charges	5008	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5658	percent of total billed charges	5658	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Multiplan	PPO		80	80% of all negotiated rates	1855	percent of total billed charges	1855	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Optum Medicare	HMO		39	39% of all negotiated rates	5658	percent of total billed charges	5658	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	P3	HMO		39	39% of all negotiated rates	5658	percent of total billed charges	5658	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3246	percent of total billed charges	3246	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Select Health	HMO		41	41% of all negotiated rates	5472	percent of total billed charges	5472	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Silversummit Medicare	HMO		39	39% of all negotiated rates	5658	percent of total billed charges	5658	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6029	percent of total billed charges	6029	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	TriWest	PPO		30	30% of all negotiated rates	6492	percent of total billed charges	6492	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3246	percent of total billed charges	3246	9275	
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Aetna	PPO	1550		case rate	1550	case rate	1550	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Cigna	PPO	1625		case rate	1625	case rate	1625	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Coalition	PPO	1744		Coalition grouper rate	1744	case rate	1744	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	One Health	PPO	2818		case rate	2818	case rate	2818	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	Teachers Trust	PPO	1744		Teachers grouper rate	1744	case rate	1744	8833	Coinsurance and deductible may apply
Hernia Repair Hiatal Laparoscopic	43281	CPT	49043281	LOCAL	490	RC		outpatient			9275	7883	United Healthcare	PPO	2818		case rate	2818	case rate	2818	8833	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Aetna Medicare	HMO		26	26% of all negotiated rates	5549	percent of total billed charges	5549	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Alignment Medicare	HMO		39	39% of all negotiated rates	4574	percent of total billed charges	4574	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3000	percent of total billed charges	3000	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3750	percent of total billed charges	3750	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4574	percent of total billed charges	4574	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Coventry	PPO		75	75% of all negotiated rates	1875	percent of total billed charges	1875	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1500	percent of total billed charges	1500	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Humana-Commerical	PPO		46	46% of all negotiated rates	4050	percent of total billed charges	4050	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4574	percent of total billed charges	4574	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Multiplan	PPO		80	80% of all negotiated rates	1500	percent of total billed charges	1500	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Optum Medicare	HMO		39	39% of all negotiated rates	4574	percent of total billed charges	4574	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	P3	HMO		39	39% of all negotiated rates	4574	percent of total billed charges	4574	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2625	percent of total billed charges	2625	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Select Health	HMO		41	41% of all negotiated rates	4424	percent of total billed charges	4424	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Silversummit Medicare	HMO		39	39% of all negotiated rates	4574	percent of total billed charges	4574	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4874	percent of total billed charges	4874	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	TriWest	PPO		30	30% of all negotiated rates	5249	percent of total billed charges	5249	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2625	percent of total billed charges	2625	7499	
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Aetna	PPO	1350		case rate	1350	case rate	1350	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Cigna	PPO	1427		case rate	1427	case rate	1427	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	case rate	1590	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	One Health	PPO	2818		case rate	2818	case rate	2818	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	7142	Coinsurance and deductible may apply
Hernia Repair Incisional Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			7499	6374	United Healthcare	PPO	2818		case rate	2818	case rate	2818	7142	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Aetna Medicare	HMO		26	26% of all negotiated rates	5221	percent of total billed charges	5221	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Alignment Medicare	HMO		39	39% of all negotiated rates	4304	percent of total billed charges	4304	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2822	percent of total billed charges	2822	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3527	percent of total billed charges	3527	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4304	percent of total billed charges	4304	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Coventry	PPO		75	75% of all negotiated rates	1764	percent of total billed charges	1764	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1411	percent of total billed charges	1411	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Humana-Commerical	PPO		46	46% of all negotiated rates	3810	percent of total billed charges	3810	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4304	percent of total billed charges	4304	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Multiplan	PPO		80	80% of all negotiated rates	1411	percent of total billed charges	1411	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Optum Medicare	HMO		39	39% of all negotiated rates	4304	percent of total billed charges	4304	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	P3	HMO		39	39% of all negotiated rates	4304	percent of total billed charges	4304	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2469	percent of total billed charges	2469	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Select Health	HMO		41	41% of all negotiated rates	4162	percent of total billed charges	4162	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Silversummit Medicare	HMO		39	39% of all negotiated rates	4304	percent of total billed charges	4304	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4586	percent of total billed charges	4586	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	TriWest	PPO		30	30% of all negotiated rates	4938	percent of total billed charges	4938	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2469	percent of total billed charges	2469	7055	
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Aetna	PPO	1350		case rate	1350	case rate	1350	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Anthem Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	fee schedule	1155	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Cigna	PPO	1427		case rate	1427	case rate	1427	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	HPN Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	fee schedule	1155	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Molina Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	case rate	1155	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	One Health	PPO	1441		case rate	1441	case rate	1441	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal	49505	CPT	49049505	LOCAL	490	RC		outpatient			7055	5997	United Healthcare	PPO	1441		case rate	1441	case rate	1441	6719	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Aetna Medicare	HMO		26	26% of all negotiated rates	7570	percent of total billed charges	7570	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Alignment Medicare	HMO		39	39% of all negotiated rates	6240	percent of total billed charges	6240	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4092	percent of total billed charges	4092	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5115	percent of total billed charges	5115	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6240	percent of total billed charges	6240	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Coventry	PPO		75	75% of all negotiated rates	2558	percent of total billed charges	2558	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2046	percent of total billed charges	2046	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Humana-Commerical	PPO		46	46% of all negotiated rates	5524	percent of total billed charges	5524	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6240	percent of total billed charges	6240	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Multiplan	PPO		80	80% of all negotiated rates	2046	percent of total billed charges	2046	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Optum Medicare	HMO		39	39% of all negotiated rates	6240	percent of total billed charges	6240	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	P3	HMO		39	39% of all negotiated rates	6240	percent of total billed charges	6240	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3581	percent of total billed charges	3581	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Select Health	HMO		41	41% of all negotiated rates	6036	percent of total billed charges	6036	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Silversummit Medicare	HMO		39	39% of all negotiated rates	6240	percent of total billed charges	6240	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6650	percent of total billed charges	6650	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	TriWest	PPO		30	30% of all negotiated rates	7161	percent of total billed charges	7161	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3581	percent of total billed charges	3581	10230	
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Aetna	PPO	1350		case rate	1350	case rate	1350	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Cigna	PPO	1427		case rate	1427	case rate	1427	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	case rate	1590	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	One Health	PPO	2818		case rate	2818	case rate	2818	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	9743	Coinsurance and deductible may apply
Hernia Repair Inguinal Laparoscopic	49650	CPT	49049650	LOCAL	490	RC		outpatient			10230	8696	United Healthcare	PPO	2818		case rate	2818	case rate	2818	9743	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Aetna Medicare	HMO		26	26% of all negotiated rates	4708	percent of total billed charges	4708	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Alignment Medicare	HMO		39	39% of all negotiated rates	3881	percent of total billed charges	3881	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2545	percent of total billed charges	2545	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3181	percent of total billed charges	3181	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3881	percent of total billed charges	3881	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Coventry	PPO		75	75% of all negotiated rates	1590	percent of total billed charges	1590	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1272	percent of total billed charges	1272	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Humana-Commerical	PPO		46	46% of all negotiated rates	3435	percent of total billed charges	3435	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3881	percent of total billed charges	3881	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Multiplan	PPO		80	80% of all negotiated rates	1272	percent of total billed charges	1272	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Optum Medicare	HMO		39	39% of all negotiated rates	3881	percent of total billed charges	3881	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	P3	HMO		39	39% of all negotiated rates	3881	percent of total billed charges	3881	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2227	percent of total billed charges	2227	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Select Health	HMO		41	41% of all negotiated rates	3754	percent of total billed charges	3754	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Silversummit Medicare	HMO		39	39% of all negotiated rates	3881	percent of total billed charges	3881	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4135	percent of total billed charges	4135	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	TriWest	PPO		30	30% of all negotiated rates	4453	percent of total billed charges	4453	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2227	percent of total billed charges	2227	6362	
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Aetna	PPO	1350		case rate	1350	case rate	1350	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Anthem Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	fee schedule	1155	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Cigna	PPO	1427		case rate	1427	case rate	1427	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	HPN Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	fee schedule	1155	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Molina Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	case rate	1155	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	One Health	PPO	1441		case rate	1441	case rate	1441	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	6059	Coinsurance and deductible may apply
Hernia Repair Umbilical	49585	CPT	49049585	LOCAL	490	RC		outpatient			6362	5408	United Healthcare	PPO	1441		case rate	1441	case rate	1441	6059	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Aetna Medicare	HMO		26	26% of all negotiated rates	4579	percent of total billed charges	4579	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Alignment Medicare	HMO		39	39% of all negotiated rates	3774	percent of total billed charges	3774	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2475	percent of total billed charges	2475	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3094	percent of total billed charges	3094	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3774	percent of total billed charges	3774	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Coventry	PPO		75	75% of all negotiated rates	1547	percent of total billed charges	1547	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1238	percent of total billed charges	1238	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Humana-Commerical	PPO		46	46% of all negotiated rates	3341	percent of total billed charges	3341	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3774	percent of total billed charges	3774	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Multiplan	PPO		80	80% of all negotiated rates	1238	percent of total billed charges	1238	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Optum Medicare	HMO		39	39% of all negotiated rates	3774	percent of total billed charges	3774	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	P3	HMO		39	39% of all negotiated rates	3774	percent of total billed charges	3774	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2166	percent of total billed charges	2166	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Select Health	HMO		41	41% of all negotiated rates	3651	percent of total billed charges	3651	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Silversummit Medicare	HMO		39	39% of all negotiated rates	3774	percent of total billed charges	3774	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4022	percent of total billed charges	4022	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	TriWest	PPO		30	30% of all negotiated rates	4331	percent of total billed charges	4331	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2166	percent of total billed charges	2166	6188	
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Aetna	PPO	1350		case rate	1350	case rate	1350	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Anthem Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	fee schedule	1155	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Cigna	PPO	1427		case rate	1427	case rate	1427	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	HPN Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	fee schedule	1155	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Molina Medicaid	HMO	1155		NV Medicaid SDS Rate	1155	case rate	1155	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	One Health	PPO	1441		case rate	1441	case rate	1441	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	5893	Coinsurance and deductible may apply
Hernia Repair Ventral	49560	CPT	49049560	LOCAL	490	RC		outpatient			6188	5260	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5893	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Aetna Medicare	HMO		26	26% of all negotiated rates	2871	percent of total billed charges	2871	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Alignment Medicare	HMO		39	39% of all negotiated rates	2367	percent of total billed charges	2367	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1552	percent of total billed charges	1552	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1940	percent of total billed charges	1940	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2367	percent of total billed charges	2367	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Coventry	PPO		75	75% of all negotiated rates	970	percent of total billed charges	970	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	776	percent of total billed charges	776	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Humana-Commerical	PPO		46	46% of all negotiated rates	2095	percent of total billed charges	2095	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2367	percent of total billed charges	2367	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Multiplan	PPO		80	80% of all negotiated rates	776	percent of total billed charges	776	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Optum Medicare	HMO		39	39% of all negotiated rates	2367	percent of total billed charges	2367	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	P3	HMO		39	39% of all negotiated rates	2367	percent of total billed charges	2367	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1358	percent of total billed charges	1358	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Select Health	HMO		41	41% of all negotiated rates	2289	percent of total billed charges	2289	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Silversummit Medicare	HMO		39	39% of all negotiated rates	2367	percent of total billed charges	2367	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2522	percent of total billed charges	2522	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	TriWest	PPO		30	30% of all negotiated rates	2716	percent of total billed charges	2716	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1358	percent of total billed charges	1358	3880	
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Aetna	PPO	1950		case rate	1950	case rate	1950	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Cigna	PPO	1625		case rate	1625	case rate	1625	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Coalition	PPO	2090		Coalition grouper rate	2090	case rate	2090	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	One Health	PPO	474		case rate	474	case rate	474	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	Teachers Trust	PPO	2090		Teachers grouper rate	2090	case rate	2090	3695	Coinsurance and deductible may apply
Hernia Repair with Mesh	49568	CPT	49049568	LOCAL	490	RC		outpatient			3880	3298	United Healthcare	PPO	474		case rate	474	case rate	474	3695	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Aetna Medicare	HMO		26	26% of all negotiated rates	890	percent of total billed charges	890	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Alignment Medicare	HMO		39	39% of all negotiated rates	734	percent of total billed charges	734	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	481	percent of total billed charges	481	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	602	percent of total billed charges	602	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	734	percent of total billed charges	734	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Coventry	PPO		75	75% of all negotiated rates	301	percent of total billed charges	301	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	241	percent of total billed charges	241	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Humana-Commerical	PPO		46	46% of all negotiated rates	650	percent of total billed charges	650	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	734	percent of total billed charges	734	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Multiplan	PPO		80	80% of all negotiated rates	241	percent of total billed charges	241	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Optum Medicare	HMO		39	39% of all negotiated rates	734	percent of total billed charges	734	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	P3	HMO		39	39% of all negotiated rates	734	percent of total billed charges	734	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	421	percent of total billed charges	421	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Select Health	HMO		41	41% of all negotiated rates	710	percent of total billed charges	710	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Silversummit Medicare	HMO		39	39% of all negotiated rates	734	percent of total billed charges	734	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	782	percent of total billed charges	782	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	TriWest	PPO		30	30% of all negotiated rates	842	percent of total billed charges	842	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	421	percent of total billed charges	421	1203	
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Aetna	PPO	950		case rate	950	case rate	950	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Anthem Medicaid	HMO	111		NV Medicaid SDS Rate	104	fee schedule	104	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Cigna	PPO	1014		case rate	1014	case rate	1014	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	HPN Medicaid	HMO	111		NV Medicaid SDS Rate	104	fee schedule	104	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Molina Medicaid	HMO	111		NV Medicaid SDS Rate	104	case rate	104	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	One Health	PPO	474		case rate	474	case rate	474	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	1146	Coinsurance and deductible may apply
ID PERINEAL ABCESS	56405	CPT	3234051	LOCAL	490	RC		outpatient			1203	1023	United Healthcare	PPO	474		case rate	474	case rate	474	1146	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Aetna Medicare	HMO		26	26% of all negotiated rates	336	percent of total billed charges	336	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Alignment Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	181	percent of total billed charges	181	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	227	percent of total billed charges	227	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Coventry	PPO		75	75% of all negotiated rates	113	percent of total billed charges	113	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Humana-Commerical	PPO		46	46% of all negotiated rates	245	percent of total billed charges	245	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Multiplan	PPO		80	80% of all negotiated rates	91	percent of total billed charges	91	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Optum Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	P3	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	159	percent of total billed charges	159	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Select Health	HMO		41	41% of all negotiated rates	268	percent of total billed charges	268	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Silversummit Medicare	HMO		39	39% of all negotiated rates	277	percent of total billed charges	277	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	295	percent of total billed charges	295	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	TriWest	PPO		30	30% of all negotiated rates	318	percent of total billed charges	318	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	159	percent of total billed charges	159	454	
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Aetna	PPO	750		case rate	750	case rate	750	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Anthem Medicaid	HMO	91		NV Medicaid SDS Rate	91	fee schedule	91	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Cigna	PPO	1625		case rate	1625	case rate	1625	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	HPN Medicaid	HMO	91		NV Medicaid SDS Rate	91	fee schedule	91	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Molina Medicaid	HMO	91		NV Medicaid SDS Rate	91	case rate	91	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	One Health	PPO	474		case rate	474	case rate	474	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	432	Coinsurance and deductible may apply
Incision and Drainage	10060	CPT	49010060	LOCAL	490	RC		outpatient			454	386	United Healthcare	PPO	474		case rate	474	case rate	474	432	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Aetna Medicare	HMO		26	26% of all negotiated rates	1939	percent of total billed charges	1939	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Alignment Medicare	HMO		39	39% of all negotiated rates	1598	percent of total billed charges	1598	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1048	percent of total billed charges	1048	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1310	percent of total billed charges	1310	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1598	percent of total billed charges	1598	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Coventry	PPO		75	75% of all negotiated rates	655	percent of total billed charges	655	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	524	percent of total billed charges	524	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Humana-Commerical	PPO		46	46% of all negotiated rates	1415	percent of total billed charges	1415	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1598	percent of total billed charges	1598	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Multiplan	PPO		80	80% of all negotiated rates	524	percent of total billed charges	524	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Optum Medicare	HMO		39	39% of all negotiated rates	1598	percent of total billed charges	1598	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	P3	HMO		39	39% of all negotiated rates	1598	percent of total billed charges	1598	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	917	percent of total billed charges	917	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Select Health	HMO		41	41% of all negotiated rates	1546	percent of total billed charges	1546	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Silversummit Medicare	HMO		39	39% of all negotiated rates	1598	percent of total billed charges	1598	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1703	percent of total billed charges	1703	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	TriWest	PPO		30	30% of all negotiated rates	1834	percent of total billed charges	1834	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	917	percent of total billed charges	917	2620	
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Aetna	PPO	950		case rate	950	case rate	950	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	370	fee schedule	370	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Cigna	PPO	1014		case rate	1014	case rate	1014	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	370	fee schedule	370	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	370	case rate	370	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	One Health	PPO	1273		case rate	1273	case rate	1273	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2495	Coinsurance and deductible may apply
Incision and Drainage Ankle	27603	CPT	49027603	LOCAL	490	RC		outpatient			2620	2227	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2495	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Aetna Medicare	HMO		26	26% of all negotiated rates	2321	percent of total billed charges	2321	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Alignment Medicare	HMO		39	39% of all negotiated rates	1913	percent of total billed charges	1913	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1255	percent of total billed charges	1255	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1568	percent of total billed charges	1568	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1913	percent of total billed charges	1913	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Coventry	PPO		75	75% of all negotiated rates	784	percent of total billed charges	784	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	627	percent of total billed charges	627	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Humana-Commerical	PPO		46	46% of all negotiated rates	1694	percent of total billed charges	1694	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1913	percent of total billed charges	1913	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Multiplan	PPO		80	80% of all negotiated rates	627	percent of total billed charges	627	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Optum Medicare	HMO		39	39% of all negotiated rates	1913	percent of total billed charges	1913	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	P3	HMO		39	39% of all negotiated rates	1913	percent of total billed charges	1913	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1098	percent of total billed charges	1098	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Select Health	HMO		41	41% of all negotiated rates	1850	percent of total billed charges	1850	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Silversummit Medicare	HMO		39	39% of all negotiated rates	1913	percent of total billed charges	1913	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2039	percent of total billed charges	2039	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	TriWest	PPO		30	30% of all negotiated rates	2195	percent of total billed charges	2195	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1098	percent of total billed charges	1098	3136	
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Aetna	PPO	1150		case rate	1150	case rate	1150	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	470	fee schedule	470	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Cigna	PPO	1157		case rate	1157	case rate	1157	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	470	fee schedule	470	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	470	case rate	470	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	One Health	PPO	1273		case rate	1273	case rate	1273	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2987	Coinsurance and deductible may apply
Incision and Drainage Knee	27301	CPT	49027301	LOCAL	490	RC		outpatient			3136	2666	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2987	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Aetna Medicare	HMO		26	26% of all negotiated rates	1929	percent of total billed charges	1929	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Alignment Medicare	HMO		39	39% of all negotiated rates	1590	percent of total billed charges	1590	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1043	percent of total billed charges	1043	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1304	percent of total billed charges	1304	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1590	percent of total billed charges	1590	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Coventry	PPO		75	75% of all negotiated rates	652	percent of total billed charges	652	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	521	percent of total billed charges	521	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Humana-Commerical	PPO		46	46% of all negotiated rates	1408	percent of total billed charges	1408	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1590	percent of total billed charges	1590	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Multiplan	PPO		80	80% of all negotiated rates	521	percent of total billed charges	521	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Optum Medicare	HMO		39	39% of all negotiated rates	1590	percent of total billed charges	1590	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	P3	HMO		39	39% of all negotiated rates	1590	percent of total billed charges	1590	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	913	percent of total billed charges	913	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Select Health	HMO		41	41% of all negotiated rates	1538	percent of total billed charges	1538	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Silversummit Medicare	HMO		39	39% of all negotiated rates	1590	percent of total billed charges	1590	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1695	percent of total billed charges	1695	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	TriWest	PPO		30	30% of all negotiated rates	1825	percent of total billed charges	1825	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	913	percent of total billed charges	913	2607	
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Aetna	PPO	950		case rate	950	case rate	950	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	288	fee schedule	288	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Cigna	PPO	1014		case rate	1014	case rate	1014	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	288	fee schedule	288	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	288	case rate	288	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	One Health	PPO	1273		case rate	1273	case rate	1273	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2483	Coinsurance and deductible may apply
"Incision and Drainage of Breast Abscess, Deep"	19020	CPT	49019020	LOCAL	490	RC		outpatient			2607	2216	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2483	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Aetna Medicare	HMO		26	26% of all negotiated rates	272	percent of total billed charges	272	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Alignment Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	147	percent of total billed charges	147	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	184	percent of total billed charges	184	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Coventry	PPO		75	75% of all negotiated rates	92	percent of total billed charges	92	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Humana-Commerical	PPO		46	46% of all negotiated rates	198	percent of total billed charges	198	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Multiplan	PPO		80	80% of all negotiated rates	74	percent of total billed charges	74	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Optum Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	P3	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Select Health	HMO		41	41% of all negotiated rates	217	percent of total billed charges	217	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Silversummit Medicare	HMO		39	39% of all negotiated rates	224	percent of total billed charges	224	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	239	percent of total billed charges	239	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	TriWest	PPO		30	30% of all negotiated rates	257	percent of total billed charges	257	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	129	percent of total billed charges	129	368	
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Aetna	PPO	750		case rate	750	case rate	750	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Anthem Medicaid	HMO	98		NV Medicaid SDS Rate	98	fee schedule	98	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Cigna	PPO	1625		case rate	1625	case rate	1625	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	HPN Medicaid	HMO	98		NV Medicaid SDS Rate	98	fee schedule	98	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Molina Medicaid	HMO	98		NV Medicaid SDS Rate	98	case rate	98	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	One Health	PPO	686		case rate	686	case rate	686	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	350	Coinsurance and deductible may apply
Incision and Drainage Pilonidal Cyst	10080	CPT	49010080	LOCAL	490	RC		outpatient			368	312	United Healthcare	PPO	686		case rate	686	case rate	686	350	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Aetna Medicare	HMO		26	26% of all negotiated rates	2415	percent of total billed charges	2415	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Alignment Medicare	HMO		39	39% of all negotiated rates	1991	percent of total billed charges	1991	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1305	percent of total billed charges	1305	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1632	percent of total billed charges	1632	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1991	percent of total billed charges	1991	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Coventry	PPO		75	75% of all negotiated rates	816	percent of total billed charges	816	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	653	percent of total billed charges	653	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Humana-Commerical	PPO		46	46% of all negotiated rates	1762	percent of total billed charges	1762	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1991	percent of total billed charges	1991	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Multiplan	PPO		80	80% of all negotiated rates	653	percent of total billed charges	653	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Optum Medicare	HMO		39	39% of all negotiated rates	1991	percent of total billed charges	1991	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	P3	HMO		39	39% of all negotiated rates	1991	percent of total billed charges	1991	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1142	percent of total billed charges	1142	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Select Health	HMO		41	41% of all negotiated rates	1925	percent of total billed charges	1925	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Silversummit Medicare	HMO		39	39% of all negotiated rates	1991	percent of total billed charges	1991	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2121	percent of total billed charges	2121	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	TriWest	PPO		30	30% of all negotiated rates	2284	percent of total billed charges	2284	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1142	percent of total billed charges	1142	3263	
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Aetna	PPO	950		case rate	950	case rate	950	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Anthem Medicaid	HMO	734		NV Medicaid SDS Rate	149	fee schedule	149	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Cigna	PPO	1014		case rate	1014	case rate	1014	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	HPN Medicaid	HMO	734		NV Medicaid SDS Rate	149	fee schedule	149	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Molina Medicaid	HMO	734		NV Medicaid SDS Rate	149	case rate	149	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	One Health	PPO	1061		case rate	1061	case rate	1061	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	3108	Coinsurance and deductible may apply
Incision and Drainage Rectal	45005	CPT	49045005	LOCAL	490	RC		outpatient			3263	2774	United Healthcare	PPO	1061		case rate	1061	case rate	1061	3108	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Aetna Medicare	HMO		26	26% of all negotiated rates	2098	percent of total billed charges	2098	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Alignment Medicare	HMO		39	39% of all negotiated rates	1729	percent of total billed charges	1729	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1134	percent of total billed charges	1134	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1418	percent of total billed charges	1418	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1729	percent of total billed charges	1729	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Coventry	PPO		75	75% of all negotiated rates	709	percent of total billed charges	709	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	567	percent of total billed charges	567	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Humana-Commerical	PPO		46	46% of all negotiated rates	1531	percent of total billed charges	1531	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1729	percent of total billed charges	1729	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Multiplan	PPO		80	80% of all negotiated rates	567	percent of total billed charges	567	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Optum Medicare	HMO		39	39% of all negotiated rates	1729	percent of total billed charges	1729	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	P3	HMO		39	39% of all negotiated rates	1729	percent of total billed charges	1729	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	992	percent of total billed charges	992	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Select Health	HMO		41	41% of all negotiated rates	1673	percent of total billed charges	1673	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Silversummit Medicare	HMO		39	39% of all negotiated rates	1729	percent of total billed charges	1729	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1843	percent of total billed charges	1843	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	TriWest	PPO		30	30% of all negotiated rates	1985	percent of total billed charges	1985	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	992	percent of total billed charges	992	2835	
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Aetna	PPO	950		case rate	950	case rate	950	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	345	fee schedule	345	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Cigna	PPO	1014		case rate	1014	case rate	1014	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	345	fee schedule	345	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	345	case rate	345	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	One Health	PPO	1273		case rate	1273	case rate	1273	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2700	Coinsurance and deductible may apply
Incision and Drainage Wrist	25031	CPT	49025031	LOCAL	490	RC		outpatient			2835	2410	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2700	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Aetna Medicare	HMO		26	26% of all negotiated rates	1781	percent of total billed charges	1781	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Alignment Medicare	HMO		39	39% of all negotiated rates	1468	percent of total billed charges	1468	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	963	percent of total billed charges	963	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1203	percent of total billed charges	1203	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1468	percent of total billed charges	1468	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Coventry	PPO		75	75% of all negotiated rates	602	percent of total billed charges	602	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	481	percent of total billed charges	481	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Humana-Commerical	PPO		46	46% of all negotiated rates	1300	percent of total billed charges	1300	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1468	percent of total billed charges	1468	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Multiplan	PPO		80	80% of all negotiated rates	481	percent of total billed charges	481	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Optum Medicare	HMO		39	39% of all negotiated rates	1468	percent of total billed charges	1468	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	P3	HMO		39	39% of all negotiated rates	1468	percent of total billed charges	1468	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	842	percent of total billed charges	842	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Select Health	HMO		41	41% of all negotiated rates	1420	percent of total billed charges	1420	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Silversummit Medicare	HMO		39	39% of all negotiated rates	1468	percent of total billed charges	1468	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1564	percent of total billed charges	1564	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	TriWest	PPO		30	30% of all negotiated rates	1685	percent of total billed charges	1685	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	842	percent of total billed charges	842	2407	
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Aetna	PPO	750		case rate	750	case rate	750	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	204	fee schedule	204	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Cigna	PPO	756		case rate	756	case rate	756	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	204	fee schedule	204	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	204	case rate	204	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	One Health	PPO	1273		case rate	1273	case rate	1273	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Sierra/HPN	HMO	756		case rate	756	case rate	756	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2292	Coinsurance and deductible may apply
Incison and Drainage Elbow	23930	CPT	49023930	LOCAL	490	RC		outpatient			2407	2046	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2292	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Aetna Medicare	HMO		26	26% of all negotiated rates	2557	percent of total billed charges	2557	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Alignment Medicare	HMO		39	39% of all negotiated rates	2108	percent of total billed charges	2108	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1382	percent of total billed charges	1382	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1728	percent of total billed charges	1728	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2108	percent of total billed charges	2108	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Coventry	PPO		75	75% of all negotiated rates	864	percent of total billed charges	864	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	691	percent of total billed charges	691	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Humana-Commerical	PPO		46	46% of all negotiated rates	1866	percent of total billed charges	1866	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2108	percent of total billed charges	2108	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Multiplan	PPO		80	80% of all negotiated rates	691	percent of total billed charges	691	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Optum Medicare	HMO		39	39% of all negotiated rates	2108	percent of total billed charges	2108	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	P3	HMO		39	39% of all negotiated rates	2108	percent of total billed charges	2108	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1209	percent of total billed charges	1209	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Select Health	HMO		41	41% of all negotiated rates	2039	percent of total billed charges	2039	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Silversummit Medicare	HMO		39	39% of all negotiated rates	2108	percent of total billed charges	2108	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2246	percent of total billed charges	2246	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	TriWest	PPO		30	30% of all negotiated rates	2419	percent of total billed charges	2419	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1209	percent of total billed charges	1209	3456	
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Aetna	PPO	1150		case rate	1150	case rate	1150	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	393	fee schedule	393	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Cigna	PPO	1157		case rate	1157	case rate	1157	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	393	fee schedule	393	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	393	case rate	393	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	One Health	PPO	1441		case rate	1441	case rate	1441	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3291	Coinsurance and deductible may apply
Knee Arthroscopy Dx	29870	CPT	49029870	LOCAL	490	RC		outpatient			3456	2937	United Healthcare	PPO	1441		case rate	1441	case rate	1441	3291	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Aetna Medicare	HMO		26	26% of all negotiated rates	753	percent of total billed charges	753	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Alignment Medicare	HMO		39	39% of all negotiated rates	621	percent of total billed charges	621	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	407	percent of total billed charges	407	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	509	percent of total billed charges	509	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	621	percent of total billed charges	621	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Coventry	PPO		75	75% of all negotiated rates	254	percent of total billed charges	254	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	203	percent of total billed charges	203	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Humana-Commerical	PPO		46	46% of all negotiated rates	549	percent of total billed charges	549	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	621	percent of total billed charges	621	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Multiplan	PPO		80	80% of all negotiated rates	203	percent of total billed charges	203	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Optum Medicare	HMO		39	39% of all negotiated rates	621	percent of total billed charges	621	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	P3	HMO		39	39% of all negotiated rates	621	percent of total billed charges	621	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	356	percent of total billed charges	356	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Select Health	HMO		41	41% of all negotiated rates	600	percent of total billed charges	600	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Silversummit Medicare	HMO		39	39% of all negotiated rates	621	percent of total billed charges	621	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	661	percent of total billed charges	661	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	TriWest	PPO		30	30% of all negotiated rates	712	percent of total billed charges	712	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	356	percent of total billed charges	356	1017	
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Aetna	PPO	950		case rate	950	case rate	950	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Anthem Medicaid	HMO	52		NV Medicaid SDS Rate	128	fee schedule	128	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Cigna	PPO	1014		case rate	1014	case rate	1014	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	HPN Medicaid	HMO	52		NV Medicaid SDS Rate	128	fee schedule	128	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Molina Medicaid	HMO	52		NV Medicaid SDS Rate	128	case rate	128	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	One Health	PPO	474		case rate	474	case rate	474	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	969	Coinsurance and deductible may apply
LAC.FACENCK 12.6-20	12016	CPT	3230162	LOCAL	490	RC		outpatient			1017	865	United Healthcare	PPO	474		case rate	474	case rate	474	969	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Aetna Medicare	HMO		26	26% of all negotiated rates	5801	percent of total billed charges	5801	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Alignment Medicare	HMO		39	39% of all negotiated rates	4782	percent of total billed charges	4782	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3136	percent of total billed charges	3136	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3920	percent of total billed charges	3920	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4782	percent of total billed charges	4782	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Coventry	PPO		75	75% of all negotiated rates	1960	percent of total billed charges	1960	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1568	percent of total billed charges	1568	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Humana-Commerical	PPO		46	46% of all negotiated rates	4233	percent of total billed charges	4233	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4782	percent of total billed charges	4782	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Multiplan	PPO		80	80% of all negotiated rates	1568	percent of total billed charges	1568	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Optum Medicare	HMO		39	39% of all negotiated rates	4782	percent of total billed charges	4782	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	P3	HMO		39	39% of all negotiated rates	4782	percent of total billed charges	4782	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2744	percent of total billed charges	2744	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Select Health	HMO		41	41% of all negotiated rates	4625	percent of total billed charges	4625	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Silversummit Medicare	HMO		39	39% of all negotiated rates	4782	percent of total billed charges	4782	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5096	percent of total billed charges	5096	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	TriWest	PPO		30	30% of all negotiated rates	5488	percent of total billed charges	5488	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2744	percent of total billed charges	2744	7839	
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Aetna	PPO	1150		case rate	1150	case rate	1150	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	311	fee schedule	311	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Cigna	PPO	1157		case rate	1157	case rate	1157	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	311	fee schedule	311	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	311	case rate	311	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	One Health	PPO	1872		case rate	1872	case rate	1872	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	7466	Coinsurance and deductible may apply
Laparoscopy Diagnostic	49320	CPT	49049320	LOCAL	490	RC		outpatient			7839	6663	United Healthcare	PPO	1872		case rate	1872	case rate	1872	7466	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Aetna Medicare	HMO		26	26% of all negotiated rates	9739	percent of total billed charges	9739	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Alignment Medicare	HMO		39	39% of all negotiated rates	8028	percent of total billed charges	8028	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5264	percent of total billed charges	5264	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6580	percent of total billed charges	6580	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8028	percent of total billed charges	8028	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Coventry	PPO		75	75% of all negotiated rates	3290	percent of total billed charges	3290	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2632	percent of total billed charges	2632	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Humana-Commerical	PPO		46	46% of all negotiated rates	7107	percent of total billed charges	7107	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8028	percent of total billed charges	8028	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Multiplan	PPO		80	80% of all negotiated rates	2632	percent of total billed charges	2632	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Optum Medicare	HMO		39	39% of all negotiated rates	8028	percent of total billed charges	8028	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	P3	HMO		39	39% of all negotiated rates	8028	percent of total billed charges	8028	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	4606	percent of total billed charges	4606	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Select Health	HMO		41	41% of all negotiated rates	7765	percent of total billed charges	7765	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Silversummit Medicare	HMO		39	39% of all negotiated rates	8028	percent of total billed charges	8028	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8554	percent of total billed charges	8554	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	TriWest	PPO		30	30% of all negotiated rates	9212	percent of total billed charges	9212	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	4606	percent of total billed charges	4606	13161	
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Aetna	PPO	1350		case rate	1350	case rate	1350	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Cigna	PPO	2266		case rate	2266	case rate	2266	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	One Health	PPO	2818		case rate	2818	case rate	2818	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Sierra Healthcare Options	PPO	2266		case rate	2266	case rate	2266	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Sierra/HPN	HMO	2266		case rate	2266	case rate	2266	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	12534	Coinsurance and deductible may apply
LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE	49654	CPT	49049654	LOCAL	490	RC		outpatient			13161	11187	United Healthcare	PPO	2818		case rate	2818	case rate	2818	12534	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Aetna Medicare	HMO		26	26% of all negotiated rates	10441	percent of total billed charges	10441	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Alignment Medicare	HMO		39	39% of all negotiated rates	8606	percent of total billed charges	8606	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5644	percent of total billed charges	5644	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	7054	percent of total billed charges	7054	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	8606	percent of total billed charges	8606	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Coventry	PPO		75	75% of all negotiated rates	3527	percent of total billed charges	3527	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2822	percent of total billed charges	2822	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Humana-Commerical	PPO		46	46% of all negotiated rates	7619	percent of total billed charges	7619	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	8606	percent of total billed charges	8606	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Multiplan	PPO		80	80% of all negotiated rates	2822	percent of total billed charges	2822	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Optum Medicare	HMO		39	39% of all negotiated rates	8606	percent of total billed charges	8606	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	P3	HMO		39	39% of all negotiated rates	8606	percent of total billed charges	8606	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	4938	percent of total billed charges	4938	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Select Health	HMO		41	41% of all negotiated rates	8324	percent of total billed charges	8324	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Silversummit Medicare	HMO		39	39% of all negotiated rates	8606	percent of total billed charges	8606	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	9171	percent of total billed charges	9171	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	TriWest	PPO		30	30% of all negotiated rates	9876	percent of total billed charges	9876	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	4938	percent of total billed charges	4938	14109	
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Aetna	PPO	1950		case rate	1950	case rate	1950	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	526	fee schedule	526	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Cigna	PPO	2257		case rate	2257	case rate	2257	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Coalition	PPO	2090		Coalition grouper rate	2090	case rate	2090	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	526	fee schedule	526	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	526	case rate	526	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	One Health	PPO	2818		case rate	2818	case rate	2818	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Sierra Healthcare Options	PPO	2257		case rate	2257	case rate	2257	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Sierra/HPN	HMO	2257		case rate	2257	case rate	2257	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	Teachers Trust	PPO	2090		Teachers grouper rate	2090	case rate	2090	13437	Coinsurance and deductible may apply
LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT	49651	CPT	49049651	LOCAL	490	RC		outpatient			14109	11993	United Healthcare	PPO	2818		case rate	2818	case rate	2818	13437	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Aetna Medicare	HMO		26	26% of all negotiated rates	12766	percent of total billed charges	12766	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Alignment Medicare	HMO		39	39% of all negotiated rates	10523	percent of total billed charges	10523	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6901	percent of total billed charges	6901	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8626	percent of total billed charges	8626	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10523	percent of total billed charges	10523	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Coventry	PPO		75	75% of all negotiated rates	4313	percent of total billed charges	4313	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3450	percent of total billed charges	3450	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Humana-Commerical	PPO		46	46% of all negotiated rates	9316	percent of total billed charges	9316	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10523	percent of total billed charges	10523	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Multiplan	PPO		80	80% of all negotiated rates	3450	percent of total billed charges	3450	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Optum Medicare	HMO		39	39% of all negotiated rates	10523	percent of total billed charges	10523	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	P3	HMO		39	39% of all negotiated rates	10523	percent of total billed charges	10523	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	6038	percent of total billed charges	6038	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Select Health	HMO		41	41% of all negotiated rates	10178	percent of total billed charges	10178	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Silversummit Medicare	HMO		39	39% of all negotiated rates	10523	percent of total billed charges	10523	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	11213	percent of total billed charges	11213	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	TriWest	PPO		30	30% of all negotiated rates	12076	percent of total billed charges	12076	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	6038	percent of total billed charges	6038	17252	
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Aetna	PPO	1350		case rate	1350	case rate	1350	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Cigna	PPO	2266		case rate	2266	case rate	2266	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Coalition	PPO	2090		Coalition grouper rate	2090	case rate	2090	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	fee schedule	1590	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	1590	case rate	1590	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	One Health	PPO	2818		case rate	2818	case rate	2818	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Sierra Healthcare Options	PPO	2266		case rate	2266	case rate	2266	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Sierra/HPN	HMO	2266		case rate	2266	case rate	2266	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	Teachers Trust	PPO	2090		Teachers grouper rate	2090	case rate	2090	16430	Coinsurance and deductible may apply
LAPAROSCOPY SURG REP VENTRAL/UMBILICAL/SPIGELIAN OR EPIGASTR	49653	CPT	49049653	LOCAL	490	RC		outpatient			17252	14664	United Healthcare	PPO	2818		case rate	2818	case rate	2818	16430	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Aetna Medicare	HMO		26	26% of all negotiated rates	5473	percent of total billed charges	5473	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Alignment Medicare	HMO		39	39% of all negotiated rates	4512	percent of total billed charges	4512	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2958	percent of total billed charges	2958	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3698	percent of total billed charges	3698	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4512	percent of total billed charges	4512	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Coventry	PPO		75	75% of all negotiated rates	1849	percent of total billed charges	1849	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1479	percent of total billed charges	1479	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Humana-Commerical	PPO		46	46% of all negotiated rates	3994	percent of total billed charges	3994	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4512	percent of total billed charges	4512	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Multiplan	PPO		80	80% of all negotiated rates	1479	percent of total billed charges	1479	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Optum Medicare	HMO		39	39% of all negotiated rates	4512	percent of total billed charges	4512	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	P3	HMO		39	39% of all negotiated rates	4512	percent of total billed charges	4512	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2589	percent of total billed charges	2589	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Select Health	HMO		41	41% of all negotiated rates	4364	percent of total billed charges	4364	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Silversummit Medicare	HMO		39	39% of all negotiated rates	4512	percent of total billed charges	4512	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4808	percent of total billed charges	4808	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	TriWest	PPO		30	30% of all negotiated rates	5177	percent of total billed charges	5177	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2589	percent of total billed charges	2589	7396	
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Aetna	PPO	1550		case rate	1550	case rate	1550	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Anthem Medicaid	HMO	1590		NV Medicaid SDS Rate	646	fee schedule	646	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Cigna	PPO	1625		case rate	1625	case rate	1625	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	HPN Medicaid	HMO	1590		NV Medicaid SDS Rate	646	fee schedule	646	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Molina Medicaid	HMO	1590		NV Medicaid SDS Rate	646	case rate	646	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	One Health	PPO	2818		case rate	2818	case rate	2818	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	7044	Coinsurance and deductible may apply
Lysis of Adhesions	58660	CPT	49058660	LOCAL	490	RC		outpatient			7396	6287	United Healthcare	PPO	2818		case rate	2818	case rate	2818	7044	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Aetna Medicare	HMO		26	26% of all negotiated rates	1733	percent of total billed charges	1733	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Alignment Medicare	HMO		39	39% of all negotiated rates	1428	percent of total billed charges	1428	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	937	percent of total billed charges	937	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1171	percent of total billed charges	1171	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1428	percent of total billed charges	1428	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Coventry	PPO		75	75% of all negotiated rates	585	percent of total billed charges	585	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	468	percent of total billed charges	468	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Humana-Commerical	PPO		46	46% of all negotiated rates	1264	percent of total billed charges	1264	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1428	percent of total billed charges	1428	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Multiplan	PPO		80	80% of all negotiated rates	468	percent of total billed charges	468	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Optum Medicare	HMO		39	39% of all negotiated rates	1428	percent of total billed charges	1428	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	P3	HMO		39	39% of all negotiated rates	1428	percent of total billed charges	1428	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	820	percent of total billed charges	820	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Select Health	HMO		41	41% of all negotiated rates	1381	percent of total billed charges	1381	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Silversummit Medicare	HMO		39	39% of all negotiated rates	1428	percent of total billed charges	1428	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1522	percent of total billed charges	1522	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	TriWest	PPO		30	30% of all negotiated rates	1639	percent of total billed charges	1639	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	820	percent of total billed charges	820	2342	
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Aetna	PPO	750		case rate	750	case rate	750	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Anthem Medicaid	HMO	485		NV Medicaid SDS Rate	143	fee schedule	143	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Cigna	PPO	756		case rate	756	case rate	756	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	HPN Medicaid	HMO	485		NV Medicaid SDS Rate	143	fee schedule	143	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Molina Medicaid	HMO	485		NV Medicaid SDS Rate	143	case rate	143	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	One Health	PPO	1061		case rate	1061	case rate	1061	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Sierra/HPN	HMO	756		case rate	756	case rate	756	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2230	Coinsurance and deductible may apply
Lysis of AdhesionsManipulation Knee under Anesthesia	27570	CPT	49027570	LOCAL	490	RC		outpatient			2342	1990	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2230	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Aetna Medicare	HMO		26	26% of all negotiated rates	1799	percent of total billed charges	1799	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Alignment Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	972	percent of total billed charges	972	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1215	percent of total billed charges	1215	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Coventry	PPO		75	75% of all negotiated rates	608	percent of total billed charges	608	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	486	percent of total billed charges	486	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Humana-Commerical	PPO		46	46% of all negotiated rates	1313	percent of total billed charges	1313	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Multiplan	PPO		80	80% of all negotiated rates	486	percent of total billed charges	486	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Optum Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	P3	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	851	percent of total billed charges	851	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Select Health	HMO		41	41% of all negotiated rates	1434	percent of total billed charges	1434	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Silversummit Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1580	percent of total billed charges	1580	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	TriWest	PPO		30	30% of all negotiated rates	1702	percent of total billed charges	1702	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	851	percent of total billed charges	851	2431	
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Aetna	PPO	750		case rate	750	case rate	750	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Anthem Medicaid	HMO	485		NV Medicaid SDS Rate	378	fee schedule	378	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Cigna	PPO	756		case rate	756	case rate	756	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	HPN Medicaid	HMO	485		NV Medicaid SDS Rate	378	fee schedule	378	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Molina Medicaid	HMO	485		NV Medicaid SDS Rate	378	case rate	378	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	One Health	PPO	1061		case rate	1061	case rate	1061	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Sierra/HPN	HMO	756		case rate	756	case rate	756	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2315	Coinsurance and deductible may apply
Manipulation Shoulder under Anesthesia	23655	CPT	49023655	LOCAL	490	RC		outpatient			2431	2066	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2315	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Aetna Medicare	HMO		26	26% of all negotiated rates	2110	percent of total billed charges	2110	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Alignment Medicare	HMO		39	39% of all negotiated rates	1739	percent of total billed charges	1739	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1140	percent of total billed charges	1140	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1425	percent of total billed charges	1425	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1739	percent of total billed charges	1739	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Coventry	PPO		75	75% of all negotiated rates	713	percent of total billed charges	713	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	570	percent of total billed charges	570	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Humana-Commerical	PPO		46	46% of all negotiated rates	1539	percent of total billed charges	1539	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1739	percent of total billed charges	1739	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Multiplan	PPO		80	80% of all negotiated rates	570	percent of total billed charges	570	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Optum Medicare	HMO		39	39% of all negotiated rates	1739	percent of total billed charges	1739	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	P3	HMO		39	39% of all negotiated rates	1739	percent of total billed charges	1739	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	998	percent of total billed charges	998	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Select Health	HMO		41	41% of all negotiated rates	1682	percent of total billed charges	1682	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Silversummit Medicare	HMO		39	39% of all negotiated rates	1739	percent of total billed charges	1739	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1853	percent of total billed charges	1853	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	TriWest	PPO		30	30% of all negotiated rates	1996	percent of total billed charges	1996	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	998	percent of total billed charges	998	2851	
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Aetna	PPO	750		case rate	750	case rate	750	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Cigna	PPO	1014		case rate	1014	case rate	1014	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	625	fee schedule	625	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	625	case rate	625	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	One Health	PPO	686		case rate	686	case rate	686	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	2715	Coinsurance and deductible may apply
Minor Soft Tissue Procedure	21012	CPT	49021012	LOCAL	490	RC		outpatient			2851	2423	United Healthcare	PPO	686		case rate	686	case rate	686	2715	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Aetna Medicare	HMO		26	26% of all negotiated rates	5427	percent of total billed charges	5427	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Alignment Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2933	percent of total billed charges	2933	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3667	percent of total billed charges	3667	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Coventry	PPO		75	75% of all negotiated rates	1833	percent of total billed charges	1833	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1467	percent of total billed charges	1467	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Humana-Commerical	PPO		46	46% of all negotiated rates	3960	percent of total billed charges	3960	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Multiplan	PPO		80	80% of all negotiated rates	1467	percent of total billed charges	1467	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Optum Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	P3	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2567	percent of total billed charges	2567	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Select Health	HMO		41	41% of all negotiated rates	4327	percent of total billed charges	4327	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Silversummit Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4767	percent of total billed charges	4767	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	TriWest	PPO		30	30% of all negotiated rates	5133	percent of total billed charges	5133	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2567	percent of total billed charges	2567	7333	
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Aetna	PPO	1150		case rate	1150	case rate	1150	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	777	fee schedule	777	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Cigna	PPO	1157		case rate	1157	case rate	1157	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	777	fee schedule	777	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	777	case rate	777	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	One Health	PPO	2818		case rate	2818	case rate	2818	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Ankle	27848	CPT	49027848	LOCAL	490	RC		outpatient			7333	6233	United Healthcare	PPO	2818		case rate	2818	case rate	2818	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Aetna Medicare	HMO		26	26% of all negotiated rates	5427	percent of total billed charges	5427	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Alignment Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2933	percent of total billed charges	2933	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3667	percent of total billed charges	3667	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Coventry	PPO		75	75% of all negotiated rates	1833	percent of total billed charges	1833	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1467	percent of total billed charges	1467	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Humana-Commerical	PPO		46	46% of all negotiated rates	3960	percent of total billed charges	3960	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Multiplan	PPO		80	80% of all negotiated rates	1467	percent of total billed charges	1467	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Optum Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	P3	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2567	percent of total billed charges	2567	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Select Health	HMO		41	41% of all negotiated rates	4327	percent of total billed charges	4327	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Silversummit Medicare	HMO		39	39% of all negotiated rates	4473	percent of total billed charges	4473	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4767	percent of total billed charges	4767	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	TriWest	PPO		30	30% of all negotiated rates	5133	percent of total billed charges	5133	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2567	percent of total billed charges	2567	7333	
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Aetna	PPO	1150		case rate	1150	case rate	1150	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	622	fee schedule	622	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Cigna	PPO	1157		case rate	1157	case rate	1157	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	622	fee schedule	622	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	622	case rate	622	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	One Health	PPO	2818		case rate	2818	case rate	2818	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Foot	27792	CPT	49027792	LOCAL	490	RC		outpatient			7333	6233	United Healthcare	PPO	2818		case rate	2818	case rate	2818	6984	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Aetna Medicare	HMO		26	26% of all negotiated rates	3178	percent of total billed charges	3178	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Alignment Medicare	HMO		39	39% of all negotiated rates	2620	percent of total billed charges	2620	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1718	percent of total billed charges	1718	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2147	percent of total billed charges	2147	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2620	percent of total billed charges	2620	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Coventry	PPO		75	75% of all negotiated rates	1074	percent of total billed charges	1074	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	859	percent of total billed charges	859	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Humana-Commerical	PPO		46	46% of all negotiated rates	2319	percent of total billed charges	2319	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2620	percent of total billed charges	2620	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Multiplan	PPO		80	80% of all negotiated rates	859	percent of total billed charges	859	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Optum Medicare	HMO		39	39% of all negotiated rates	2620	percent of total billed charges	2620	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	P3	HMO		39	39% of all negotiated rates	2620	percent of total billed charges	2620	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1503	percent of total billed charges	1503	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Select Health	HMO		41	41% of all negotiated rates	2534	percent of total billed charges	2534	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Silversummit Medicare	HMO		39	39% of all negotiated rates	2620	percent of total billed charges	2620	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2791	percent of total billed charges	2791	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	TriWest	PPO		30	30% of all negotiated rates	3006	percent of total billed charges	3006	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1503	percent of total billed charges	1503	4295	
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Aetna	PPO	1550		case rate	1550	case rate	1550	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Anthem Medicaid	HMO	715		NV Medicaid SDS Rate	538	fee schedule	538	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Cigna	PPO	1625		case rate	1625	case rate	1625	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	HPN Medicaid	HMO	715		NV Medicaid SDS Rate	538	fee schedule	538	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Molina Medicaid	HMO	715		NV Medicaid SDS Rate	538	case rate	538	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	One Health	PPO	1273		case rate	1273	case rate	1273	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	4090	Coinsurance and deductible may apply
Open Reduction Internal Fixation Nasal	21330	CPT	49021330	LOCAL	490	RC		outpatient			4295	3650	United Healthcare	PPO	1273		case rate	1273	case rate	1273	4090	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Aetna Medicare	HMO		26	26% of all negotiated rates	7778	percent of total billed charges	7778	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Alignment Medicare	HMO		39	39% of all negotiated rates	6411	percent of total billed charges	6411	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4204	percent of total billed charges	4204	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5255	percent of total billed charges	5255	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6411	percent of total billed charges	6411	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Coventry	PPO		75	75% of all negotiated rates	2628	percent of total billed charges	2628	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2102	percent of total billed charges	2102	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Humana-Commerical	PPO		46	46% of all negotiated rates	5676	percent of total billed charges	5676	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6411	percent of total billed charges	6411	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Multiplan	PPO		80	80% of all negotiated rates	2102	percent of total billed charges	2102	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Optum Medicare	HMO		39	39% of all negotiated rates	6411	percent of total billed charges	6411	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	P3	HMO		39	39% of all negotiated rates	6411	percent of total billed charges	6411	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3679	percent of total billed charges	3679	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Select Health	HMO		41	41% of all negotiated rates	6201	percent of total billed charges	6201	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Silversummit Medicare	HMO		39	39% of all negotiated rates	6411	percent of total billed charges	6411	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6832	percent of total billed charges	6832	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	TriWest	PPO		30	30% of all negotiated rates	7357	percent of total billed charges	7357	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3679	percent of total billed charges	3679	10511	
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Aetna	PPO	1350		case rate	1350	case rate	1350	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	499	fee schedule	499	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Cigna	PPO	1427		case rate	1427	case rate	1427	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	499	fee schedule	499	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	499	case rate	499	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	One Health	PPO	2818		case rate	2818	case rate	2818	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	10010	Coinsurance and deductible may apply
OPEN TX METATARSAL FX INTERNAL FIXATION	28485	CPT	49028485	LOCAL	490	RC		outpatient			10511	8934	United Healthcare	PPO	2818		case rate	2818	case rate	2818	10010	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Aetna Medicare	HMO		26	26% of all negotiated rates	3458	percent of total billed charges	3458	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Alignment Medicare	HMO		39	39% of all negotiated rates	2850	percent of total billed charges	2850	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1869	percent of total billed charges	1869	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2336	percent of total billed charges	2336	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2850	percent of total billed charges	2850	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Coventry	PPO		75	75% of all negotiated rates	1168	percent of total billed charges	1168	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	935	percent of total billed charges	935	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Humana-Commerical	PPO		46	46% of all negotiated rates	2523	percent of total billed charges	2523	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2850	percent of total billed charges	2850	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Multiplan	PPO		80	80% of all negotiated rates	935	percent of total billed charges	935	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Optum Medicare	HMO		39	39% of all negotiated rates	2850	percent of total billed charges	2850	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	P3	HMO		39	39% of all negotiated rates	2850	percent of total billed charges	2850	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1635	percent of total billed charges	1635	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Select Health	HMO		41	41% of all negotiated rates	2757	percent of total billed charges	2757	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Silversummit Medicare	HMO		39	39% of all negotiated rates	2850	percent of total billed charges	2850	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3037	percent of total billed charges	3037	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	TriWest	PPO		30	30% of all negotiated rates	3271	percent of total billed charges	3271	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1635	percent of total billed charges	1635	4673	
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Aetna	PPO	1150		case rate	1150	case rate	1150	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	649	fee schedule	649	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Cigna	PPO	1157		case rate	1157	case rate	1157	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	649	fee schedule	649	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	649	case rate	649	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	One Health	PPO	1273		case rate	1273	case rate	1273	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4450	Coinsurance and deductible may apply
OPEN TX TALOTARSAL-FOOT JNT DISLOCATION	28585	CPT	49028585	LOCAL	490	RC		outpatient			4673	3972	United Healthcare	PPO	1273		case rate	1273	case rate	1273	4450	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Aetna Medicare	HMO		26	26% of all negotiated rates	2198	percent of total billed charges	2198	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Alignment Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1188	percent of total billed charges	1188	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1485	percent of total billed charges	1485	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Coventry	PPO		75	75% of all negotiated rates	743	percent of total billed charges	743	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	594	percent of total billed charges	594	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Humana-Commerical	PPO		46	46% of all negotiated rates	1604	percent of total billed charges	1604	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Multiplan	PPO		80	80% of all negotiated rates	594	percent of total billed charges	594	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Optum Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	P3	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1040	percent of total billed charges	1040	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Select Health	HMO		41	41% of all negotiated rates	1753	percent of total billed charges	1753	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Silversummit Medicare	HMO		39	39% of all negotiated rates	1812	percent of total billed charges	1812	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1931	percent of total billed charges	1931	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	TriWest	PPO		30	30% of all negotiated rates	2079	percent of total billed charges	2079	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1040	percent of total billed charges	1040	2970	
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Aetna	PPO	1150		case rate	1150	case rate	1150	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	275	fee schedule	275	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Cigna	PPO	1157		case rate	1157	case rate	1157	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	275	fee schedule	275	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	275	case rate	275	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	One Health	PPO	1273		case rate	1273	case rate	1273	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2829	Coinsurance and deductible may apply
OSTECTOMY/PARTIAL EXCISION FIFTH METATARSAL CHARGE	28110	CPT	49028110	LOCAL	490	RC		outpatient			2970	2525	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2829	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Aetna Medicare	HMO		26	26% of all negotiated rates	5088	percent of total billed charges	5088	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Alignment Medicare	HMO		39	39% of all negotiated rates	4194	percent of total billed charges	4194	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2750	percent of total billed charges	2750	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3438	percent of total billed charges	3438	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4194	percent of total billed charges	4194	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Coventry	PPO		75	75% of all negotiated rates	1719	percent of total billed charges	1719	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1375	percent of total billed charges	1375	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Humana-Commerical	PPO		46	46% of all negotiated rates	3713	percent of total billed charges	3713	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4194	percent of total billed charges	4194	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Multiplan	PPO		80	80% of all negotiated rates	1375	percent of total billed charges	1375	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Optum Medicare	HMO		39	39% of all negotiated rates	4194	percent of total billed charges	4194	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	P3	HMO		39	39% of all negotiated rates	4194	percent of total billed charges	4194	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2406	percent of total billed charges	2406	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Select Health	HMO		41	41% of all negotiated rates	4056	percent of total billed charges	4056	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Silversummit Medicare	HMO		39	39% of all negotiated rates	4194	percent of total billed charges	4194	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4469	percent of total billed charges	4469	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	TriWest	PPO		30	30% of all negotiated rates	4813	percent of total billed charges	4813	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2406	percent of total billed charges	2406	6875	
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Aetna	PPO	1350		case rate	1350	case rate	1350	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	778	fee schedule	778	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Cigna	PPO	1427		case rate	1427	case rate	1427	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	778	fee schedule	778	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	778	case rate	778	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	One Health	PPO	1872		case rate	1872	case rate	1872	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	6548	Coinsurance and deductible may apply
Osteotomy Clavicle	23480	CPT	49023480	LOCAL	490	RC		outpatient			6875	5844	United Healthcare	PPO	1872		case rate	1872	case rate	1872	6548	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Aetna Medicare	HMO		26	26% of all negotiated rates	3321	percent of total billed charges	3321	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Alignment Medicare	HMO		39	39% of all negotiated rates	2737	percent of total billed charges	2737	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1795	percent of total billed charges	1795	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2244	percent of total billed charges	2244	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2737	percent of total billed charges	2737	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Coventry	PPO		75	75% of all negotiated rates	1122	percent of total billed charges	1122	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	898	percent of total billed charges	898	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Humana-Commerical	PPO		46	46% of all negotiated rates	2423	percent of total billed charges	2423	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2737	percent of total billed charges	2737	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Multiplan	PPO		80	80% of all negotiated rates	898	percent of total billed charges	898	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Optum Medicare	HMO		39	39% of all negotiated rates	2737	percent of total billed charges	2737	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	P3	HMO		39	39% of all negotiated rates	2737	percent of total billed charges	2737	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1571	percent of total billed charges	1571	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Select Health	HMO		41	41% of all negotiated rates	2648	percent of total billed charges	2648	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Silversummit Medicare	HMO		39	39% of all negotiated rates	2737	percent of total billed charges	2737	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2917	percent of total billed charges	2917	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	TriWest	PPO		30	30% of all negotiated rates	3141	percent of total billed charges	3141	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1571	percent of total billed charges	1571	4488	
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Aetna	PPO	1550		case rate	1550	case rate	1550	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	637	fee schedule	637	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Cigna	PPO	1625		case rate	1625	case rate	1625	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	637	fee schedule	637	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	637	case rate	637	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	One Health	PPO	1441		case rate	1441	case rate	1441	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	4274	Coinsurance and deductible may apply
Osteotomy Metacarpal	26565	CPT	49026565	LOCAL	490	RC		outpatient			4488	3815	United Healthcare	PPO	1441		case rate	1441	case rate	1441	4274	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Aetna Medicare	HMO		26	26% of all negotiated rates	2662	percent of total billed charges	2662	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Alignment Medicare	HMO		39	39% of all negotiated rates	2194	percent of total billed charges	2194	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1439	percent of total billed charges	1439	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1799	percent of total billed charges	1799	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2194	percent of total billed charges	2194	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Coventry	PPO		75	75% of all negotiated rates	899	percent of total billed charges	899	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	719	percent of total billed charges	719	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Humana-Commerical	PPO		46	46% of all negotiated rates	1943	percent of total billed charges	1943	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2194	percent of total billed charges	2194	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Multiplan	PPO		80	80% of all negotiated rates	719	percent of total billed charges	719	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Optum Medicare	HMO		39	39% of all negotiated rates	2194	percent of total billed charges	2194	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	P3	HMO		39	39% of all negotiated rates	2194	percent of total billed charges	2194	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1259	percent of total billed charges	1259	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Select Health	HMO		41	41% of all negotiated rates	2122	percent of total billed charges	2122	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Silversummit Medicare	HMO		39	39% of all negotiated rates	2194	percent of total billed charges	2194	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2338	percent of total billed charges	2338	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	TriWest	PPO		30	30% of all negotiated rates	2518	percent of total billed charges	2518	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1259	percent of total billed charges	1259	3597	
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Aetna	PPO	1350		case rate	1350	case rate	1350	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	386	fee schedule	386	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Cigna	PPO	1427		case rate	1427	case rate	1427	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	386	fee schedule	386	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	386	case rate	386	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	One Health	PPO	1273		case rate	1273	case rate	1273	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	3426	Coinsurance and deductible may apply
Osteotomy Metatarsal	28306	CPT	49028306	LOCAL	490	RC		outpatient			3597	3058	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3426	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Aetna Medicare	HMO		26	26% of all negotiated rates	2442	percent of total billed charges	2442	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Alignment Medicare	HMO		39	39% of all negotiated rates	2013	percent of total billed charges	2013	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1320	percent of total billed charges	1320	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1650	percent of total billed charges	1650	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2013	percent of total billed charges	2013	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Coventry	PPO		75	75% of all negotiated rates	825	percent of total billed charges	825	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	660	percent of total billed charges	660	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Humana-Commerical	PPO		46	46% of all negotiated rates	1782	percent of total billed charges	1782	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2013	percent of total billed charges	2013	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Multiplan	PPO		80	80% of all negotiated rates	660	percent of total billed charges	660	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Optum Medicare	HMO		39	39% of all negotiated rates	2013	percent of total billed charges	2013	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	P3	HMO		39	39% of all negotiated rates	2013	percent of total billed charges	2013	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1155	percent of total billed charges	1155	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Select Health	HMO		41	41% of all negotiated rates	1947	percent of total billed charges	1947	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Silversummit Medicare	HMO		39	39% of all negotiated rates	2013	percent of total billed charges	2013	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2145	percent of total billed charges	2145	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	TriWest	PPO		30	30% of all negotiated rates	2310	percent of total billed charges	2310	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1155	percent of total billed charges	1155	3300	
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Aetna	PPO	1150		case rate	1150	case rate	1150	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	305	fee schedule	305	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Cigna	PPO	1157		case rate	1157	case rate	1157	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	305	fee schedule	305	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	305	case rate	305	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	One Health	PPO	1273		case rate	1273	case rate	1273	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3143	Coinsurance and deductible may apply
Osteotomy Phalanges-Toe	28312	CPT	49028312	LOCAL	490	RC		outpatient			3300	2805	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3143	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Aetna Medicare	HMO		26	26% of all negotiated rates	2743	percent of total billed charges	2743	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Alignment Medicare	HMO		39	39% of all negotiated rates	2261	percent of total billed charges	2261	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1483	percent of total billed charges	1483	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1853	percent of total billed charges	1853	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2261	percent of total billed charges	2261	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Coventry	PPO		75	75% of all negotiated rates	927	percent of total billed charges	927	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	741	percent of total billed charges	741	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Humana-Commerical	PPO		46	46% of all negotiated rates	2002	percent of total billed charges	2002	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2261	percent of total billed charges	2261	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Multiplan	PPO		80	80% of all negotiated rates	741	percent of total billed charges	741	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Optum Medicare	HMO		39	39% of all negotiated rates	2261	percent of total billed charges	2261	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	P3	HMO		39	39% of all negotiated rates	2261	percent of total billed charges	2261	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1297	percent of total billed charges	1297	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Select Health	HMO		41	41% of all negotiated rates	2187	percent of total billed charges	2187	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Silversummit Medicare	HMO		39	39% of all negotiated rates	2261	percent of total billed charges	2261	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2409	percent of total billed charges	2409	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	TriWest	PPO		30	30% of all negotiated rates	2595	percent of total billed charges	2595	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1297	percent of total billed charges	1297	3707	
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Aetna	PPO	1550		case rate	1550	case rate	1550	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	635	fee schedule	635	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Cigna	PPO	1625		case rate	1625	case rate	1625	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	635	fee schedule	635	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	635	case rate	635	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	One Health	PPO	1441		case rate	1441	case rate	1441	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	3530	Coinsurance and deductible may apply
Osteotomy Phlanges-Finger	26567	CPT	49026567	LOCAL	490	RC		outpatient			3707	3151	United Healthcare	PPO	1441		case rate	1441	case rate	1441	3530	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Aetna Medicare	HMO		26	26% of all negotiated rates	7779	percent of total billed charges	7779	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Alignment Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4205	percent of total billed charges	4205	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5256	percent of total billed charges	5256	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Coventry	PPO		75	75% of all negotiated rates	2628	percent of total billed charges	2628	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2102	percent of total billed charges	2102	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Humana-Commerical	PPO		46	46% of all negotiated rates	5676	percent of total billed charges	5676	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Multiplan	PPO		80	80% of all negotiated rates	2102	percent of total billed charges	2102	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Optum Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	P3	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3679	percent of total billed charges	3679	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Select Health	HMO		41	41% of all negotiated rates	6202	percent of total billed charges	6202	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Silversummit Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6833	percent of total billed charges	6833	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	TriWest	PPO		30	30% of all negotiated rates	7358	percent of total billed charges	7358	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3679	percent of total billed charges	3679	10512	
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Aetna	PPO	1150		case rate	1150	case rate	1150	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Anthem Medicaid	HMO	2792		NV Medicaid SDS Rate	868	fee schedule	868	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Cigna	PPO	1157		case rate	1157	case rate	1157	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	HPN Medicaid	HMO	2792		NV Medicaid SDS Rate	868	fee schedule	868	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Molina Medicaid	HMO	2792		NV Medicaid SDS Rate	868	case rate	868	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	One Health	PPO	1872		case rate	1872	case rate	1872	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	10011	Coinsurance and deductible may apply
Osteotomy Radius	25365	CPT	49025365	LOCAL	490	RC		outpatient			10512	8935	United Healthcare	PPO	1872		case rate	1872	case rate	1872	10011	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Aetna Medicare	HMO		26	26% of all negotiated rates	6774	percent of total billed charges	6774	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Alignment Medicare	HMO		39	39% of all negotiated rates	5584	percent of total billed charges	5584	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3662	percent of total billed charges	3662	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4577	percent of total billed charges	4577	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5584	percent of total billed charges	5584	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Coventry	PPO		75	75% of all negotiated rates	2288	percent of total billed charges	2288	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1831	percent of total billed charges	1831	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Humana-Commerical	PPO		46	46% of all negotiated rates	4943	percent of total billed charges	4943	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5584	percent of total billed charges	5584	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Multiplan	PPO		80	80% of all negotiated rates	1831	percent of total billed charges	1831	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Optum Medicare	HMO		39	39% of all negotiated rates	5584	percent of total billed charges	5584	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	P3	HMO		39	39% of all negotiated rates	5584	percent of total billed charges	5584	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3204	percent of total billed charges	3204	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Select Health	HMO		41	41% of all negotiated rates	5401	percent of total billed charges	5401	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Silversummit Medicare	HMO		39	39% of all negotiated rates	5584	percent of total billed charges	5584	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5950	percent of total billed charges	5950	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	TriWest	PPO		30	30% of all negotiated rates	6408	percent of total billed charges	6408	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3204	percent of total billed charges	3204	9154	
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Aetna	PPO	950		case rate	950	case rate	950	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	568	fee schedule	568	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Cigna	PPO	1014		case rate	1014	case rate	1014	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	568	fee schedule	568	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	568	case rate	568	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	One Health	PPO	2818		case rate	2818	case rate	2818	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	8718	Coinsurance and deductible may apply
Osteotomy Tarsal Bones	28304	CPT	49028304	LOCAL	490	RC		outpatient			9154	7781	United Healthcare	PPO	2818		case rate	2818	case rate	2818	8718	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Aetna Medicare	HMO		26	26% of all negotiated rates	1777	percent of total billed charges	1777	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Alignment Medicare	HMO		39	39% of all negotiated rates	1465	percent of total billed charges	1465	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	961	percent of total billed charges	961	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1201	percent of total billed charges	1201	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1465	percent of total billed charges	1465	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Coventry	PPO		75	75% of all negotiated rates	600	percent of total billed charges	600	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	480	percent of total billed charges	480	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Humana-Commerical	PPO		46	46% of all negotiated rates	1297	percent of total billed charges	1297	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1465	percent of total billed charges	1465	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Multiplan	PPO		80	80% of all negotiated rates	480	percent of total billed charges	480	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Optum Medicare	HMO		39	39% of all negotiated rates	1465	percent of total billed charges	1465	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	P3	HMO		39	39% of all negotiated rates	1465	percent of total billed charges	1465	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	840	percent of total billed charges	840	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Select Health	HMO		41	41% of all negotiated rates	1417	percent of total billed charges	1417	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Silversummit Medicare	HMO		39	39% of all negotiated rates	1465	percent of total billed charges	1465	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1561	percent of total billed charges	1561	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	TriWest	PPO		30	30% of all negotiated rates	1681	percent of total billed charges	1681	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	840	percent of total billed charges	840	2401	
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Aetna	PPO	750		case rate	750	case rate	750	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Cigna	PPO	1625		case rate	1625	case rate	1625	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	One Health	PPO	474		case rate	474	case rate	474	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2287	Coinsurance and deductible may apply
Other - Podiatry	28899	CPT	36028899	LOCAL	490	RC		outpatient			2401	2041	United Healthcare	PPO	474		case rate	474	case rate	474	2287	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Aetna Medicare	HMO		26	26% of all negotiated rates	4810	percent of total billed charges	4810	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Alignment Medicare	HMO		39	39% of all negotiated rates	3965	percent of total billed charges	3965	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2600	percent of total billed charges	2600	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3250	percent of total billed charges	3250	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3965	percent of total billed charges	3965	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Coventry	PPO		75	75% of all negotiated rates	1625	percent of total billed charges	1625	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1300	percent of total billed charges	1300	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Humana-Commerical	PPO		46	46% of all negotiated rates	3510	percent of total billed charges	3510	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3965	percent of total billed charges	3965	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Multiplan	PPO		80	80% of all negotiated rates	1300	percent of total billed charges	1300	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Optum Medicare	HMO		39	39% of all negotiated rates	3965	percent of total billed charges	3965	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	P3	HMO		39	39% of all negotiated rates	3965	percent of total billed charges	3965	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2275	percent of total billed charges	2275	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Select Health	HMO		41	41% of all negotiated rates	3835	percent of total billed charges	3835	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Silversummit Medicare	HMO		39	39% of all negotiated rates	3965	percent of total billed charges	3965	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4225	percent of total billed charges	4225	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	TriWest	PPO		30	30% of all negotiated rates	4550	percent of total billed charges	4550	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2275	percent of total billed charges	2275	6500	
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Aetna	PPO	950		case rate	950	case rate	950	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	357	fee schedule	357	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Cigna	PPO	1014		case rate	1014	case rate	1014	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	357	fee schedule	357	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	357	case rate	357	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	One Health	PPO	1273		case rate	1273	case rate	1273	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	6190	Coinsurance and deductible may apply
PARTIAL AMPUTATION TOE INTERPHALANGEAL JNT	28825	CPT	49028825	LOCAL	490	RC		outpatient			6500	5525	United Healthcare	PPO	1273		case rate	1273	case rate	1273	6190	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Aetna Medicare	HMO		26	26% of all negotiated rates	2693	percent of total billed charges	2693	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Alignment Medicare	HMO		39	39% of all negotiated rates	2220	percent of total billed charges	2220	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1456	percent of total billed charges	1456	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1820	percent of total billed charges	1820	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2220	percent of total billed charges	2220	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Coventry	PPO		75	75% of all negotiated rates	910	percent of total billed charges	910	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	728	percent of total billed charges	728	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Humana-Commerical	PPO		46	46% of all negotiated rates	1965	percent of total billed charges	1965	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2220	percent of total billed charges	2220	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Multiplan	PPO		80	80% of all negotiated rates	728	percent of total billed charges	728	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Optum Medicare	HMO		39	39% of all negotiated rates	2220	percent of total billed charges	2220	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	P3	HMO		39	39% of all negotiated rates	2220	percent of total billed charges	2220	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1274	percent of total billed charges	1274	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Select Health	HMO		41	41% of all negotiated rates	2147	percent of total billed charges	2147	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Silversummit Medicare	HMO		39	39% of all negotiated rates	2220	percent of total billed charges	2220	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2366	percent of total billed charges	2366	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	TriWest	PPO		30	30% of all negotiated rates	2548	percent of total billed charges	2548	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1274	percent of total billed charges	1274	3639	
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Aetna	PPO	1150		case rate	1150	case rate	1150	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	419	fee schedule	419	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Cigna	PPO	1157		case rate	1157	case rate	1157	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	419	fee schedule	419	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	419	case rate	419	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	One Health	PPO	1273		case rate	1273	case rate	1273	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3466	Coinsurance and deductible may apply
Partial Excision Tarsal/Metatarsal Bone Except Talus or Calc	28122	CPT	49028122	LOCAL	490	RC		outpatient			3639	3093	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3466	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Aetna Medicare	HMO		26	26% of all negotiated rates	2899	percent of total billed charges	2899	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Alignment Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1567	percent of total billed charges	1567	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1959	percent of total billed charges	1959	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Coventry	PPO		75	75% of all negotiated rates	979	percent of total billed charges	979	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	784	percent of total billed charges	784	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Humana-Commerical	PPO		46	46% of all negotiated rates	2115	percent of total billed charges	2115	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Multiplan	PPO		80	80% of all negotiated rates	784	percent of total billed charges	784	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Optum Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	P3	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1371	percent of total billed charges	1371	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Select Health	HMO		41	41% of all negotiated rates	2311	percent of total billed charges	2311	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Silversummit Medicare	HMO		39	39% of all negotiated rates	2390	percent of total billed charges	2390	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2546	percent of total billed charges	2546	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	TriWest	PPO		30	30% of all negotiated rates	2742	percent of total billed charges	2742	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1371	percent of total billed charges	1371	3918	
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Aetna	PPO	750		case rate	750	case rate	750	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	356	fee schedule	356	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Cigna	PPO	756		case rate	756	case rate	756	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	356	fee schedule	356	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	356	case rate	356	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	One Health	PPO	1273		case rate	1273	case rate	1273	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Sierra Healthcare Options	PPO	756		case rate	756	case rate	756	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Sierra/HPN	HMO	756		case rate	756	case rate	756	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	3731	Coinsurance and deductible may apply
Peroneal Tendon Repair with Debridement	27658	CPT	49027658	LOCAL	490	RC		outpatient			3918	3330	United Healthcare	PPO	1273		case rate	1273	case rate	1273	3731	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Aetna Medicare	HMO		26	26% of all negotiated rates	566	percent of total billed charges	566	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Alignment Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	306	percent of total billed charges	306	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	382	percent of total billed charges	382	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Coventry	PPO		75	75% of all negotiated rates	191	percent of total billed charges	191	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	153	percent of total billed charges	153	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Humana-Commerical	PPO		46	46% of all negotiated rates	413	percent of total billed charges	413	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Optum Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	P3	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Select Health	HMO		41	41% of all negotiated rates	451	percent of total billed charges	451	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Silversummit Medicare	HMO		39	39% of all negotiated rates	466	percent of total billed charges	466	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	268	percent of total billed charges	268	764	
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Anthem Medicaid	HMO	291		NV Medicaid SDS Rate	291	fee schedule	291	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Cigna	PPO	1625		case rate	1625	case rate	1625	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	HPN Medicaid	HMO	291		NV Medicaid SDS Rate	291	fee schedule	291	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Molina Medicaid	HMO	291		NV Medicaid SDS Rate	291	case rate	291	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	One Health	PPO	474		case rate	474	case rate	474	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	728	Coinsurance and deductible may apply
REDUCTION FINGER	26670	CPT	3236707	LOCAL	490	RC		outpatient			764	650	United Healthcare	PPO	474		case rate	474	case rate	474	728	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Aetna Medicare	HMO		26	26% of all negotiated rates	539	percent of total billed charges	539	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Alignment Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	291	percent of total billed charges	291	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	364	percent of total billed charges	364	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Coventry	PPO		75	75% of all negotiated rates	182	percent of total billed charges	182	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	146	percent of total billed charges	146	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Humana-Commerical	PPO		46	46% of all negotiated rates	393	percent of total billed charges	393	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Multiplan	PPO		80	80% of all negotiated rates	146	percent of total billed charges	146	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Optum Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	P3	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	255	percent of total billed charges	255	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Select Health	HMO		41	41% of all negotiated rates	430	percent of total billed charges	430	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Silversummit Medicare	HMO		39	39% of all negotiated rates	445	percent of total billed charges	445	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	474	percent of total billed charges	474	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	TriWest	PPO		30	30% of all negotiated rates	510	percent of total billed charges	510	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	255	percent of total billed charges	255	729	
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Aetna	PPO	750		case rate	750	case rate	750	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Anthem Medicaid	HMO	85		NV Medicaid SDS Rate	85	fee schedule	85	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Cigna	PPO	1625		case rate	1625	case rate	1625	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Coalition	PPO	432		Coalition grouper rate	432	case rate	432	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	HPN Medicaid	HMO	85		NV Medicaid SDS Rate	85	fee schedule	85	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Molina Medicaid	HMO	85		NV Medicaid SDS Rate	85	case rate	85	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	One Health	PPO	474		case rate	474	case rate	474	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	Teachers Trust	PPO	432		Teachers grouper rate	432	case rate	432	694	Coinsurance and deductible may apply
REDUCTION GREAT TOE	28660	CPT	3230011	LOCAL	490	RC		outpatient			729	619	United Healthcare	PPO	474		case rate	474	case rate	474	694	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Aetna Medicare	HMO		26	26% of all negotiated rates	4855	percent of total billed charges	4855	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Alignment Medicare	HMO		39	39% of all negotiated rates	4002	percent of total billed charges	4002	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2625	percent of total billed charges	2625	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3281	percent of total billed charges	3281	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4002	percent of total billed charges	4002	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Coventry	PPO		75	75% of all negotiated rates	1640	percent of total billed charges	1640	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1312	percent of total billed charges	1312	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Humana-Commerical	PPO		46	46% of all negotiated rates	3543	percent of total billed charges	3543	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4002	percent of total billed charges	4002	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Multiplan	PPO		80	80% of all negotiated rates	1312	percent of total billed charges	1312	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Optum Medicare	HMO		39	39% of all negotiated rates	4002	percent of total billed charges	4002	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	P3	HMO		39	39% of all negotiated rates	4002	percent of total billed charges	4002	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2297	percent of total billed charges	2297	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Select Health	HMO		41	41% of all negotiated rates	3871	percent of total billed charges	3871	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Silversummit Medicare	HMO		39	39% of all negotiated rates	4002	percent of total billed charges	4002	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4265	percent of total billed charges	4265	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	TriWest	PPO		30	30% of all negotiated rates	4593	percent of total billed charges	4593	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2297	percent of total billed charges	2297	6561	
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Aetna	PPO	1150		case rate	1150	case rate	1150	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Anthem Medicaid	HMO	967		NV Medicaid SDS Rate	389	fee schedule	389	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Cigna	PPO	1157		case rate	1157	case rate	1157	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	HPN Medicaid	HMO	967		NV Medicaid SDS Rate	389	fee schedule	389	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Molina Medicaid	HMO	967		NV Medicaid SDS Rate	389	case rate	389	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	One Health	PPO	1273		case rate	1273	case rate	1273	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6249	Coinsurance and deductible may apply
REMOVAL OF BREAST LESION	19120	CPT	49019120	LOCAL	490	RC		outpatient			6561	5577	United Healthcare	PPO	1273		case rate	1273	case rate	1273	6249	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Aetna Medicare	HMO		26	26% of all negotiated rates	3499	percent of total billed charges	3499	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Alignment Medicare	HMO		39	39% of all negotiated rates	2884	percent of total billed charges	2884	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1891	percent of total billed charges	1891	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2364	percent of total billed charges	2364	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2884	percent of total billed charges	2884	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Coventry	PPO		75	75% of all negotiated rates	1182	percent of total billed charges	1182	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	946	percent of total billed charges	946	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Humana-Commerical	PPO		46	46% of all negotiated rates	2553	percent of total billed charges	2553	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2884	percent of total billed charges	2884	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Multiplan	PPO		80	80% of all negotiated rates	946	percent of total billed charges	946	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Optum Medicare	HMO		39	39% of all negotiated rates	2884	percent of total billed charges	2884	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	P3	HMO		39	39% of all negotiated rates	2884	percent of total billed charges	2884	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1655	percent of total billed charges	1655	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Select Health	HMO		41	41% of all negotiated rates	2790	percent of total billed charges	2790	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Silversummit Medicare	HMO		39	39% of all negotiated rates	2884	percent of total billed charges	2884	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3073	percent of total billed charges	3073	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	TriWest	PPO		30	30% of all negotiated rates	3310	percent of total billed charges	3310	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1655	percent of total billed charges	1655	4728	
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Aetna	PPO	1150		case rate	1150	case rate	1150	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Anthem Medicaid	HMO	625		NV Medicaid SDS Rate	405	fee schedule	405	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Cigna	PPO	1157		case rate	1157	case rate	1157	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	HPN Medicaid	HMO	625		NV Medicaid SDS Rate	405	fee schedule	405	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Molina Medicaid	HMO	625		NV Medicaid SDS Rate	405	case rate	405	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	One Health	PPO	1273		case rate	1273	case rate	1273	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4503	Coinsurance and deductible may apply
Removal of Support Implant	20680	CPT	49020680	LOCAL	490	RC		outpatient			4728	4019	United Healthcare	PPO	1273		case rate	1273	case rate	1273	4503	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Aetna Medicare	HMO		26	26% of all negotiated rates	7713	percent of total billed charges	7713	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Alignment Medicare	HMO		39	39% of all negotiated rates	6358	percent of total billed charges	6358	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4169	percent of total billed charges	4169	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5211	percent of total billed charges	5211	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6358	percent of total billed charges	6358	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Coventry	PPO		75	75% of all negotiated rates	2606	percent of total billed charges	2606	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2084	percent of total billed charges	2084	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Humana-Commerical	PPO		46	46% of all negotiated rates	5628	percent of total billed charges	5628	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6358	percent of total billed charges	6358	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Multiplan	PPO		80	80% of all negotiated rates	2084	percent of total billed charges	2084	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Optum Medicare	HMO		39	39% of all negotiated rates	6358	percent of total billed charges	6358	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	P3	HMO		39	39% of all negotiated rates	6358	percent of total billed charges	6358	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3648	percent of total billed charges	3648	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Select Health	HMO		41	41% of all negotiated rates	6149	percent of total billed charges	6149	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Silversummit Medicare	HMO		39	39% of all negotiated rates	6358	percent of total billed charges	6358	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6774	percent of total billed charges	6774	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	TriWest	PPO		30	30% of all negotiated rates	7296	percent of total billed charges	7296	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3648	percent of total billed charges	3648	10422	
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Aetna	PPO	1350		case rate	1350	case rate	1350	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Anthem Medicaid	HMO	1155		NV Medicaid SDS Rate	541	fee schedule	541	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Cigna	PPO	1427		case rate	1427	case rate	1427	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	HPN Medicaid	HMO	1155		NV Medicaid SDS Rate	541	fee schedule	541	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Molina Medicaid	HMO	1155		NV Medicaid SDS Rate	541	case rate	541	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	One Health	PPO	1441		case rate	1441	case rate	1441	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	9926	Coinsurance and deductible may apply
"Repair Inguinal Hernia, Sliding"	49525	CPT	49049525	LOCAL	490	RC		outpatient			10422	8859	United Healthcare	PPO	1441		case rate	1441	case rate	1441	9926	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Aetna Medicare	HMO		26	26% of all negotiated rates	4367	percent of total billed charges	4367	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Alignment Medicare	HMO		39	39% of all negotiated rates	3600	percent of total billed charges	3600	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2360	percent of total billed charges	2360	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2951	percent of total billed charges	2951	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3600	percent of total billed charges	3600	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Coventry	PPO		75	75% of all negotiated rates	1475	percent of total billed charges	1475	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1180	percent of total billed charges	1180	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Humana-Commerical	PPO		46	46% of all negotiated rates	3187	percent of total billed charges	3187	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3600	percent of total billed charges	3600	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Multiplan	PPO		80	80% of all negotiated rates	1180	percent of total billed charges	1180	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Optum Medicare	HMO		39	39% of all negotiated rates	3600	percent of total billed charges	3600	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	P3	HMO		39	39% of all negotiated rates	3600	percent of total billed charges	3600	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2065	percent of total billed charges	2065	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Select Health	HMO		41	41% of all negotiated rates	3482	percent of total billed charges	3482	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Silversummit Medicare	HMO		39	39% of all negotiated rates	3600	percent of total billed charges	3600	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3836	percent of total billed charges	3836	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	TriWest	PPO		30	30% of all negotiated rates	4131	percent of total billed charges	4131	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2065	percent of total billed charges	2065	5901	
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Aetna	PPO	1350		case rate	1350	case rate	1350	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	308	fee schedule	308	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Cigna	PPO	1427		case rate	1427	case rate	1427	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	308	fee schedule	308	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	308	case rate	308	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	One Health	PPO	1273		case rate	1273	case rate	1273	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	5620	Coinsurance and deductible may apply
Sesamoidectomy First Toe Separate Procedure	28315	CPT	49028315	LOCAL	490	RC		outpatient			5901	5016	United Healthcare	PPO	1273		case rate	1273	case rate	1273	5620	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Aetna Medicare	HMO		26	26% of all negotiated rates	6135	percent of total billed charges	6135	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Alignment Medicare	HMO		39	39% of all negotiated rates	5057	percent of total billed charges	5057	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3316	percent of total billed charges	3316	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4145	percent of total billed charges	4145	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	5057	percent of total billed charges	5057	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Coventry	PPO		75	75% of all negotiated rates	2073	percent of total billed charges	2073	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1658	percent of total billed charges	1658	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Humana-Commerical	PPO		46	46% of all negotiated rates	4477	percent of total billed charges	4477	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	5057	percent of total billed charges	5057	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Multiplan	PPO		80	80% of all negotiated rates	1658	percent of total billed charges	1658	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Optum Medicare	HMO		39	39% of all negotiated rates	5057	percent of total billed charges	5057	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	P3	HMO		39	39% of all negotiated rates	5057	percent of total billed charges	5057	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2902	percent of total billed charges	2902	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Select Health	HMO		41	41% of all negotiated rates	4892	percent of total billed charges	4892	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Silversummit Medicare	HMO		39	39% of all negotiated rates	5057	percent of total billed charges	5057	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5389	percent of total billed charges	5389	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	TriWest	PPO		30	30% of all negotiated rates	5804	percent of total billed charges	5804	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2902	percent of total billed charges	2902	8291	
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Aetna	PPO	1150		case rate	1150	case rate	1150	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	1010	fee schedule	1010	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Cigna	PPO	1157		case rate	1157	case rate	1157	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	1010	fee schedule	1010	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	1010	case rate	1010	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	One Health	PPO	2818		case rate	2818	case rate	2818	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	7896	Coinsurance and deductible may apply
Shoulder Capsulorrhaphy	29806	CPT	49029806	LOCAL	490	RC		outpatient			8291	7047	United Healthcare	PPO	2818		case rate	2818	case rate	2818	7896	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Aetna Medicare	HMO		26	26% of all negotiated rates	4615	percent of total billed charges	4615	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Alignment Medicare	HMO		39	39% of all negotiated rates	3804	percent of total billed charges	3804	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2494	percent of total billed charges	2494	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3118	percent of total billed charges	3118	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3804	percent of total billed charges	3804	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Coventry	PPO		75	75% of all negotiated rates	1559	percent of total billed charges	1559	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1247	percent of total billed charges	1247	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Humana-Commerical	PPO		46	46% of all negotiated rates	3367	percent of total billed charges	3367	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3804	percent of total billed charges	3804	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Multiplan	PPO		80	80% of all negotiated rates	1247	percent of total billed charges	1247	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Optum Medicare	HMO		39	39% of all negotiated rates	3804	percent of total billed charges	3804	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	P3	HMO		39	39% of all negotiated rates	3804	percent of total billed charges	3804	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2183	percent of total billed charges	2183	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Select Health	HMO		41	41% of all negotiated rates	3679	percent of total billed charges	3679	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Silversummit Medicare	HMO		39	39% of all negotiated rates	3804	percent of total billed charges	3804	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4053	percent of total billed charges	4053	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	TriWest	PPO		30	30% of all negotiated rates	4365	percent of total billed charges	4365	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2183	percent of total billed charges	2183	6236	
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Aetna	PPO	1150		case rate	1150	case rate	1150	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Anthem Medicaid	HMO	168		NV Medicaid SDS Rate	168	fee schedule	168	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Cigna	PPO	1157		case rate	1157	case rate	1157	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	HPN Medicaid	HMO	168		NV Medicaid SDS Rate	168	fee schedule	168	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Molina Medicaid	HMO	168		NV Medicaid SDS Rate	168	case rate	168	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	One Health	PPO	474		case rate	474	case rate	474	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	5939	Coinsurance and deductible may apply
Shoulder Decompression Subacromial with Partial Acromioplast	29826	CPT	49029826	LOCAL	490	RC		outpatient			6236	5301	United Healthcare	PPO	474		case rate	474	case rate	474	5939	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Aetna Medicare	HMO		26	26% of all negotiated rates	5786	percent of total billed charges	5786	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Alignment Medicare	HMO		39	39% of all negotiated rates	4769	percent of total billed charges	4769	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3127	percent of total billed charges	3127	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3909	percent of total billed charges	3909	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4769	percent of total billed charges	4769	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Coventry	PPO		75	75% of all negotiated rates	1955	percent of total billed charges	1955	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1564	percent of total billed charges	1564	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Humana-Commerical	PPO		46	46% of all negotiated rates	4222	percent of total billed charges	4222	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4769	percent of total billed charges	4769	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Multiplan	PPO		80	80% of all negotiated rates	1564	percent of total billed charges	1564	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Optum Medicare	HMO		39	39% of all negotiated rates	4769	percent of total billed charges	4769	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	P3	HMO		39	39% of all negotiated rates	4769	percent of total billed charges	4769	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2736	percent of total billed charges	2736	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Select Health	HMO		41	41% of all negotiated rates	4613	percent of total billed charges	4613	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Silversummit Medicare	HMO		39	39% of all negotiated rates	4769	percent of total billed charges	4769	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	5082	percent of total billed charges	5082	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	TriWest	PPO		30	30% of all negotiated rates	5473	percent of total billed charges	5473	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2736	percent of total billed charges	2736	7818	
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Aetna	PPO	1550		case rate	1550	case rate	1550	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	1023	fee schedule	1023	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Cigna	PPO	1625		case rate	1625	case rate	1625	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Coalition	PPO	1505		Coalition grouper rate	1505	case rate	1505	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	1023	fee schedule	1023	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	1023	case rate	1023	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	One Health	PPO	2818		case rate	2818	case rate	2818	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	Teachers Trust	PPO	1505		Teachers grouper rate	1505	case rate	1505	7446	Coinsurance and deductible may apply
Shoulder Rotator Cuff Repair	29827	CPT	49029827	LOCAL	490	RC		outpatient			7818	6646	United Healthcare	PPO	2818		case rate	2818	case rate	2818	7446	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Aetna Medicare	HMO		26	26% of all negotiated rates	7806	percent of total billed charges	7806	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Alignment Medicare	HMO		39	39% of all negotiated rates	6434	percent of total billed charges	6434	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4219	percent of total billed charges	4219	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5274	percent of total billed charges	5274	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6434	percent of total billed charges	6434	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Coventry	PPO		75	75% of all negotiated rates	2637	percent of total billed charges	2637	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2110	percent of total billed charges	2110	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Humana-Commerical	PPO		46	46% of all negotiated rates	5696	percent of total billed charges	5696	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6434	percent of total billed charges	6434	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Multiplan	PPO		80	80% of all negotiated rates	2110	percent of total billed charges	2110	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Optum Medicare	HMO		39	39% of all negotiated rates	6434	percent of total billed charges	6434	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	P3	HMO		39	39% of all negotiated rates	6434	percent of total billed charges	6434	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3692	percent of total billed charges	3692	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Select Health	HMO		41	41% of all negotiated rates	6223	percent of total billed charges	6223	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Silversummit Medicare	HMO		39	39% of all negotiated rates	6434	percent of total billed charges	6434	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6856	percent of total billed charges	6856	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	TriWest	PPO		30	30% of all negotiated rates	7384	percent of total billed charges	7384	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3692	percent of total billed charges	3692	10548	
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Aetna	PPO	1150		case rate	1150	case rate	1150	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	514	fee schedule	514	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Cigna	PPO	1157		case rate	1157	case rate	1157	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	514	fee schedule	514	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	514	case rate	514	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	One Health	PPO	2818		case rate	2818	case rate	2818	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	10046	Coinsurance and deductible may apply
Shoulder Synovectomy Partial	29820	CPT	49029820	LOCAL	490	RC		outpatient			10548	8966	United Healthcare	PPO	2818		case rate	2818	case rate	2818	10046	Coinsurance and deductible may apply
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Aetna Medicare	HMO		26	26% of all negotiated rates	2428	percent of total billed charges	2428	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Alignment Medicare	HMO		39	39% of all negotiated rates	2002	percent of total billed charges	2002	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1313	percent of total billed charges	1313	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1641	percent of total billed charges	1641	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2002	percent of total billed charges	2002	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Coventry	PPO		75	75% of all negotiated rates	820	percent of total billed charges	820	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	656	percent of total billed charges	656	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Humana-Commerical	PPO		46	46% of all negotiated rates	1772	percent of total billed charges	1772	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2002	percent of total billed charges	2002	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Optum Medicare	HMO		39	39% of all negotiated rates	2002	percent of total billed charges	2002	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	P3	HMO		39	39% of all negotiated rates	2002	percent of total billed charges	2002	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Select Health	HMO		41	41% of all negotiated rates	1936	percent of total billed charges	1936	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	Silversummit Medicare	HMO		39	39% of all negotiated rates	2002	percent of total billed charges	2002	3281	
Subchondroplasty	0707T	CPT	49007071	LOCAL	490	RC		outpatient			3281	2789	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1148	percent of total billed charges	1148	3281	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Aetna Medicare	HMO		26	26% of all negotiated rates	2026	percent of total billed charges	2026	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Alignment Medicare	HMO		39	39% of all negotiated rates	1670	percent of total billed charges	1670	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1095	percent of total billed charges	1095	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1369	percent of total billed charges	1369	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1670	percent of total billed charges	1670	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Coventry	PPO		75	75% of all negotiated rates	685	percent of total billed charges	685	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	548	percent of total billed charges	548	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Humana-Commerical	PPO		46	46% of all negotiated rates	1479	percent of total billed charges	1479	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1670	percent of total billed charges	1670	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Multiplan	PPO		80	80% of all negotiated rates	548	percent of total billed charges	548	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Optum Medicare	HMO		39	39% of all negotiated rates	1670	percent of total billed charges	1670	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	P3	HMO		39	39% of all negotiated rates	1670	percent of total billed charges	1670	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	958	percent of total billed charges	958	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Select Health	HMO		41	41% of all negotiated rates	1616	percent of total billed charges	1616	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Silversummit Medicare	HMO		39	39% of all negotiated rates	1670	percent of total billed charges	1670	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1780	percent of total billed charges	1780	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	TriWest	PPO		30	30% of all negotiated rates	1917	percent of total billed charges	1917	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	958	percent of total billed charges	958	2738	
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Aetna	PPO	950		case rate	950	case rate	950	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	357	fee schedule	357	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Cigna	PPO	1014		case rate	1014	case rate	1014	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	357	fee schedule	357	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	357	case rate	357	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	One Health	PPO	1273		case rate	1273	case rate	1273	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2608	Coinsurance and deductible may apply
Tailors Bunionectomy	28308	CPT	49028308	LOCAL	490	RC		outpatient			2738	2328	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2608	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Aetna Medicare	HMO		26	26% of all negotiated rates	2046	percent of total billed charges	2046	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Alignment Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1106	percent of total billed charges	1106	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1382	percent of total billed charges	1382	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Coventry	PPO		75	75% of all negotiated rates	691	percent of total billed charges	691	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	553	percent of total billed charges	553	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Humana-Commerical	PPO		46	46% of all negotiated rates	1493	percent of total billed charges	1493	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Multiplan	PPO		80	80% of all negotiated rates	553	percent of total billed charges	553	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Optum Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	P3	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	968	percent of total billed charges	968	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Select Health	HMO		41	41% of all negotiated rates	1631	percent of total billed charges	1631	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Silversummit Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1797	percent of total billed charges	1797	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	TriWest	PPO		30	30% of all negotiated rates	1935	percent of total billed charges	1935	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	968	percent of total billed charges	968	2765	
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Aetna	PPO	1150		case rate	1150	case rate	1150	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	494	fee schedule	494	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Cigna	PPO	1157		case rate	1157	case rate	1157	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	494	fee schedule	494	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	494	case rate	494	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	One Health	PPO	1273		case rate	1273	case rate	1273	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2633	Coinsurance and deductible may apply
Tendon Release Lower Arm	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2633	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Aetna Medicare	HMO		26	26% of all negotiated rates	5379	percent of total billed charges	5379	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Alignment Medicare	HMO		39	39% of all negotiated rates	4434	percent of total billed charges	4434	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2908	percent of total billed charges	2908	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3635	percent of total billed charges	3635	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4434	percent of total billed charges	4434	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Coventry	PPO		75	75% of all negotiated rates	1817	percent of total billed charges	1817	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1454	percent of total billed charges	1454	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Humana-Commerical	PPO		46	46% of all negotiated rates	3925	percent of total billed charges	3925	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4434	percent of total billed charges	4434	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Multiplan	PPO		80	80% of all negotiated rates	1454	percent of total billed charges	1454	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Optum Medicare	HMO		39	39% of all negotiated rates	4434	percent of total billed charges	4434	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	P3	HMO		39	39% of all negotiated rates	4434	percent of total billed charges	4434	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2544	percent of total billed charges	2544	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Select Health	HMO		41	41% of all negotiated rates	4289	percent of total billed charges	4289	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Silversummit Medicare	HMO		39	39% of all negotiated rates	4434	percent of total billed charges	4434	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4725	percent of total billed charges	4725	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	TriWest	PPO		30	30% of all negotiated rates	5088	percent of total billed charges	5088	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2544	percent of total billed charges	2544	7269	
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Aetna	PPO	950		case rate	950	case rate	950	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Anthem Medicaid	HMO	581		NV Medicaid SDS Rate	581	fee schedule	581	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Cigna	PPO	1157		case rate	1157	case rate	1157	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	HPN Medicaid	HMO	581		NV Medicaid SDS Rate	581	fee schedule	581	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Molina Medicaid	HMO	581		NV Medicaid SDS Rate	581	case rate	581	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	One Health	PPO	1441		case rate	1441	case rate	1441	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	6923	Coinsurance and deductible may apply
Tendon Release Upper Arm	24332	CPT	49024332	LOCAL	490	RC		outpatient			7269	6179	United Healthcare	PPO	1441		case rate	1441	case rate	1441	6923	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Aetna Medicare	HMO		26	26% of all negotiated rates	2046	percent of total billed charges	2046	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Alignment Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1106	percent of total billed charges	1106	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1382	percent of total billed charges	1382	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Coventry	PPO		75	75% of all negotiated rates	691	percent of total billed charges	691	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	553	percent of total billed charges	553	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Humana-Commerical	PPO		46	46% of all negotiated rates	1493	percent of total billed charges	1493	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Multiplan	PPO		80	80% of all negotiated rates	553	percent of total billed charges	553	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Optum Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	P3	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	968	percent of total billed charges	968	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Select Health	HMO		41	41% of all negotiated rates	1631	percent of total billed charges	1631	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Silversummit Medicare	HMO		39	39% of all negotiated rates	1686	percent of total billed charges	1686	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1797	percent of total billed charges	1797	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	TriWest	PPO		30	30% of all negotiated rates	1935	percent of total billed charges	1935	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	968	percent of total billed charges	968	2765	
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Aetna	PPO	1150		case rate	1150	case rate	1150	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	494	fee schedule	494	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Cigna	PPO	1157		case rate	1157	case rate	1157	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	494	fee schedule	494	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	494	case rate	494	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	One Health	PPO	1273		case rate	1273	case rate	1273	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	2633	Coinsurance and deductible may apply
Tendon Release Wrist	25295	CPT	49025295	LOCAL	490	RC		outpatient			2765	2350	United Healthcare	PPO	1273		case rate	1273	case rate	1273	2633	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Aetna Medicare	HMO		26	26% of all negotiated rates	3340	percent of total billed charges	3340	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Alignment Medicare	HMO		39	39% of all negotiated rates	2753	percent of total billed charges	2753	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1805	percent of total billed charges	1805	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2256	percent of total billed charges	2256	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2753	percent of total billed charges	2753	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Coventry	PPO		75	75% of all negotiated rates	1128	percent of total billed charges	1128	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	903	percent of total billed charges	903	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Humana-Commerical	PPO		46	46% of all negotiated rates	2437	percent of total billed charges	2437	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2753	percent of total billed charges	2753	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Multiplan	PPO		80	80% of all negotiated rates	903	percent of total billed charges	903	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Optum Medicare	HMO		39	39% of all negotiated rates	2753	percent of total billed charges	2753	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	P3	HMO		39	39% of all negotiated rates	2753	percent of total billed charges	2753	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1580	percent of total billed charges	1580	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Select Health	HMO		41	41% of all negotiated rates	2663	percent of total billed charges	2663	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Silversummit Medicare	HMO		39	39% of all negotiated rates	2753	percent of total billed charges	2753	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2933	percent of total billed charges	2933	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	TriWest	PPO		30	30% of all negotiated rates	3159	percent of total billed charges	3159	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1580	percent of total billed charges	1580	4513	
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Aetna	PPO	1150		case rate	1150	case rate	1150	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Anthem Medicaid	HMO	1965		NV Medicaid SDS Rate	674	fee schedule	674	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Cigna	PPO	1157		case rate	1157	case rate	1157	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	HPN Medicaid	HMO	1965		NV Medicaid SDS Rate	674	fee schedule	674	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Molina Medicaid	HMO	1965		NV Medicaid SDS Rate	674	case rate	674	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	One Health	PPO	1872		case rate	1872	case rate	1872	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4298	Coinsurance and deductible may apply
Tendon Repair Achilles	27654	CPT	49027654	LOCAL	490	RC		outpatient			4513	3836	United Healthcare	PPO	1872		case rate	1872	case rate	1872	4298	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Aetna Medicare	HMO		26	26% of all negotiated rates	2817	percent of total billed charges	2817	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Alignment Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1523	percent of total billed charges	1523	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1903	percent of total billed charges	1903	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Coventry	PPO		75	75% of all negotiated rates	952	percent of total billed charges	952	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	761	percent of total billed charges	761	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Humana-Commerical	PPO		46	46% of all negotiated rates	2055	percent of total billed charges	2055	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Multiplan	PPO		80	80% of all negotiated rates	761	percent of total billed charges	761	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Optum Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	P3	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1332	percent of total billed charges	1332	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Select Health	HMO		41	41% of all negotiated rates	2246	percent of total billed charges	2246	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Silversummit Medicare	HMO		39	39% of all negotiated rates	2322	percent of total billed charges	2322	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2474	percent of total billed charges	2474	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	TriWest	PPO		30	30% of all negotiated rates	2664	percent of total billed charges	2664	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1332	percent of total billed charges	1332	3806	
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Aetna	PPO	1350		case rate	1350	case rate	1350	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	1073	fee schedule	1073	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Cigna	PPO	1427		case rate	1427	case rate	1427	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	1073	fee schedule	1073	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	1073	case rate	1073	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	One Health	PPO	1441		case rate	1441	case rate	1441	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	3625	Coinsurance and deductible may apply
Tendon Transfer Finger	26498	CPT	49026498	LOCAL	490	RC		outpatient			3806	3235	United Healthcare	PPO	1441		case rate	1441	case rate	1441	3625	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Aetna Medicare	HMO		26	26% of all negotiated rates	2854	percent of total billed charges	2854	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Alignment Medicare	HMO		39	39% of all negotiated rates	2353	percent of total billed charges	2353	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1543	percent of total billed charges	1543	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1928	percent of total billed charges	1928	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2353	percent of total billed charges	2353	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Coventry	PPO		75	75% of all negotiated rates	964	percent of total billed charges	964	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	771	percent of total billed charges	771	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Humana-Commerical	PPO		46	46% of all negotiated rates	2083	percent of total billed charges	2083	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2353	percent of total billed charges	2353	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Multiplan	PPO		80	80% of all negotiated rates	771	percent of total billed charges	771	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Optum Medicare	HMO		39	39% of all negotiated rates	2353	percent of total billed charges	2353	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	P3	HMO		39	39% of all negotiated rates	2353	percent of total billed charges	2353	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1350	percent of total billed charges	1350	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Select Health	HMO		41	41% of all negotiated rates	2275	percent of total billed charges	2275	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Silversummit Medicare	HMO		39	39% of all negotiated rates	2353	percent of total billed charges	2353	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2507	percent of total billed charges	2507	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	TriWest	PPO		30	30% of all negotiated rates	2700	percent of total billed charges	2700	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1350	percent of total billed charges	1350	3857	
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Aetna	PPO	1150		case rate	1150	case rate	1150	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	703	fee schedule	703	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Cigna	PPO	1157		case rate	1157	case rate	1157	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	703	fee schedule	703	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	703	case rate	703	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	One Health	PPO	1441		case rate	1441	case rate	1441	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	3673	Coinsurance and deductible may apply
Tendon Transfer Hand	26480	CPT	49026480	LOCAL	490	RC		outpatient			3857	3278	United Healthcare	PPO	1441		case rate	1441	case rate	1441	3673	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Aetna Medicare	HMO		26	26% of all negotiated rates	3169	percent of total billed charges	3169	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Alignment Medicare	HMO		39	39% of all negotiated rates	2612	percent of total billed charges	2612	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1713	percent of total billed charges	1713	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2141	percent of total billed charges	2141	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2612	percent of total billed charges	2612	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Coventry	PPO		75	75% of all negotiated rates	1070	percent of total billed charges	1070	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	856	percent of total billed charges	856	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Humana-Commerical	PPO		46	46% of all negotiated rates	2312	percent of total billed charges	2312	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2612	percent of total billed charges	2612	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Multiplan	PPO		80	80% of all negotiated rates	856	percent of total billed charges	856	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Optum Medicare	HMO		39	39% of all negotiated rates	2612	percent of total billed charges	2612	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	P3	HMO		39	39% of all negotiated rates	2612	percent of total billed charges	2612	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1499	percent of total billed charges	1499	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Select Health	HMO		41	41% of all negotiated rates	2526	percent of total billed charges	2526	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Silversummit Medicare	HMO		39	39% of all negotiated rates	2612	percent of total billed charges	2612	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2783	percent of total billed charges	2783	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	TriWest	PPO		30	30% of all negotiated rates	2997	percent of total billed charges	2997	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1499	percent of total billed charges	1499	4282	
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Aetna	PPO	1150		case rate	1150	case rate	1150	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	584	fee schedule	584	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Cigna	PPO	1157		case rate	1157	case rate	1157	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	584	fee schedule	584	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	584	case rate	584	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	One Health	PPO	1441		case rate	1441	case rate	1441	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4078	Coinsurance and deductible may apply
Tendon Transfer Lower Arm	25310	CPT	49025310	LOCAL	490	RC		outpatient			4282	3640	United Healthcare	PPO	1441		case rate	1441	case rate	1441	4078	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Aetna Medicare	HMO		26	26% of all negotiated rates	3493	percent of total billed charges	3493	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Alignment Medicare	HMO		39	39% of all negotiated rates	2880	percent of total billed charges	2880	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1888	percent of total billed charges	1888	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2360	percent of total billed charges	2360	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2880	percent of total billed charges	2880	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Coventry	PPO		75	75% of all negotiated rates	1180	percent of total billed charges	1180	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	944	percent of total billed charges	944	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Humana-Commerical	PPO		46	46% of all negotiated rates	2549	percent of total billed charges	2549	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2880	percent of total billed charges	2880	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Multiplan	PPO		80	80% of all negotiated rates	944	percent of total billed charges	944	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Optum Medicare	HMO		39	39% of all negotiated rates	2880	percent of total billed charges	2880	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	P3	HMO		39	39% of all negotiated rates	2880	percent of total billed charges	2880	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1652	percent of total billed charges	1652	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Select Health	HMO		41	41% of all negotiated rates	2785	percent of total billed charges	2785	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Silversummit Medicare	HMO		39	39% of all negotiated rates	2880	percent of total billed charges	2880	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3069	percent of total billed charges	3069	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	TriWest	PPO		30	30% of all negotiated rates	3305	percent of total billed charges	3305	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1652	percent of total billed charges	1652	4721	
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Aetna	PPO	1150		case rate	1150	case rate	1150	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	742	fee schedule	742	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Cigna	PPO	1157		case rate	1157	case rate	1157	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	742	fee schedule	742	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	742	case rate	742	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	One Health	PPO	1441		case rate	1441	case rate	1441	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	4496	Coinsurance and deductible may apply
Tendon Transfer Thumb	26490	CPT	49026490	LOCAL	490	RC		outpatient			4721	4013	United Healthcare	PPO	1441		case rate	1441	case rate	1441	4496	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Aetna Medicare	HMO		26	26% of all negotiated rates	4632	percent of total billed charges	4632	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Alignment Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2504	percent of total billed charges	2504	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3130	percent of total billed charges	3130	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Coventry	PPO		75	75% of all negotiated rates	1565	percent of total billed charges	1565	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1252	percent of total billed charges	1252	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Humana-Commerical	PPO		46	46% of all negotiated rates	3380	percent of total billed charges	3380	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Multiplan	PPO		80	80% of all negotiated rates	1252	percent of total billed charges	1252	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Optum Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	P3	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	2191	percent of total billed charges	2191	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Select Health	HMO		41	41% of all negotiated rates	3693	percent of total billed charges	3693	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Silversummit Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	4069	percent of total billed charges	4069	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	TriWest	PPO		30	30% of all negotiated rates	4382	percent of total billed charges	4382	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	2191	percent of total billed charges	2191	6260	
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Aetna	PPO	1350		case rate	1350	case rate	1350	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	714	fee schedule	714	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Cigna	PPO	1427		case rate	1427	case rate	1427	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	714	fee schedule	714	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	714	case rate	714	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	One Health	PPO	1441		case rate	1441	case rate	1441	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Arm	24301	CPT	49024301	LOCAL	490	RC		outpatient			6260	5321	United Healthcare	PPO	1441		case rate	1441	case rate	1441	5962	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Aetna Medicare	HMO		26	26% of all negotiated rates	7779	percent of total billed charges	7779	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Alignment Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	4205	percent of total billed charges	4205	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	5256	percent of total billed charges	5256	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Coventry	PPO		75	75% of all negotiated rates	2628	percent of total billed charges	2628	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2102	percent of total billed charges	2102	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Humana-Commerical	PPO		46	46% of all negotiated rates	5676	percent of total billed charges	5676	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Multiplan	PPO		80	80% of all negotiated rates	2102	percent of total billed charges	2102	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Optum Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	P3	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	3679	percent of total billed charges	3679	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Select Health	HMO		41	41% of all negotiated rates	6202	percent of total billed charges	6202	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Silversummit Medicare	HMO		39	39% of all negotiated rates	6412	percent of total billed charges	6412	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	6833	percent of total billed charges	6833	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	TriWest	PPO		30	30% of all negotiated rates	7358	percent of total billed charges	7358	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	3679	percent of total billed charges	3679	10512	
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Aetna	PPO	1150		case rate	1150	case rate	1150	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	658	fee schedule	658	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Cigna	PPO	1157		case rate	1157	case rate	1157	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Coalition	PPO	1071		Coalition grouper rate	1071	case rate	1071	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	658	fee schedule	658	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	658	case rate	658	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	One Health	PPO	1872		case rate	1872	case rate	1872	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Sierra Healthcare Options	PPO	1157		case rate	1157	case rate	1157	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Sierra/HPN	HMO	1157		case rate	1157	case rate	1157	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	Teachers Trust	PPO	1071		Teachers grouper rate	1071	case rate	1071	10011	Coinsurance and deductible may apply
Tendon Transfer Upper Leg	27400	CPT	49027400	LOCAL	490	RC		outpatient			10512	8935	United Healthcare	PPO	1872		case rate	1872	case rate	1872	10011	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Aetna Medicare	HMO		26	26% of all negotiated rates	1145	percent of total billed charges	1145	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Alignment Medicare	HMO		39	39% of all negotiated rates	944	percent of total billed charges	944	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	619	percent of total billed charges	619	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	774	percent of total billed charges	774	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	944	percent of total billed charges	944	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Coventry	PPO		75	75% of all negotiated rates	387	percent of total billed charges	387	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	310	percent of total billed charges	310	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Humana-Commerical	PPO		46	46% of all negotiated rates	836	percent of total billed charges	836	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	944	percent of total billed charges	944	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Multiplan	PPO		80	80% of all negotiated rates	310	percent of total billed charges	310	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Optum Medicare	HMO		39	39% of all negotiated rates	944	percent of total billed charges	944	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	P3	HMO		39	39% of all negotiated rates	944	percent of total billed charges	944	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	542	percent of total billed charges	542	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Select Health	HMO		41	41% of all negotiated rates	913	percent of total billed charges	913	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Silversummit Medicare	HMO		39	39% of all negotiated rates	944	percent of total billed charges	944	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1006	percent of total billed charges	1006	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	TriWest	PPO		30	30% of all negotiated rates	1083	percent of total billed charges	1083	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	542	percent of total billed charges	542	1548	
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Aetna	PPO	950		case rate	950	case rate	950	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Anthem Medicaid	HMO	200		NV Medicaid SDS Rate	200	fee schedule	200	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Cigna	PPO	1625		case rate	1625	case rate	1625	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	HPN Medicaid	HMO	200		NV Medicaid SDS Rate	200	fee schedule	200	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Molina Medicaid	HMO	200		NV Medicaid SDS Rate	200	case rate	200	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	One Health	PPO	1273		case rate	1273	case rate	1273	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	1474	Coinsurance and deductible may apply
Tenotomy of toe	28010	CPT	49028010	LOCAL	490	RC		outpatient			1548	1316	United Healthcare	PPO	1273		case rate	1273	case rate	1273	1474	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Aetna Medicare	HMO		26	26% of all negotiated rates	3831	percent of total billed charges	3831	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Alignment Medicare	HMO		39	39% of all negotiated rates	3158	percent of total billed charges	3158	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2071	percent of total billed charges	2071	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2589	percent of total billed charges	2589	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3158	percent of total billed charges	3158	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Coventry	PPO		75	75% of all negotiated rates	1294	percent of total billed charges	1294	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1036	percent of total billed charges	1036	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Humana-Commerical	PPO		46	46% of all negotiated rates	2796	percent of total billed charges	2796	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3158	percent of total billed charges	3158	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Multiplan	PPO		80	80% of all negotiated rates	1036	percent of total billed charges	1036	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Optum Medicare	HMO		39	39% of all negotiated rates	3158	percent of total billed charges	3158	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	P3	HMO		39	39% of all negotiated rates	3158	percent of total billed charges	3158	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	1812	percent of total billed charges	1812	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Select Health	HMO		41	41% of all negotiated rates	3055	percent of total billed charges	3055	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Silversummit Medicare	HMO		39	39% of all negotiated rates	3158	percent of total billed charges	3158	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	3365	percent of total billed charges	3365	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	TriWest	PPO		30	30% of all negotiated rates	3624	percent of total billed charges	3624	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	1812	percent of total billed charges	1812	5178	
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Aetna	PPO	1350		case rate	1350	case rate	1350	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Anthem Medicaid	HMO	1059		NV Medicaid SDS Rate	601	fee schedule	601	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Cigna	PPO	1427		case rate	1427	case rate	1427	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Coalition	PPO	1321		Coalition grouper rate	1321	case rate	1321	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	HPN Medicaid	HMO	1059		NV Medicaid SDS Rate	601	fee schedule	601	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Molina Medicaid	HMO	1059		NV Medicaid SDS Rate	601	case rate	601	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	One Health	PPO	1872		case rate	1872	case rate	1872	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Sierra Healthcare Options	PPO	1427		case rate	1427	case rate	1427	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Sierra/HPN	HMO	1427		case rate	1427	case rate	1427	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	Teachers Trust	PPO	1321		Teachers grouper rate	1321	case rate	1321	4931	Coinsurance and deductible may apply
Transfer or Transplant Single Tendon with Muscle Redirection	27690	CPT	49027690	LOCAL	490	RC		outpatient			5178	4401	United Healthcare	PPO	1872		case rate	1872	case rate	1872	4931	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Aetna Medicare	HMO		26	26% of all negotiated rates	1858	percent of total billed charges	1858	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Alignment Medicare	HMO		39	39% of all negotiated rates	1531	percent of total billed charges	1531	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1004	percent of total billed charges	1004	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1255	percent of total billed charges	1255	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1531	percent of total billed charges	1531	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Coventry	PPO		75	75% of all negotiated rates	628	percent of total billed charges	628	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	502	percent of total billed charges	502	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Humana-Commerical	PPO		46	46% of all negotiated rates	1356	percent of total billed charges	1356	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1531	percent of total billed charges	1531	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Multiplan	PPO		80	80% of all negotiated rates	502	percent of total billed charges	502	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Optum Medicare	HMO		39	39% of all negotiated rates	1531	percent of total billed charges	1531	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	P3	HMO		39	39% of all negotiated rates	1531	percent of total billed charges	1531	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	879	percent of total billed charges	879	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Select Health	HMO		41	41% of all negotiated rates	1481	percent of total billed charges	1481	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Silversummit Medicare	HMO		39	39% of all negotiated rates	1531	percent of total billed charges	1531	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1632	percent of total billed charges	1632	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	TriWest	PPO		30	30% of all negotiated rates	1757	percent of total billed charges	1757	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	879	percent of total billed charges	879	2511	
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Aetna	PPO	950		case rate	950	case rate	950	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Anthem Medicaid	HMO	643		NV Medicaid SDS Rate	293	fee schedule	293	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Cigna	PPO	1014		case rate	1014	case rate	1014	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Coalition	PPO	939		Coalition grouper rate	939	case rate	939	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	HPN Medicaid	HMO	643		NV Medicaid SDS Rate	293	fee schedule	293	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Molina Medicaid	HMO	643		NV Medicaid SDS Rate	293	case rate	293	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	One Health	PPO	1061		case rate	1061	case rate	1061	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Sierra Healthcare Options	PPO	1014		case rate	1014	case rate	1014	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Sierra/HPN	HMO	1014		case rate	1014	case rate	1014	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	Teachers Trust	PPO	939		Teachers grouper rate	939	case rate	939	2391	Coinsurance and deductible may apply
Trigger Finger Release	26055	CPT	49026055	LOCAL	490	RC		outpatient			2511	2134	United Healthcare	PPO	1061		case rate	1061	case rate	1061	2391	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Aetna Medicare	HMO		26	26% of all negotiated rates	517	percent of total billed charges	517	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Alignment Medicare	HMO		39	39% of all negotiated rates	427	percent of total billed charges	427	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	280	percent of total billed charges	280	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	350	percent of total billed charges	350	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	427	percent of total billed charges	427	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Coventry	PPO		75	75% of all negotiated rates	175	percent of total billed charges	175	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	140	percent of total billed charges	140	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Humana-Commerical	PPO		46	46% of all negotiated rates	378	percent of total billed charges	378	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	427	percent of total billed charges	427	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Multiplan	PPO		80	80% of all negotiated rates	140	percent of total billed charges	140	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Optum Medicare	HMO		39	39% of all negotiated rates	427	percent of total billed charges	427	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	P3	HMO		39	39% of all negotiated rates	427	percent of total billed charges	427	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Saint Mary's Health Plan	PPO		65	65% of all negotiated rates	245	percent of total billed charges	245	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Select Health	HMO		41	41% of all negotiated rates	413	percent of total billed charges	413	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Silversummit Medicare	HMO		39	39% of all negotiated rates	427	percent of total billed charges	427	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	455	percent of total billed charges	455	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	TriWest	PPO		30	30% of all negotiated rates	490	percent of total billed charges	490	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	UHN-Universal Health Network	PPO		65	65% of all negotiated rates	245	percent of total billed charges	245	699	
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Aetna	PPO	750		case rate	750	case rate	750	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Anthem Medicaid	HMO	100		NV Medicaid SDS Rate	184	fee schedule	184	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Cigna	PPO	1625		case rate	1625	case rate	1625	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Coalition	PPO	700		Coalition grouper rate	700	case rate	700	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	HPN Medicaid	HMO	100		NV Medicaid SDS Rate	184	fee schedule	184	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Molina Medicaid	HMO	100		NV Medicaid SDS Rate	184	case rate	184	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	One Health	PPO	474		case rate	474	case rate	474	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Sierra Healthcare Options	PPO	1625		case rate	1625	case rate	1625	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Sierra/HPN	HMO	1625		case rate	1625	case rate	1625	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	Teachers Trust	PPO	700		Teachers grouper rate	700	case rate	700	666	Coinsurance and deductible may apply
Wound Repair	12032	CPT	49012032	LOCAL	490	RC		outpatient			699	594	United Healthcare	PPO	474		case rate	474	case rate	474	666	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	Alignment Medicare	PPO	252		case rate	252	case rate	252	252	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	252	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	Molina Medicaid	PPO		110	100% of NV Medicaid Fee Schedule	141	fee schedule	141	287	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	Select Health	PPO	252		case rate	252	case rate	252	252	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	Silversummit Medicare	PPO	252		case rate	252	case rate	252	252	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	Silversummit Medicare	PPO	252		case rate	252	case rate	252	252	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5)	99215	CPT	99215e	LOCAL	521	RC		outpatient			301	256	TriWest	PPO	249		case rate	249	case rate	249	252	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (40)	99215	CPT	99215	LOCAL	521	RC		outpatient			565	480	Select Health	HMO	252		case rate	252	case rate	252	538	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	Alignment Medicare	PPO	252		case rate	252	case rate	252	182	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	182	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	Molina Medicaid	PPO		109	100% of NV Medicaid Fee Schedule	105	fee schedule	105	252	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	Select Health	PPO	252		case rate	252	case rate	252	182	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	Silversummit Medicare	PPO	252		case rate	252	case rate	252	182	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	Silversummit Medicare	PPO	252		case rate	252	case rate	252	182	Coinsurance and deductible may apply
Office/Established Patient-Detailed (16-25) (Level 4)	99214	CPT	99214e	LOCAL	521	RC		outpatient			265	225	TriWest	PPO	249		case rate	249	case rate	249	182	Coinsurance and deductible may apply
Office/Established Patient-Detailed (30)	99214	CPT	99214	LOCAL	521	RC		outpatient			401	341	Select Health	HMO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	Alignment Medicare	PPO	252		case rate	252	case rate	252	122	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	122	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	Molina Medicaid	PPO		108	100% of NV Medicaid Fee Schedule	75	fee schedule	75	182	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	Select Health	PPO	252		case rate	252	case rate	252	122	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	Silversummit Medicare	PPO	252		case rate	252	case rate	252	122	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	Silversummit Medicare	PPO	252		case rate	252	case rate	252	122	Coinsurance and deductible may apply
Office/Established Patient-Expanded (11-15) (Level 3)	99213	CPT	99213e	LOCAL	521	RC		outpatient			191	162	TriWest	PPO	249		case rate	249	case rate	249	122	Coinsurance and deductible may apply
Office/Established Patient-Expanded (20)	99213	CPT	99213	LOCAL	521	RC		outpatient			285	242	Select Health	HMO	252		case rate	252	case rate	252	271	Coinsurance and deductible may apply
Office/Established Patient-Focused (10)	99212	CPT	99212	LOCAL	521	RC		outpatient			177	151	Select Health	HMO	252		case rate	252	case rate	252	169	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	Alignment Medicare	PPO	252		case rate	252	case rate	252	83	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	83	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	Molina Medicaid	PPO		107	100% of NV Medicaid Fee Schedule	43	fee schedule	43	122	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	Select Health	PPO	252		case rate	252	case rate	252	83	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	Silversummit Medicare	PPO	252		case rate	252	case rate	252	83	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	Silversummit Medicare	PPO	252		case rate	252	case rate	252	83	Coinsurance and deductible may apply
Office/Established Patient-Focused (6-10) (Level 2)	99212	CPT	99212e	LOCAL	521	RC		outpatient			128	109	TriWest	PPO	249		case rate	249	case rate	249	83	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	Alignment Medicare	PPO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	Molina Medicaid	PPO		106	100% of NV Medicaid Fee Schedule	20	fee schedule	20	83	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	Select Health	PPO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	Silversummit Medicare	PPO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	Silversummit Medicare	PPO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (1-5) (Level 1)	99211	CPT	99211e	LOCAL	521	RC		outpatient			87	74	TriWest	PPO	249		case rate	249	case rate	249	382	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (5)	99211	CPT	99211	LOCAL	521	RC		outpatient			74	62	Select Health	HMO	252		case rate	252	case rate	252	70	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	Alignment Medicare	PPO	252		case rate	252	case rate	252	242	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	242	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	Molina Medicaid	PPO		104	100% of NV Medicaid Fee Schedule	163	fee schedule	163	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	Select Health	PPO	252		case rate	252	case rate	252	242	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	Silversummit Medicare	PPO	252		case rate	252	case rate	252	242	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	Silversummit Medicare	PPO	252		case rate	252	case rate	252	242	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (31-45)	99204	CPT	99204e	LOCAL	521	RC		outpatient			387	329	TriWest	PPO	249		case rate	249	case rate	249	242	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (45)	99204	CPT	99204	LOCAL	521	RC		outpatient			523	444	Select Health	HMO	252		case rate	252	case rate	252	498	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	Alignment Medicare	PPO	252		case rate	252	case rate	252	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	Molina Medicaid	PPO		105	100% of NV Medicaid Fee Schedule	202	fee schedule	202	382	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	Select Health	PPO	252		case rate	252	case rate	252	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	Silversummit Medicare	PPO	252		case rate	252	case rate	252	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	Silversummit Medicare	PPO	252		case rate	252	case rate	252	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (46-60)	99205	CPT	99205e	LOCAL	521	RC		outpatient			401	341	TriWest	PPO	249		case rate	249	case rate	249	369	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (60)	99205	CPT	99205	LOCAL	521	RC		outpatient			689	585	Select Health	HMO	252		case rate	252	case rate	252	656	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	Alignment Medicare	PPO	252		case rate	252	case rate	252	189	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	189	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	Molina Medicaid	PPO		103	100% of NV Medicaid Fee Schedule	106	fee schedule	106	242	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	Select Health	PPO	252		case rate	252	case rate	252	189	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	Silversummit Medicare	PPO	252		case rate	252	case rate	252	189	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	Silversummit Medicare	PPO	252		case rate	252	case rate	252	189	Coinsurance and deductible may apply
Office/New Patient-Detailed (21-30)	99203	CPT	99203e	LOCAL	521	RC		outpatient			254	216	TriWest	PPO	249		case rate	249	case rate	249	189	Coinsurance and deductible may apply
Office/New Patient-Detailed (30)	99203	CPT	99203	LOCAL	521	RC		outpatient			345	294	Select Health	HMO	252		case rate	252	case rate	252	329	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	Alignment Medicare	PPO	252		case rate	252	case rate	252	168	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	168	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	Molina Medicaid	PPO		102	100% of NV Medicaid Fee Schedule	37	fee schedule	37	189	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	Select Health	PPO	252		case rate	252	case rate	252	168	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	Silversummit Medicare	PPO	252		case rate	252	case rate	252	168	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	Silversummit Medicare	PPO	252		case rate	252	case rate	252	168	Coinsurance and deductible may apply
Office/New Patient-Expanded (11-20)	99202	CPT	99202e	LOCAL	521	RC		outpatient			198	169	TriWest	PPO	249		case rate	249	case rate	249	168	Coinsurance and deductible may apply
Office/New Patient-Expanded (15)	99202	CPT	99202	LOCAL	521	RC		outpatient			349	296	Select Health	HMO	252		case rate	252	case rate	252	332	Coinsurance and deductible may apply
Office/New Patient-Focused (1-10)	99201	CPT	99201e	LOCAL	521	RC		outpatient			176	150	Alignment Medicare	PPO	252		case rate	252	case rate	252	219	Coinsurance and deductible may apply
Office/New Patient-Focused (1-10)	99201	CPT	99201e	LOCAL	521	RC		outpatient			176	150	Blue Cross Blue Shield Medicare	PPO	252		case rate	252	case rate	252	219	Coinsurance and deductible may apply
Office/New Patient-Focused (1-10)	99201	CPT	99201e	LOCAL	521	RC		outpatient			176	150	Select Health	PPO	252		case rate	252	case rate	252	219	Coinsurance and deductible may apply
Office/New Patient-Focused (1-10)	99201	CPT	99201e	LOCAL	521	RC		outpatient			176	150	Silversummit Medicare	PPO	252		case rate	252	case rate	252	219	Coinsurance and deductible may apply
Office/New Patient-Focused (1-10)	99201	CPT	99201e	LOCAL	521	RC		outpatient			176	150	Silversummit Medicare	PPO	252		case rate	252	case rate	252	219	Coinsurance and deductible may apply
Office/New Patient-Focused (1-10)	99201	CPT	99201e	LOCAL	521	RC		outpatient			176	150	TriWest	PPO	249		case rate	249	case rate	249	219	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Aetna Medicare	HMO		26	26% of all negotiated rates	3328	percent of total billed charges	3328	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Alignment Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1799	percent of total billed charges	1799	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2249	percent of total billed charges	2249	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Coventry	PPO		75	75% of all negotiated rates	1124	percent of total billed charges	1124	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	899	percent of total billed charges	899	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Multiplan	PPO		80	80% of all negotiated rates	899	percent of total billed charges	899	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Optum Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	P3	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1349	percent of total billed charges	1349	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Select Health	HMO		41	41% of all negotiated rates	2653	percent of total billed charges	2653	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2991	percent of total billed charges	2991	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Sierra/HPN	HMO		60	60% of all negotiated rates	1799	percent of total billed charges	1799	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Silversummit Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	TriWest	PPO		30	30% of all negotiated rates	3148	percent of total billed charges	3148	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1349	percent of total billed charges	1349	4497	
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Aetna	PPO	650		case rate	650	case rate	650	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	552	fee schedule	552	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Cigna	PPO	827.7		case rate	828	case rate	828	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	552	fee schedule	552	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Humana-Commerical	PPO	618		case rate	618	case rate	618	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	552	fee schedule	552	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	One Health	PPO	912		case rate	912	case rate	912	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4283	Coinsurance and deductible may apply
MRA Head w/ + w/o Cont	70546	CPT	4090546	LOCAL	610	RC		outpatient			4497	3823	United Healthcare	PPO	912		case rate	912	case rate	912	4283	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Aetna Medicare	HMO		26	26% of all negotiated rates	3112	percent of total billed charges	3112	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Alignment Medicare	HMO		39	39% of all negotiated rates	2565	percent of total billed charges	2565	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1682	percent of total billed charges	1682	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2103	percent of total billed charges	2103	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2565	percent of total billed charges	2565	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Coventry	PPO		75	75% of all negotiated rates	1051	percent of total billed charges	1051	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	841	percent of total billed charges	841	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2565	percent of total billed charges	2565	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Multiplan	PPO		80	80% of all negotiated rates	841	percent of total billed charges	841	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Optum Medicare	HMO		39	39% of all negotiated rates	2565	percent of total billed charges	2565	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	P3	HMO		39	39% of all negotiated rates	2565	percent of total billed charges	2565	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1262	percent of total billed charges	1262	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Select Health	HMO		41	41% of all negotiated rates	2481	percent of total billed charges	2481	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2796	percent of total billed charges	2796	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Sierra/HPN	HMO		60	60% of all negotiated rates	1682	percent of total billed charges	1682	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Silversummit Medicare	HMO		39	39% of all negotiated rates	2565	percent of total billed charges	2565	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	TriWest	PPO		30	30% of all negotiated rates	2944	percent of total billed charges	2944	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1262	percent of total billed charges	1262	4205	
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Aetna	PPO	650		case rate	650	case rate	650	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	361	fee schedule	361	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Cigna	PPO	827.7		case rate	828	case rate	828	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	361	fee schedule	361	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Humana-Commerical	PPO	618		case rate	618	case rate	618	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	361	fee schedule	361	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	One Health	PPO	912		case rate	912	case rate	912	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4005	Coinsurance and deductible may apply
MRA Head w/ Cont	70545	CPT	4090545	LOCAL	610	RC		outpatient			4205	3574	United Healthcare	PPO	912		case rate	912	case rate	912	4005	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Aetna Medicare	HMO		26	26% of all negotiated rates	2911	percent of total billed charges	2911	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Alignment Medicare	HMO		39	39% of all negotiated rates	2400	percent of total billed charges	2400	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1574	percent of total billed charges	1574	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1967	percent of total billed charges	1967	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2400	percent of total billed charges	2400	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Coventry	PPO		75	75% of all negotiated rates	984	percent of total billed charges	984	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	787	percent of total billed charges	787	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2400	percent of total billed charges	2400	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Multiplan	PPO		80	80% of all negotiated rates	787	percent of total billed charges	787	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Optum Medicare	HMO		39	39% of all negotiated rates	2400	percent of total billed charges	2400	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	P3	HMO		39	39% of all negotiated rates	2400	percent of total billed charges	2400	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1180	percent of total billed charges	1180	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Select Health	HMO		41	41% of all negotiated rates	2321	percent of total billed charges	2321	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2616	percent of total billed charges	2616	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Sierra/HPN	HMO		60	60% of all negotiated rates	1574	percent of total billed charges	1574	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Silversummit Medicare	HMO		39	39% of all negotiated rates	2400	percent of total billed charges	2400	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	TriWest	PPO		30	30% of all negotiated rates	2754	percent of total billed charges	2754	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1180	percent of total billed charges	1180	3934	
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Aetna	PPO	650		case rate	650	case rate	650	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	367	fee schedule	367	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Cigna	PPO	827.7		case rate	828	case rate	828	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	367	fee schedule	367	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Humana-Commerical	PPO	618		case rate	618	case rate	618	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	367	fee schedule	367	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	One Health	PPO	912		case rate	912	case rate	912	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3747	Coinsurance and deductible may apply
MRA Head w/o Cont	70544	CPT	4090544	LOCAL	610	RC		outpatient			3934	3344	United Healthcare	PPO	912		case rate	912	case rate	912	3747	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Aetna Medicare	HMO		26	26% of all negotiated rates	3994	percent of total billed charges	3994	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Alignment Medicare	HMO		39	39% of all negotiated rates	3292	percent of total billed charges	3292	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2159	percent of total billed charges	2159	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2699	percent of total billed charges	2699	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3292	percent of total billed charges	3292	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Coventry	PPO		75	75% of all negotiated rates	1349	percent of total billed charges	1349	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1079	percent of total billed charges	1079	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3292	percent of total billed charges	3292	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Multiplan	PPO		80	80% of all negotiated rates	1079	percent of total billed charges	1079	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Optum Medicare	HMO		39	39% of all negotiated rates	3292	percent of total billed charges	3292	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	P3	HMO		39	39% of all negotiated rates	3292	percent of total billed charges	3292	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1619	percent of total billed charges	1619	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Select Health	HMO		41	41% of all negotiated rates	3184	percent of total billed charges	3184	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3589	percent of total billed charges	3589	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Sierra/HPN	HMO		60	60% of all negotiated rates	2159	percent of total billed charges	2159	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Silversummit Medicare	HMO		39	39% of all negotiated rates	3292	percent of total billed charges	3292	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	TriWest	PPO		30	30% of all negotiated rates	3778	percent of total billed charges	3778	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1619	percent of total billed charges	1619	5397	
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Aetna	PPO	650		case rate	650	case rate	650	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	556	fee schedule	556	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Cigna	PPO	827.7		case rate	828	case rate	828	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	556	fee schedule	556	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Humana-Commerical	PPO	618		case rate	618	case rate	618	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	556	fee schedule	556	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	One Health	PPO	912		case rate	912	case rate	912	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5140	Coinsurance and deductible may apply
MRA Neck w/ + w/o Cont	70549	CPT	4090549	LOCAL	610	RC		outpatient			5397	4587	United Healthcare	PPO	912		case rate	912	case rate	912	5140	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Aetna Medicare	HMO		26	26% of all negotiated rates	3103	percent of total billed charges	3103	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Alignment Medicare	HMO		39	39% of all negotiated rates	2558	percent of total billed charges	2558	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1677	percent of total billed charges	1677	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2096	percent of total billed charges	2096	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2558	percent of total billed charges	2558	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Coventry	PPO		75	75% of all negotiated rates	1048	percent of total billed charges	1048	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	839	percent of total billed charges	839	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2558	percent of total billed charges	2558	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Multiplan	PPO		80	80% of all negotiated rates	839	percent of total billed charges	839	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Optum Medicare	HMO		39	39% of all negotiated rates	2558	percent of total billed charges	2558	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	P3	HMO		39	39% of all negotiated rates	2558	percent of total billed charges	2558	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1258	percent of total billed charges	1258	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Select Health	HMO		41	41% of all negotiated rates	2474	percent of total billed charges	2474	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2788	percent of total billed charges	2788	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Sierra/HPN	HMO		60	60% of all negotiated rates	1677	percent of total billed charges	1677	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Silversummit Medicare	HMO		39	39% of all negotiated rates	2558	percent of total billed charges	2558	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	TriWest	PPO		30	30% of all negotiated rates	2935	percent of total billed charges	2935	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1258	percent of total billed charges	1258	4193	
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Aetna	PPO	650		case rate	650	case rate	650	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	390	fee schedule	390	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Cigna	PPO	827.7		case rate	828	case rate	828	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	390	fee schedule	390	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Humana-Commerical	PPO	618		case rate	618	case rate	618	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	390	fee schedule	390	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	One Health	PPO	912		case rate	912	case rate	912	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3993	Coinsurance and deductible may apply
MRA Neck w/ Cont	70548	CPT	4090548	LOCAL	610	RC		outpatient			4193	3564	United Healthcare	PPO	912		case rate	912	case rate	912	3993	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Aetna Medicare	HMO		26	26% of all negotiated rates	2848	percent of total billed charges	2848	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Alignment Medicare	HMO		39	39% of all negotiated rates	2348	percent of total billed charges	2348	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1540	percent of total billed charges	1540	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1925	percent of total billed charges	1925	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2348	percent of total billed charges	2348	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Coventry	PPO		75	75% of all negotiated rates	962	percent of total billed charges	962	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	770	percent of total billed charges	770	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2348	percent of total billed charges	2348	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Multiplan	PPO		80	80% of all negotiated rates	770	percent of total billed charges	770	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Optum Medicare	HMO		39	39% of all negotiated rates	2348	percent of total billed charges	2348	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	P3	HMO		39	39% of all negotiated rates	2348	percent of total billed charges	2348	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1155	percent of total billed charges	1155	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Select Health	HMO		41	41% of all negotiated rates	2271	percent of total billed charges	2271	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2560	percent of total billed charges	2560	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Sierra/HPN	HMO		60	60% of all negotiated rates	1540	percent of total billed charges	1540	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Silversummit Medicare	HMO		39	39% of all negotiated rates	2348	percent of total billed charges	2348	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	TriWest	PPO		30	30% of all negotiated rates	2695	percent of total billed charges	2695	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1155	percent of total billed charges	1155	3849	
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Aetna	PPO	650		case rate	650	case rate	650	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	368	fee schedule	368	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Cigna	PPO	827.7		case rate	828	case rate	828	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	368	fee schedule	368	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Humana-Commerical	PPO	618		case rate	618	case rate	618	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	368	fee schedule	368	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	One Health	PPO	912		case rate	912	case rate	912	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3666	Coinsurance and deductible may apply
MRA Neck w/o Cont	70547	CPT	4090547	LOCAL	610	RC		outpatient			3849	3272	United Healthcare	PPO	912		case rate	912	case rate	912	3666	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Aetna Medicare	HMO		26	26% of all negotiated rates	4406	percent of total billed charges	4406	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Alignment Medicare	HMO		39	39% of all negotiated rates	3632	percent of total billed charges	3632	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2381	percent of total billed charges	2381	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2977	percent of total billed charges	2977	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3632	percent of total billed charges	3632	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Coventry	PPO		75	75% of all negotiated rates	1488	percent of total billed charges	1488	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1191	percent of total billed charges	1191	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3632	percent of total billed charges	3632	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Multiplan	PPO		80	80% of all negotiated rates	1191	percent of total billed charges	1191	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Optum Medicare	HMO		39	39% of all negotiated rates	3632	percent of total billed charges	3632	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	P3	HMO		39	39% of all negotiated rates	3632	percent of total billed charges	3632	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1786	percent of total billed charges	1786	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Select Health	HMO		41	41% of all negotiated rates	3513	percent of total billed charges	3513	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3959	percent of total billed charges	3959	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Sierra/HPN	HMO		60	60% of all negotiated rates	2381	percent of total billed charges	2381	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Silversummit Medicare	HMO		39	39% of all negotiated rates	3632	percent of total billed charges	3632	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	TriWest	PPO		30	30% of all negotiated rates	4167	percent of total billed charges	4167	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1786	percent of total billed charges	1786	5954	
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Aetna	PPO	650		case rate	650	case rate	650	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	433	fee schedule	433	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Cigna	PPO	827.7		case rate	828	case rate	828	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	433	fee schedule	433	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Humana-Commerical	PPO	618		case rate	618	case rate	618	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	433	fee schedule	433	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	One Health	PPO	912		case rate	912	case rate	912	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5670	Coinsurance and deductible may apply
MRI Abdomen w/ + w/o Cont	74183	CPT	4095514	LOCAL	610	RC		outpatient			5954	5060	United Healthcare	PPO	912		case rate	912	case rate	912	5670	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Aetna Medicare	HMO		26	26% of all negotiated rates	3592	percent of total billed charges	3592	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Alignment Medicare	HMO		39	39% of all negotiated rates	2961	percent of total billed charges	2961	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1942	percent of total billed charges	1942	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2427	percent of total billed charges	2427	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2961	percent of total billed charges	2961	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Coventry	PPO		75	75% of all negotiated rates	1214	percent of total billed charges	1214	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	971	percent of total billed charges	971	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2961	percent of total billed charges	2961	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Multiplan	PPO		80	80% of all negotiated rates	971	percent of total billed charges	971	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Optum Medicare	HMO		39	39% of all negotiated rates	2961	percent of total billed charges	2961	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	P3	HMO		39	39% of all negotiated rates	2961	percent of total billed charges	2961	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1456	percent of total billed charges	1456	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Select Health	HMO		41	41% of all negotiated rates	2864	percent of total billed charges	2864	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3228	percent of total billed charges	3228	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Sierra/HPN	HMO		60	60% of all negotiated rates	1942	percent of total billed charges	1942	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Silversummit Medicare	HMO		39	39% of all negotiated rates	2961	percent of total billed charges	2961	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	TriWest	PPO		30	30% of all negotiated rates	3398	percent of total billed charges	3398	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1456	percent of total billed charges	1456	4854	
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Aetna	PPO	650		case rate	650	case rate	650	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	402	fee schedule	402	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Cigna	PPO	827.7		case rate	828	case rate	828	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	402	fee schedule	402	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Humana-Commerical	PPO	618		case rate	618	case rate	618	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	402	fee schedule	402	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	One Health	PPO	912		case rate	912	case rate	912	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4623	Coinsurance and deductible may apply
MRI Abdomen w/ Cont	74182	CPT	4095513	LOCAL	610	RC		outpatient			4854	4126	United Healthcare	PPO	912		case rate	912	case rate	912	4623	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Aetna Medicare	HMO		26	26% of all negotiated rates	3269	percent of total billed charges	3269	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Alignment Medicare	HMO		39	39% of all negotiated rates	2695	percent of total billed charges	2695	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1767	percent of total billed charges	1767	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2209	percent of total billed charges	2209	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2695	percent of total billed charges	2695	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Coventry	PPO		75	75% of all negotiated rates	1104	percent of total billed charges	1104	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	883	percent of total billed charges	883	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2695	percent of total billed charges	2695	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Multiplan	PPO		80	80% of all negotiated rates	883	percent of total billed charges	883	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Optum Medicare	HMO		39	39% of all negotiated rates	2695	percent of total billed charges	2695	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	P3	HMO		39	39% of all negotiated rates	2695	percent of total billed charges	2695	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1325	percent of total billed charges	1325	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Select Health	HMO		41	41% of all negotiated rates	2606	percent of total billed charges	2606	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2938	percent of total billed charges	2938	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Sierra/HPN	HMO		60	60% of all negotiated rates	1767	percent of total billed charges	1767	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Silversummit Medicare	HMO		39	39% of all negotiated rates	2695	percent of total billed charges	2695	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	TriWest	PPO		30	30% of all negotiated rates	3092	percent of total billed charges	3092	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1325	percent of total billed charges	1325	4417	
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Aetna	PPO	650		case rate	650	case rate	650	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	281	fee schedule	281	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Cigna	PPO	827.7		case rate	828	case rate	828	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	281	fee schedule	281	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Humana-Commerical	PPO	618		case rate	618	case rate	618	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	281	fee schedule	281	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	One Health	PPO	912		case rate	912	case rate	912	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4207	Coinsurance and deductible may apply
MRI Abdomen w/o Cont	74181	CPT	4091819	LOCAL	610	RC		outpatient			4417	3755	United Healthcare	PPO	912		case rate	912	case rate	912	4207	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Aetna Medicare	HMO		26	26% of all negotiated rates	3643	percent of total billed charges	3643	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Alignment Medicare	HMO		39	39% of all negotiated rates	3003	percent of total billed charges	3003	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1969	percent of total billed charges	1969	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2461	percent of total billed charges	2461	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3003	percent of total billed charges	3003	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Coventry	PPO		75	75% of all negotiated rates	1231	percent of total billed charges	1231	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	984	percent of total billed charges	984	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3003	percent of total billed charges	3003	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Multiplan	PPO		80	80% of all negotiated rates	984	percent of total billed charges	984	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Optum Medicare	HMO		39	39% of all negotiated rates	3003	percent of total billed charges	3003	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	P3	HMO		39	39% of all negotiated rates	3003	percent of total billed charges	3003	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1477	percent of total billed charges	1477	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Select Health	HMO		41	41% of all negotiated rates	2904	percent of total billed charges	2904	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3273	percent of total billed charges	3273	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Sierra/HPN	HMO		60	60% of all negotiated rates	1969	percent of total billed charges	1969	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Silversummit Medicare	HMO		39	39% of all negotiated rates	3003	percent of total billed charges	3003	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	TriWest	PPO		30	30% of all negotiated rates	3446	percent of total billed charges	3446	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1477	percent of total billed charges	1477	4922	
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Aetna	PPO	650		case rate	650	case rate	650	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	510	fee schedule	510	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Cigna	PPO	827.7		case rate	828	case rate	828	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	510	fee schedule	510	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Humana-Commerical	PPO	618		case rate	618	case rate	618	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	510	fee schedule	510	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	One Health	PPO	912		case rate	912	case rate	912	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4688	Coinsurance and deductible may apply
MRI Chest w/ + w/o Cont	71552	CPT	4095510	LOCAL	610	RC		outpatient			4922	4184	United Healthcare	PPO	912		case rate	912	case rate	912	4688	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Aetna Medicare	HMO		26	26% of all negotiated rates	3700	percent of total billed charges	3700	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Alignment Medicare	HMO		39	39% of all negotiated rates	3050	percent of total billed charges	3050	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2000	percent of total billed charges	2000	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2500	percent of total billed charges	2500	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3050	percent of total billed charges	3050	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Coventry	PPO		75	75% of all negotiated rates	1250	percent of total billed charges	1250	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1000	percent of total billed charges	1000	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3050	percent of total billed charges	3050	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Multiplan	PPO		80	80% of all negotiated rates	1000	percent of total billed charges	1000	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Optum Medicare	HMO		39	39% of all negotiated rates	3050	percent of total billed charges	3050	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	P3	HMO		39	39% of all negotiated rates	3050	percent of total billed charges	3050	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1500	percent of total billed charges	1500	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Select Health	HMO		41	41% of all negotiated rates	2950	percent of total billed charges	2950	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3325	percent of total billed charges	3325	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Sierra/HPN	HMO		60	60% of all negotiated rates	2000	percent of total billed charges	2000	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Silversummit Medicare	HMO		39	39% of all negotiated rates	3050	percent of total billed charges	3050	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	TriWest	PPO		30	30% of all negotiated rates	3500	percent of total billed charges	3500	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1500	percent of total billed charges	1500	5000	
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Aetna	PPO	650		case rate	650	case rate	650	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	409	fee schedule	409	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Cigna	PPO	827.7		case rate	828	case rate	828	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	409	fee schedule	409	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Humana-Commerical	PPO	618		case rate	618	case rate	618	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	409	fee schedule	409	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	One Health	PPO	912		case rate	912	case rate	912	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4762	Coinsurance and deductible may apply
MRI Chest w/ Cont	71551	CPT	4095509	LOCAL	610	RC		outpatient			5000	4250	United Healthcare	PPO	912		case rate	912	case rate	912	4762	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Aetna Medicare	HMO		26	26% of all negotiated rates	3216	percent of total billed charges	3216	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Alignment Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1738	percent of total billed charges	1738	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2173	percent of total billed charges	2173	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Coventry	PPO		75	75% of all negotiated rates	1086	percent of total billed charges	1086	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	869	percent of total billed charges	869	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Multiplan	PPO		80	80% of all negotiated rates	869	percent of total billed charges	869	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Optum Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	P3	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1304	percent of total billed charges	1304	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Select Health	HMO		41	41% of all negotiated rates	2564	percent of total billed charges	2564	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2890	percent of total billed charges	2890	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Sierra/HPN	HMO		60	60% of all negotiated rates	1738	percent of total billed charges	1738	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Silversummit Medicare	HMO		39	39% of all negotiated rates	2651	percent of total billed charges	2651	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	TriWest	PPO		30	30% of all negotiated rates	3042	percent of total billed charges	3042	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1304	percent of total billed charges	1304	4346	
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Aetna	PPO	650		case rate	650	case rate	650	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	365	fee schedule	365	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Cigna	PPO	827.7		case rate	828	case rate	828	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	365	fee schedule	365	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Humana-Commerical	PPO	618		case rate	618	case rate	618	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	365	fee schedule	365	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	One Health	PPO	912		case rate	912	case rate	912	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4139	Coinsurance and deductible may apply
MRI Chest w/o Cont	71550	CPT	4095508	LOCAL	610	RC		outpatient			4346	3694	United Healthcare	PPO	912		case rate	912	case rate	912	4139	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Aetna Medicare	HMO		26	26% of all negotiated rates	5974	percent of total billed charges	5974	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Alignment Medicare	HMO		39	39% of all negotiated rates	4925	percent of total billed charges	4925	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	3229	percent of total billed charges	3229	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	4037	percent of total billed charges	4037	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	4925	percent of total billed charges	4925	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Coventry	PPO		75	75% of all negotiated rates	2018	percent of total billed charges	2018	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1615	percent of total billed charges	1615	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	4925	percent of total billed charges	4925	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Multiplan	PPO		80	80% of all negotiated rates	1615	percent of total billed charges	1615	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Optum Medicare	HMO		39	39% of all negotiated rates	4925	percent of total billed charges	4925	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	P3	HMO		39	39% of all negotiated rates	4925	percent of total billed charges	4925	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	2422	percent of total billed charges	2422	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Select Health	HMO		41	41% of all negotiated rates	4763	percent of total billed charges	4763	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	5369	percent of total billed charges	5369	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Sierra/HPN	HMO		60	60% of all negotiated rates	3229	percent of total billed charges	3229	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Silversummit Medicare	HMO		39	39% of all negotiated rates	4925	percent of total billed charges	4925	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	TriWest	PPO		30	30% of all negotiated rates	5651	percent of total billed charges	5651	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	2422	percent of total billed charges	2422	8073	
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Aetna	PPO	650		case rate	650	case rate	650	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	424	fee schedule	424	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Cigna	PPO	827.7		case rate	828	case rate	828	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	424	fee schedule	424	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Humana-Commerical	PPO	618		case rate	618	case rate	618	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	424	fee schedule	424	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	One Health	PPO	912		case rate	912	case rate	912	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	7689	Coinsurance and deductible may apply
MRI Face Neck Orbit w/ + w/o Cont	70543	CPT	4090543	LOCAL	610	RC		outpatient			8073	6862	United Healthcare	PPO	912		case rate	912	case rate	912	7689	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna Medicare	HMO		26	26% of all negotiated rates	3100	percent of total billed charges	3100	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coventry	PPO		75	75% of all negotiated rates	1047	percent of total billed charges	1047	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2786	percent of total billed charges	2786	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra/HPN	HMO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna	PPO	650		case rate	650	case rate	650	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Cigna	PPO	827.7		case rate	828	case rate	828	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Commerical	PPO	618		case rate	618	case rate	618	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	One Health	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	United Healthcare	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna Medicare	HMO		26	26% of all negotiated rates	3100	percent of total billed charges	3100	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coventry	PPO		75	75% of all negotiated rates	1047	percent of total billed charges	1047	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2786	percent of total billed charges	2786	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra/HPN	HMO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna	PPO	650		case rate	650	case rate	650	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Cigna	PPO	827.7		case rate	828	case rate	828	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Commerical	PPO	618		case rate	618	case rate	618	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	One Health	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ + w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	United Healthcare	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna Medicare	HMO		26	26% of all negotiated rates	3100	percent of total billed charges	3100	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coventry	PPO		75	75% of all negotiated rates	1047	percent of total billed charges	1047	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2786	percent of total billed charges	2786	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra/HPN	HMO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna	PPO	650		case rate	650	case rate	650	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Cigna	PPO	827.7		case rate	828	case rate	828	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Commerical	PPO	618		case rate	618	case rate	618	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	One Health	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	United Healthcare	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna Medicare	HMO		26	26% of all negotiated rates	3100	percent of total billed charges	3100	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coventry	PPO		75	75% of all negotiated rates	1047	percent of total billed charges	1047	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2786	percent of total billed charges	2786	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra/HPN	HMO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna	PPO	650		case rate	650	case rate	650	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Cigna	PPO	827.7		case rate	828	case rate	828	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Commerical	PPO	618		case rate	618	case rate	618	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	One Health	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/ Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	United Healthcare	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna Medicare	HMO		26	26% of all negotiated rates	3100	percent of total billed charges	3100	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coventry	PPO		75	75% of all negotiated rates	1047	percent of total billed charges	1047	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2786	percent of total billed charges	2786	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra/HPN	HMO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna	PPO	650		case rate	650	case rate	650	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Cigna	PPO	827.7		case rate	828	case rate	828	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Commerical	PPO	618		case rate	618	case rate	618	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	One Health	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Lt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	United Healthcare	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna Medicare	HMO		26	26% of all negotiated rates	3100	percent of total billed charges	3100	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Alignment Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2095	percent of total billed charges	2095	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coventry	PPO		75	75% of all negotiated rates	1047	percent of total billed charges	1047	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Multiplan	PPO		80	80% of all negotiated rates	838	percent of total billed charges	838	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Optum Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	P3	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Select Health	HMO		41	41% of all negotiated rates	2472	percent of total billed charges	2472	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2786	percent of total billed charges	2786	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Sierra/HPN	HMO		60	60% of all negotiated rates	1676	percent of total billed charges	1676	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Silversummit Medicare	HMO		39	39% of all negotiated rates	2556	percent of total billed charges	2556	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	TriWest	PPO		30	30% of all negotiated rates	2933	percent of total billed charges	2933	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1257	percent of total billed charges	1257	4190	
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Aetna	PPO	650		case rate	650	case rate	650	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Cigna	PPO	827.7		case rate	828	case rate	828	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Humana-Commerical	PPO	618		case rate	618	case rate	618	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	198	fee schedule	198	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	One Health	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3990	Coinsurance and deductible may apply
MRI LE Joint w/o Cont Rt	73721	CPT	4097213	LOCAL	610	RC		outpatient			4190	3561	United Healthcare	PPO	912		case rate	912	case rate	912	3990	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Aetna Medicare	HMO		26	26% of all negotiated rates	3817	percent of total billed charges	3817	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Alignment Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2063	percent of total billed charges	2063	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2579	percent of total billed charges	2579	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Coventry	PPO		75	75% of all negotiated rates	1289	percent of total billed charges	1289	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1032	percent of total billed charges	1032	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Multiplan	PPO		80	80% of all negotiated rates	1032	percent of total billed charges	1032	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Optum Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	P3	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1547	percent of total billed charges	1547	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Select Health	HMO		41	41% of all negotiated rates	3043	percent of total billed charges	3043	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3430	percent of total billed charges	3430	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Sierra/HPN	HMO		60	60% of all negotiated rates	2063	percent of total billed charges	2063	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Silversummit Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	TriWest	PPO		30	30% of all negotiated rates	3610	percent of total billed charges	3610	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1547	percent of total billed charges	1547	5158	
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Aetna	PPO	650		case rate	650	case rate	650	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Cigna	PPO	827.7		case rate	828	case rate	828	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Humana-Commerical	PPO	618		case rate	618	case rate	618	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	One Health	PPO	912		case rate	912	case rate	912	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Bil	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	United Healthcare	PPO	912		case rate	912	case rate	912	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Aetna Medicare	HMO		26	26% of all negotiated rates	3817	percent of total billed charges	3817	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Alignment Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2063	percent of total billed charges	2063	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2579	percent of total billed charges	2579	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Coventry	PPO		75	75% of all negotiated rates	1289	percent of total billed charges	1289	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1032	percent of total billed charges	1032	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Multiplan	PPO		80	80% of all negotiated rates	1032	percent of total billed charges	1032	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Optum Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	P3	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1547	percent of total billed charges	1547	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Select Health	HMO		41	41% of all negotiated rates	3043	percent of total billed charges	3043	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3430	percent of total billed charges	3430	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Sierra/HPN	HMO		60	60% of all negotiated rates	2063	percent of total billed charges	2063	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Silversummit Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	TriWest	PPO		30	30% of all negotiated rates	3610	percent of total billed charges	3610	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1547	percent of total billed charges	1547	5158	
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Aetna	PPO	650		case rate	650	case rate	650	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Cigna	PPO	827.7		case rate	828	case rate	828	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Humana-Commerical	PPO	618		case rate	618	case rate	618	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	One Health	PPO	912		case rate	912	case rate	912	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Lt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	United Healthcare	PPO	912		case rate	912	case rate	912	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Aetna Medicare	HMO		26	26% of all negotiated rates	3817	percent of total billed charges	3817	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Alignment Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2063	percent of total billed charges	2063	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2579	percent of total billed charges	2579	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Coventry	PPO		75	75% of all negotiated rates	1289	percent of total billed charges	1289	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1032	percent of total billed charges	1032	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Multiplan	PPO		80	80% of all negotiated rates	1032	percent of total billed charges	1032	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Optum Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	P3	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1547	percent of total billed charges	1547	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Select Health	HMO		41	41% of all negotiated rates	3043	percent of total billed charges	3043	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3430	percent of total billed charges	3430	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Sierra/HPN	HMO		60	60% of all negotiated rates	2063	percent of total billed charges	2063	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Silversummit Medicare	HMO		39	39% of all negotiated rates	3146	percent of total billed charges	3146	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	TriWest	PPO		30	30% of all negotiated rates	3610	percent of total billed charges	3610	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1547	percent of total billed charges	1547	5158	
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Aetna	PPO	650		case rate	650	case rate	650	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Cigna	PPO	827.7		case rate	828	case rate	828	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Humana-Commerical	PPO	618		case rate	618	case rate	618	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	434	fee schedule	434	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	One Health	PPO	912		case rate	912	case rate	912	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ + w/o Cont Rt	73720	CPT	4070730	LOCAL	610	RC		outpatient			5158	4384	United Healthcare	PPO	912		case rate	912	case rate	912	4912	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Aetna Medicare	HMO		26	26% of all negotiated rates	3273	percent of total billed charges	3273	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Alignment Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1769	percent of total billed charges	1769	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2211	percent of total billed charges	2211	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Coventry	PPO		75	75% of all negotiated rates	1106	percent of total billed charges	1106	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	885	percent of total billed charges	885	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Multiplan	PPO		80	80% of all negotiated rates	885	percent of total billed charges	885	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Optum Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	P3	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1327	percent of total billed charges	1327	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Select Health	HMO		41	41% of all negotiated rates	2609	percent of total billed charges	2609	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2941	percent of total billed charges	2941	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Sierra/HPN	HMO		60	60% of all negotiated rates	1769	percent of total billed charges	1769	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Silversummit Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	TriWest	PPO		30	30% of all negotiated rates	3096	percent of total billed charges	3096	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1327	percent of total billed charges	1327	4423	
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Aetna	PPO	650		case rate	650	case rate	650	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Cigna	PPO	827.7		case rate	828	case rate	828	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Humana-Commerical	PPO	618		case rate	618	case rate	618	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	One Health	PPO	912		case rate	912	case rate	912	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Bil	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	United Healthcare	PPO	912		case rate	912	case rate	912	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Aetna Medicare	HMO		26	26% of all negotiated rates	3273	percent of total billed charges	3273	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Alignment Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1769	percent of total billed charges	1769	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2211	percent of total billed charges	2211	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Coventry	PPO		75	75% of all negotiated rates	1106	percent of total billed charges	1106	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	885	percent of total billed charges	885	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Multiplan	PPO		80	80% of all negotiated rates	885	percent of total billed charges	885	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Optum Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	P3	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1327	percent of total billed charges	1327	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Select Health	HMO		41	41% of all negotiated rates	2609	percent of total billed charges	2609	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2941	percent of total billed charges	2941	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Sierra/HPN	HMO		60	60% of all negotiated rates	1769	percent of total billed charges	1769	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Silversummit Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	TriWest	PPO		30	30% of all negotiated rates	3096	percent of total billed charges	3096	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1327	percent of total billed charges	1327	4423	
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Aetna	PPO	650		case rate	650	case rate	650	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Cigna	PPO	827.7		case rate	828	case rate	828	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Humana-Commerical	PPO	618		case rate	618	case rate	618	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	One Health	PPO	912		case rate	912	case rate	912	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Lt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	United Healthcare	PPO	912		case rate	912	case rate	912	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Aetna Medicare	HMO		26	26% of all negotiated rates	3273	percent of total billed charges	3273	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Alignment Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1769	percent of total billed charges	1769	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2211	percent of total billed charges	2211	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Coventry	PPO		75	75% of all negotiated rates	1106	percent of total billed charges	1106	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	885	percent of total billed charges	885	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Multiplan	PPO		80	80% of all negotiated rates	885	percent of total billed charges	885	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Optum Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	P3	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1327	percent of total billed charges	1327	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Select Health	HMO		41	41% of all negotiated rates	2609	percent of total billed charges	2609	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2941	percent of total billed charges	2941	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Sierra/HPN	HMO		60	60% of all negotiated rates	1769	percent of total billed charges	1769	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Silversummit Medicare	HMO		39	39% of all negotiated rates	2698	percent of total billed charges	2698	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	TriWest	PPO		30	30% of all negotiated rates	3096	percent of total billed charges	3096	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1327	percent of total billed charges	1327	4423	
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Aetna	PPO	650		case rate	650	case rate	650	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Cigna	PPO	827.7		case rate	828	case rate	828	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Humana-Commerical	PPO	618		case rate	618	case rate	618	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	One Health	PPO	912		case rate	912	case rate	912	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/ Cont Rt	73719	CPT	4070720	LOCAL	610	RC		outpatient			4423	3759	United Healthcare	PPO	912		case rate	912	case rate	912	4212	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Aetna Medicare	HMO		26	26% of all negotiated rates	3228	percent of total billed charges	3228	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Alignment Medicare	HMO		39	39% of all negotiated rates	2661	percent of total billed charges	2661	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1745	percent of total billed charges	1745	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2181	percent of total billed charges	2181	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2661	percent of total billed charges	2661	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Coventry	PPO		75	75% of all negotiated rates	1091	percent of total billed charges	1091	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2661	percent of total billed charges	2661	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Multiplan	PPO		80	80% of all negotiated rates	873	percent of total billed charges	873	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Optum Medicare	HMO		39	39% of all negotiated rates	2661	percent of total billed charges	2661	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	P3	HMO		39	39% of all negotiated rates	2661	percent of total billed charges	2661	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1309	percent of total billed charges	1309	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Select Health	HMO		41	41% of all negotiated rates	2574	percent of total billed charges	2574	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2901	percent of total billed charges	2901	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Sierra/HPN	HMO		60	60% of all negotiated rates	1745	percent of total billed charges	1745	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Silversummit Medicare	HMO		39	39% of all negotiated rates	2661	percent of total billed charges	2661	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	TriWest	PPO		30	30% of all negotiated rates	3054	percent of total billed charges	3054	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1309	percent of total billed charges	1309	4363	
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Aetna	PPO	650		case rate	650	case rate	650	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Cigna	PPO	827.7		case rate	828	case rate	828	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Humana-Commerical	PPO	618		case rate	618	case rate	618	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	One Health	PPO	912		case rate	912	case rate	912	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Bil	73718	CPT	4070710	LOCAL	610	RC		outpatient			4363	3708	United Healthcare	PPO	912		case rate	912	case rate	912	4155	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Aetna Medicare	HMO		26	26% of all negotiated rates	2835	percent of total billed charges	2835	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Alignment Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1533	percent of total billed charges	1533	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1916	percent of total billed charges	1916	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Coventry	PPO		75	75% of all negotiated rates	958	percent of total billed charges	958	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	766	percent of total billed charges	766	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Multiplan	PPO		80	80% of all negotiated rates	766	percent of total billed charges	766	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Optum Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	P3	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Select Health	HMO		41	41% of all negotiated rates	2261	percent of total billed charges	2261	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2548	percent of total billed charges	2548	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Sierra/HPN	HMO		60	60% of all negotiated rates	1533	percent of total billed charges	1533	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Silversummit Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	TriWest	PPO		30	30% of all negotiated rates	2682	percent of total billed charges	2682	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3831	
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Aetna	PPO	650		case rate	650	case rate	650	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Cigna	PPO	827.7		case rate	828	case rate	828	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Humana-Commerical	PPO	618		case rate	618	case rate	618	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	One Health	PPO	912		case rate	912	case rate	912	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Lt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	United Healthcare	PPO	912		case rate	912	case rate	912	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Aetna Medicare	HMO		26	26% of all negotiated rates	2835	percent of total billed charges	2835	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Alignment Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1533	percent of total billed charges	1533	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1916	percent of total billed charges	1916	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Coventry	PPO		75	75% of all negotiated rates	958	percent of total billed charges	958	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	766	percent of total billed charges	766	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Multiplan	PPO		80	80% of all negotiated rates	766	percent of total billed charges	766	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Optum Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	P3	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Select Health	HMO		41	41% of all negotiated rates	2261	percent of total billed charges	2261	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2548	percent of total billed charges	2548	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Sierra/HPN	HMO		60	60% of all negotiated rates	1533	percent of total billed charges	1533	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Silversummit Medicare	HMO		39	39% of all negotiated rates	2337	percent of total billed charges	2337	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	TriWest	PPO		30	30% of all negotiated rates	2682	percent of total billed charges	2682	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1149	percent of total billed charges	1149	3831	
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Aetna	PPO	650		case rate	650	case rate	650	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Cigna	PPO	827.7		case rate	828	case rate	828	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Humana-Commerical	PPO	618		case rate	618	case rate	618	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	One Health	PPO	912		case rate	912	case rate	912	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3649	Coinsurance and deductible may apply
MRI LE Non Joint w/o Cont Rt	73718	CPT	4070710	LOCAL	610	RC		outpatient			3831	3257	United Healthcare	PPO	912		case rate	912	case rate	912	3649	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Aetna Medicare	HMO		26	26% of all negotiated rates	4333	percent of total billed charges	4333	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Alignment Medicare	HMO		39	39% of all negotiated rates	3571	percent of total billed charges	3571	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2342	percent of total billed charges	2342	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2927	percent of total billed charges	2927	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3571	percent of total billed charges	3571	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Coventry	PPO		75	75% of all negotiated rates	1464	percent of total billed charges	1464	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1171	percent of total billed charges	1171	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3571	percent of total billed charges	3571	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Multiplan	PPO		80	80% of all negotiated rates	1171	percent of total billed charges	1171	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Optum Medicare	HMO		39	39% of all negotiated rates	3571	percent of total billed charges	3571	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	P3	HMO		39	39% of all negotiated rates	3571	percent of total billed charges	3571	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1756	percent of total billed charges	1756	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Select Health	HMO		41	41% of all negotiated rates	3454	percent of total billed charges	3454	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3893	percent of total billed charges	3893	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Sierra/HPN	HMO		60	60% of all negotiated rates	2342	percent of total billed charges	2342	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Silversummit Medicare	HMO		39	39% of all negotiated rates	3571	percent of total billed charges	3571	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	TriWest	PPO		30	30% of all negotiated rates	4098	percent of total billed charges	4098	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1756	percent of total billed charges	1756	5855	
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Aetna	PPO	650		case rate	650	case rate	650	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Cigna	PPO	827.7		case rate	828	case rate	828	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Humana-Commerical	PPO	618		case rate	618	case rate	618	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	One Health	PPO	912		case rate	912	case rate	912	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5576	Coinsurance and deductible may apply
MRI Pelvis w/ + w/o Cont	72197	CPT	4095516	LOCAL	610	RC		outpatient			5855	4977	United Healthcare	PPO	912		case rate	912	case rate	912	5576	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Aetna Medicare	HMO		26	26% of all negotiated rates	3484	percent of total billed charges	3484	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Alignment Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1883	percent of total billed charges	1883	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2354	percent of total billed charges	2354	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Coventry	PPO		75	75% of all negotiated rates	1177	percent of total billed charges	1177	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Multiplan	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Optum Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	P3	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1412	percent of total billed charges	1412	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Select Health	HMO		41	41% of all negotiated rates	2778	percent of total billed charges	2778	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3131	percent of total billed charges	3131	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Sierra/HPN	HMO		60	60% of all negotiated rates	1883	percent of total billed charges	1883	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Silversummit Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	TriWest	PPO		30	30% of all negotiated rates	3296	percent of total billed charges	3296	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1412	percent of total billed charges	1412	4708	
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Aetna	PPO	650		case rate	650	case rate	650	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Cigna	PPO	827.7		case rate	828	case rate	828	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Humana-Commerical	PPO	618		case rate	618	case rate	618	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	One Health	PPO	912		case rate	912	case rate	912	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4484	Coinsurance and deductible may apply
MRI Pelvis w/ Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	United Healthcare	PPO	912		case rate	912	case rate	912	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Aetna Medicare	HMO		26	26% of all negotiated rates	3484	percent of total billed charges	3484	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Alignment Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1883	percent of total billed charges	1883	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2354	percent of total billed charges	2354	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Coventry	PPO		75	75% of all negotiated rates	1177	percent of total billed charges	1177	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Multiplan	PPO		80	80% of all negotiated rates	942	percent of total billed charges	942	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Optum Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	P3	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1412	percent of total billed charges	1412	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Select Health	HMO		41	41% of all negotiated rates	2778	percent of total billed charges	2778	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3131	percent of total billed charges	3131	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Sierra/HPN	HMO		60	60% of all negotiated rates	1883	percent of total billed charges	1883	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Silversummit Medicare	HMO		39	39% of all negotiated rates	2872	percent of total billed charges	2872	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	TriWest	PPO		30	30% of all negotiated rates	3296	percent of total billed charges	3296	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1412	percent of total billed charges	1412	4708	
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Aetna	PPO	650		case rate	650	case rate	650	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Cigna	PPO	827.7		case rate	828	case rate	828	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Humana-Commerical	PPO	618		case rate	618	case rate	618	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	359	fee schedule	359	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	One Health	PPO	912		case rate	912	case rate	912	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4484	Coinsurance and deductible may apply
MRI Pelvis w/o Cont	72196	CPT	4091969	LOCAL	610	RC		outpatient			4708	4002	United Healthcare	PPO	912		case rate	912	case rate	912	4484	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Aetna Medicare	HMO		26	26% of all negotiated rates	3515	percent of total billed charges	3515	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Alignment Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1900	percent of total billed charges	1900	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2375	percent of total billed charges	2375	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Coventry	PPO		75	75% of all negotiated rates	1188	percent of total billed charges	1188	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	950	percent of total billed charges	950	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Multiplan	PPO		80	80% of all negotiated rates	950	percent of total billed charges	950	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Optum Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	P3	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1425	percent of total billed charges	1425	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Select Health	HMO		41	41% of all negotiated rates	2803	percent of total billed charges	2803	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3159	percent of total billed charges	3159	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Sierra/HPN	HMO		60	60% of all negotiated rates	1900	percent of total billed charges	1900	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Silversummit Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	TriWest	PPO		30	30% of all negotiated rates	3325	percent of total billed charges	3325	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1425	percent of total billed charges	1425	4750	
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Aetna	PPO	650		case rate	650	case rate	650	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353	fee schedule	353	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Cigna	PPO	827.7		case rate	828	case rate	828	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353	fee schedule	353	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Humana-Commerical	PPO	618		case rate	618	case rate	618	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353	fee schedule	353	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	One Health	PPO	912		case rate	912	case rate	912	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/ Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	United Healthcare	PPO	912		case rate	912	case rate	912	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Aetna Medicare	HMO		26	26% of all negotiated rates	3515	percent of total billed charges	3515	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Alignment Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1900	percent of total billed charges	1900	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2375	percent of total billed charges	2375	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Coventry	PPO		75	75% of all negotiated rates	1188	percent of total billed charges	1188	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	950	percent of total billed charges	950	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Multiplan	PPO		80	80% of all negotiated rates	950	percent of total billed charges	950	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Optum Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	P3	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1425	percent of total billed charges	1425	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Select Health	HMO		41	41% of all negotiated rates	2803	percent of total billed charges	2803	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3159	percent of total billed charges	3159	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Sierra/HPN	HMO		60	60% of all negotiated rates	1900	percent of total billed charges	1900	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Silversummit Medicare	HMO		39	39% of all negotiated rates	2898	percent of total billed charges	2898	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	TriWest	PPO		30	30% of all negotiated rates	3325	percent of total billed charges	3325	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1425	percent of total billed charges	1425	4750	
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Aetna	PPO	650		case rate	650	case rate	650	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353	fee schedule	353	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Cigna	PPO	827.7		case rate	828	case rate	828	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353	fee schedule	353	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Humana-Commerical	PPO	618		case rate	618	case rate	618	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353	fee schedule	353	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	One Health	PPO	912		case rate	912	case rate	912	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4524	Coinsurance and deductible may apply
MRI Soft Tissue Neck w/o Cont	70542	CPT	4090542	LOCAL	610	RC		outpatient			4750	4038	United Healthcare	PPO	912		case rate	912	case rate	912	4524	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Aetna Medicare	HMO		26	26% of all negotiated rates	4633	percent of total billed charges	4633	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Alignment Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2504	percent of total billed charges	2504	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3131	percent of total billed charges	3131	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Coventry	PPO		75	75% of all negotiated rates	1565	percent of total billed charges	1565	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1252	percent of total billed charges	1252	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Multiplan	PPO		80	80% of all negotiated rates	1252	percent of total billed charges	1252	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Optum Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	P3	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1878	percent of total billed charges	1878	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Select Health	HMO		41	41% of all negotiated rates	3694	percent of total billed charges	3694	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4164	percent of total billed charges	4164	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Sierra/HPN	HMO		60	60% of all negotiated rates	2504	percent of total billed charges	2504	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Silversummit Medicare	HMO		39	39% of all negotiated rates	3819	percent of total billed charges	3819	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	TriWest	PPO		30	30% of all negotiated rates	4383	percent of total billed charges	4383	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1878	percent of total billed charges	1878	6261	
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Aetna	PPO	650		case rate	650	case rate	650	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	297	fee schedule	297	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Cigna	PPO	827.7		case rate	828	case rate	828	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	297	fee schedule	297	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Humana-Commerical	PPO	618		case rate	618	case rate	618	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	297	fee schedule	297	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	One Health	PPO	912		case rate	912	case rate	912	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5963	Coinsurance and deductible may apply
MRI Spine Thoracic w/ + w/o Cont	72157	CPT	4092157	LOCAL	610	RC		outpatient			6261	5322	United Healthcare	PPO	912		case rate	912	case rate	912	5963	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna Medicare	HMO		26	26% of all negotiated rates	3562	percent of total billed charges	3562	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Alignment Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2407	percent of total billed charges	2407	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coventry	PPO		75	75% of all negotiated rates	1203	percent of total billed charges	1203	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Multiplan	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Optum Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	P3	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Select Health	HMO		41	41% of all negotiated rates	2840	percent of total billed charges	2840	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3201	percent of total billed charges	3201	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra/HPN	HMO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Silversummit Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	TriWest	PPO		30	30% of all negotiated rates	3369	percent of total billed charges	3369	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna	PPO	650		case rate	650	case rate	650	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Cigna	PPO	827.7		case rate	828	case rate	828	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Commerical	PPO	618		case rate	618	case rate	618	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	One Health	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Bil	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	United Healthcare	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna Medicare	HMO		26	26% of all negotiated rates	3562	percent of total billed charges	3562	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Alignment Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2407	percent of total billed charges	2407	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coventry	PPO		75	75% of all negotiated rates	1203	percent of total billed charges	1203	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Multiplan	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Optum Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	P3	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Select Health	HMO		41	41% of all negotiated rates	2840	percent of total billed charges	2840	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3201	percent of total billed charges	3201	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra/HPN	HMO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Silversummit Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	TriWest	PPO		30	30% of all negotiated rates	3369	percent of total billed charges	3369	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna	PPO	650		case rate	650	case rate	650	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Cigna	PPO	827.7		case rate	828	case rate	828	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Commerical	PPO	618		case rate	618	case rate	618	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	One Health	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Lt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	United Healthcare	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna Medicare	HMO		26	26% of all negotiated rates	3562	percent of total billed charges	3562	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Alignment Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2407	percent of total billed charges	2407	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coventry	PPO		75	75% of all negotiated rates	1203	percent of total billed charges	1203	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Multiplan	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Optum Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	P3	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Select Health	HMO		41	41% of all negotiated rates	2840	percent of total billed charges	2840	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3201	percent of total billed charges	3201	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra/HPN	HMO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Silversummit Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	TriWest	PPO		30	30% of all negotiated rates	3369	percent of total billed charges	3369	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna	PPO	650		case rate	650	case rate	650	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Cigna	PPO	827.7		case rate	828	case rate	828	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Commerical	PPO	618		case rate	618	case rate	618	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	400	fee schedule	400	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	One Health	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Joint w/ + w/o Cont Rt	73223	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	United Healthcare	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna Medicare	HMO		26	26% of all negotiated rates	3299	percent of total billed charges	3299	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Alignment Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2229	percent of total billed charges	2229	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coventry	PPO		75	75% of all negotiated rates	1115	percent of total billed charges	1115	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Multiplan	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Optum Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	P3	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Select Health	HMO		41	41% of all negotiated rates	2630	percent of total billed charges	2630	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2965	percent of total billed charges	2965	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra/HPN	HMO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Silversummit Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	TriWest	PPO		30	30% of all negotiated rates	3121	percent of total billed charges	3121	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna	PPO	650		case rate	650	case rate	650	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	328	fee schedule	328	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Cigna	PPO	827.7		case rate	828	case rate	828	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	328	fee schedule	328	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Commerical	PPO	618		case rate	618	case rate	618	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	328	fee schedule	328	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	One Health	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Lt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	United Healthcare	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna Medicare	HMO		26	26% of all negotiated rates	3299	percent of total billed charges	3299	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Alignment Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2229	percent of total billed charges	2229	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coventry	PPO		75	75% of all negotiated rates	1115	percent of total billed charges	1115	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Multiplan	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Optum Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	P3	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Select Health	HMO		41	41% of all negotiated rates	2630	percent of total billed charges	2630	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2965	percent of total billed charges	2965	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra/HPN	HMO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Silversummit Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	TriWest	PPO		30	30% of all negotiated rates	3121	percent of total billed charges	3121	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna	PPO	650		case rate	650	case rate	650	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	328	fee schedule	328	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Cigna	PPO	827.7		case rate	828	case rate	828	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	328	fee schedule	328	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Commerical	PPO	618		case rate	618	case rate	618	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	328	fee schedule	328	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	One Health	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Joint w/ Cont Rt	73222	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	United Healthcare	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Bil	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Lt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	197	fee schedule	197	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Joint w/o Cont Rt	73221	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna Medicare	HMO		26	26% of all negotiated rates	3562	percent of total billed charges	3562	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Alignment Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2407	percent of total billed charges	2407	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coventry	PPO		75	75% of all negotiated rates	1203	percent of total billed charges	1203	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Multiplan	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Optum Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	P3	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Select Health	HMO		41	41% of all negotiated rates	2840	percent of total billed charges	2840	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3201	percent of total billed charges	3201	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra/HPN	HMO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Silversummit Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	TriWest	PPO		30	30% of all negotiated rates	3369	percent of total billed charges	3369	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna	PPO	650		case rate	650	case rate	650	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Cigna	PPO	827.7		case rate	828	case rate	828	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Commerical	PPO	618		case rate	618	case rate	618	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	One Health	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Bil	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	United Healthcare	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna Medicare	HMO		26	26% of all negotiated rates	3562	percent of total billed charges	3562	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Alignment Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2407	percent of total billed charges	2407	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coventry	PPO		75	75% of all negotiated rates	1203	percent of total billed charges	1203	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Multiplan	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Optum Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	P3	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Select Health	HMO		41	41% of all negotiated rates	2840	percent of total billed charges	2840	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3201	percent of total billed charges	3201	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra/HPN	HMO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Silversummit Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	TriWest	PPO		30	30% of all negotiated rates	3369	percent of total billed charges	3369	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna	PPO	650		case rate	650	case rate	650	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Cigna	PPO	827.7		case rate	828	case rate	828	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Commerical	PPO	618		case rate	618	case rate	618	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	One Health	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Lt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	United Healthcare	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna Medicare	HMO		26	26% of all negotiated rates	3562	percent of total billed charges	3562	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Alignment Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2407	percent of total billed charges	2407	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coventry	PPO		75	75% of all negotiated rates	1203	percent of total billed charges	1203	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Multiplan	PPO		80	80% of all negotiated rates	963	percent of total billed charges	963	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Optum Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	P3	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Select Health	HMO		41	41% of all negotiated rates	2840	percent of total billed charges	2840	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3201	percent of total billed charges	3201	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Sierra/HPN	HMO		60	60% of all negotiated rates	1925	percent of total billed charges	1925	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Silversummit Medicare	HMO		39	39% of all negotiated rates	2936	percent of total billed charges	2936	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	TriWest	PPO		30	30% of all negotiated rates	3369	percent of total billed charges	3369	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1444	percent of total billed charges	1444	4813	
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Aetna	PPO	650		case rate	650	case rate	650	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Cigna	PPO	827.7		case rate	828	case rate	828	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Humana-Commerical	PPO	618		case rate	618	case rate	618	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	431	fee schedule	431	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	One Health	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ + w/o Cont Rt	73220	CPT	4092206	LOCAL	610	RC		outpatient			4813	4091	United Healthcare	PPO	912		case rate	912	case rate	912	4584	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna Medicare	HMO		26	26% of all negotiated rates	3299	percent of total billed charges	3299	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Alignment Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2229	percent of total billed charges	2229	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coventry	PPO		75	75% of all negotiated rates	1115	percent of total billed charges	1115	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Multiplan	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Optum Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	P3	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Select Health	HMO		41	41% of all negotiated rates	2630	percent of total billed charges	2630	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2965	percent of total billed charges	2965	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra/HPN	HMO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Silversummit Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	TriWest	PPO		30	30% of all negotiated rates	3121	percent of total billed charges	3121	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna	PPO	650		case rate	650	case rate	650	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Cigna	PPO	827.7		case rate	828	case rate	828	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Commerical	PPO	618		case rate	618	case rate	618	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	One Health	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Lt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	United Healthcare	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna Medicare	HMO		26	26% of all negotiated rates	3299	percent of total billed charges	3299	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Alignment Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2229	percent of total billed charges	2229	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coventry	PPO		75	75% of all negotiated rates	1115	percent of total billed charges	1115	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Multiplan	PPO		80	80% of all negotiated rates	892	percent of total billed charges	892	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Optum Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	P3	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Select Health	HMO		41	41% of all negotiated rates	2630	percent of total billed charges	2630	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2965	percent of total billed charges	2965	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Sierra/HPN	HMO		60	60% of all negotiated rates	1783	percent of total billed charges	1783	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Silversummit Medicare	HMO		39	39% of all negotiated rates	2720	percent of total billed charges	2720	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	TriWest	PPO		30	30% of all negotiated rates	3121	percent of total billed charges	3121	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1337	percent of total billed charges	1337	4458	
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Aetna	PPO	650		case rate	650	case rate	650	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Cigna	PPO	827.7		case rate	828	case rate	828	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Humana-Commerical	PPO	618		case rate	618	case rate	618	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	358	fee schedule	358	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	One Health	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/ Cont Rt	73219	CPT	4090557	LOCAL	610	RC		outpatient			4458	3790	United Healthcare	PPO	912		case rate	912	case rate	912	4246	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Bil	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Lt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	319	fee schedule	319	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI UE Non Joint w/o Cont Rt	73218	CPT	4092214	LOCAL	610	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Aetna Medicare	HMO		26	26% of all negotiated rates	4620	percent of total billed charges	4620	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Alignment Medicare	HMO		39	39% of all negotiated rates	3808	percent of total billed charges	3808	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2497	percent of total billed charges	2497	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3122	percent of total billed charges	3122	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3808	percent of total billed charges	3808	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Coventry	PPO		75	75% of all negotiated rates	1561	percent of total billed charges	1561	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1249	percent of total billed charges	1249	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3808	percent of total billed charges	3808	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Multiplan	PPO		80	80% of all negotiated rates	1249	percent of total billed charges	1249	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Optum Medicare	HMO		39	39% of all negotiated rates	3808	percent of total billed charges	3808	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	P3	HMO		39	39% of all negotiated rates	3808	percent of total billed charges	3808	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1873	percent of total billed charges	1873	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Select Health	HMO		41	41% of all negotiated rates	3684	percent of total billed charges	3684	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4152	percent of total billed charges	4152	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Sierra/HPN	HMO		60	60% of all negotiated rates	2497	percent of total billed charges	2497	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Silversummit Medicare	HMO		39	39% of all negotiated rates	3808	percent of total billed charges	3808	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	TriWest	PPO		30	30% of all negotiated rates	4370	percent of total billed charges	4370	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1873	percent of total billed charges	1873	6243	
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Aetna	PPO	650		case rate	650	case rate	650	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	415	fee schedule	415	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Cigna	PPO	827.7		case rate	828	case rate	828	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	415	fee schedule	415	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Humana-Commerical	PPO	618		case rate	618	case rate	618	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	415	fee schedule	415	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	One Health	PPO	912		case rate	912	case rate	912	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5946	Coinsurance and deductible may apply
MRI Brain w/ + w/o Cont	70553	CPT	4090553	LOCAL	611	RC		outpatient			6243	5307	United Healthcare	PPO	912		case rate	912	case rate	912	5946	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Aetna Medicare	HMO		26	26% of all negotiated rates	3747	percent of total billed charges	3747	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Alignment Medicare	HMO		39	39% of all negotiated rates	3089	percent of total billed charges	3089	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2026	percent of total billed charges	2026	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2532	percent of total billed charges	2532	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3089	percent of total billed charges	3089	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Coventry	PPO		75	75% of all negotiated rates	1266	percent of total billed charges	1266	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1013	percent of total billed charges	1013	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3089	percent of total billed charges	3089	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Multiplan	PPO		80	80% of all negotiated rates	1013	percent of total billed charges	1013	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Optum Medicare	HMO		39	39% of all negotiated rates	3089	percent of total billed charges	3089	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	P3	HMO		39	39% of all negotiated rates	3089	percent of total billed charges	3089	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1519	percent of total billed charges	1519	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Select Health	HMO		41	41% of all negotiated rates	2988	percent of total billed charges	2988	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3368	percent of total billed charges	3368	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Sierra/HPN	HMO		60	60% of all negotiated rates	2026	percent of total billed charges	2026	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Silversummit Medicare	HMO		39	39% of all negotiated rates	3089	percent of total billed charges	3089	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	TriWest	PPO		30	30% of all negotiated rates	3545	percent of total billed charges	3545	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1519	percent of total billed charges	1519	5064	
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Aetna	PPO	650		case rate	650	case rate	650	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	259	fee schedule	259	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Cigna	PPO	827.7		case rate	828	case rate	828	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	259	fee schedule	259	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Humana-Commerical	PPO	618		case rate	618	case rate	618	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	259	fee schedule	259	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	One Health	PPO	912		case rate	912	case rate	912	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4823	Coinsurance and deductible may apply
MRI Brain w/ Cont	70552	CPT	4090556	LOCAL	611	RC		outpatient			5064	4305	United Healthcare	PPO	912		case rate	912	case rate	912	4823	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Aetna Medicare	HMO		26	26% of all negotiated rates	3246	percent of total billed charges	3246	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Alignment Medicare	HMO		39	39% of all negotiated rates	2676	percent of total billed charges	2676	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1755	percent of total billed charges	1755	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2193	percent of total billed charges	2193	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2676	percent of total billed charges	2676	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Coventry	PPO		75	75% of all negotiated rates	1097	percent of total billed charges	1097	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	877	percent of total billed charges	877	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2676	percent of total billed charges	2676	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Multiplan	PPO		80	80% of all negotiated rates	877	percent of total billed charges	877	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Optum Medicare	HMO		39	39% of all negotiated rates	2676	percent of total billed charges	2676	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	P3	HMO		39	39% of all negotiated rates	2676	percent of total billed charges	2676	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1316	percent of total billed charges	1316	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Select Health	HMO		41	41% of all negotiated rates	2588	percent of total billed charges	2588	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2917	percent of total billed charges	2917	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Sierra/HPN	HMO		60	60% of all negotiated rates	1755	percent of total billed charges	1755	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Silversummit Medicare	HMO		39	39% of all negotiated rates	2676	percent of total billed charges	2676	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	TriWest	PPO		30	30% of all negotiated rates	3071	percent of total billed charges	3071	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1316	percent of total billed charges	1316	4387	
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Aetna	PPO	650		case rate	650	case rate	650	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	182	fee schedule	182	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Cigna	PPO	827.7		case rate	828	case rate	828	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	182	fee schedule	182	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Humana-Commerical	PPO	618		case rate	618	case rate	618	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	182	fee schedule	182	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	One Health	PPO	912		case rate	912	case rate	912	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4178	Coinsurance and deductible may apply
MRI Brain w/o Cont	70551	CPT	4095517	LOCAL	611	RC		outpatient			4387	3729	United Healthcare	PPO	912		case rate	912	case rate	912	4178	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Aetna Medicare	HMO		26	26% of all negotiated rates	4650	percent of total billed charges	4650	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Alignment Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2513	percent of total billed charges	2513	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3142	percent of total billed charges	3142	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Coventry	PPO		75	75% of all negotiated rates	1571	percent of total billed charges	1571	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1257	percent of total billed charges	1257	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Multiplan	PPO		80	80% of all negotiated rates	1257	percent of total billed charges	1257	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Optum Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	P3	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1885	percent of total billed charges	1885	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Select Health	HMO		41	41% of all negotiated rates	3707	percent of total billed charges	3707	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4178	percent of total billed charges	4178	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Sierra/HPN	HMO		60	60% of all negotiated rates	2513	percent of total billed charges	2513	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Silversummit Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	TriWest	PPO		30	30% of all negotiated rates	4398	percent of total billed charges	4398	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1885	percent of total billed charges	1885	6283	
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Aetna	PPO	650		case rate	650	case rate	650	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	296	fee schedule	296	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Cigna	PPO	827.7		case rate	828	case rate	828	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	296	fee schedule	296	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Humana-Commerical	PPO	618		case rate	618	case rate	618	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	296	fee schedule	296	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	One Health	PPO	912		case rate	912	case rate	912	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ + w/o Cont	72156	CPT	4091560	LOCAL	612	RC		outpatient			6283	5341	United Healthcare	PPO	912		case rate	912	case rate	912	5984	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Aetna Medicare	HMO		26	26% of all negotiated rates	3638	percent of total billed charges	3638	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Alignment Medicare	HMO		39	39% of all negotiated rates	2999	percent of total billed charges	2999	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1966	percent of total billed charges	1966	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2458	percent of total billed charges	2458	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2999	percent of total billed charges	2999	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Coventry	PPO		75	75% of all negotiated rates	1229	percent of total billed charges	1229	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	983	percent of total billed charges	983	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2999	percent of total billed charges	2999	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Multiplan	PPO		80	80% of all negotiated rates	983	percent of total billed charges	983	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Optum Medicare	HMO		39	39% of all negotiated rates	2999	percent of total billed charges	2999	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	P3	HMO		39	39% of all negotiated rates	2999	percent of total billed charges	2999	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1475	percent of total billed charges	1475	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Select Health	HMO		41	41% of all negotiated rates	2900	percent of total billed charges	2900	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3269	percent of total billed charges	3269	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Sierra/HPN	HMO		60	60% of all negotiated rates	1966	percent of total billed charges	1966	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Silversummit Medicare	HMO		39	39% of all negotiated rates	2999	percent of total billed charges	2999	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	TriWest	PPO		30	30% of all negotiated rates	3441	percent of total billed charges	3441	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1475	percent of total billed charges	1475	4916	
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Aetna	PPO	650		case rate	650	case rate	650	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	260	fee schedule	260	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Cigna	PPO	827.7		case rate	828	case rate	828	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	260	fee schedule	260	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Humana-Commerical	PPO	618		case rate	618	case rate	618	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	260	fee schedule	260	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	One Health	PPO	912		case rate	912	case rate	912	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/ Cont	72142	CPT	4091423	LOCAL	612	RC		outpatient			4916	4179	United Healthcare	PPO	912		case rate	912	case rate	912	4682	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Aetna Medicare	HMO		26	26% of all negotiated rates	3328	percent of total billed charges	3328	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Alignment Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1799	percent of total billed charges	1799	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2249	percent of total billed charges	2249	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Coventry	PPO		75	75% of all negotiated rates	1124	percent of total billed charges	1124	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	899	percent of total billed charges	899	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Multiplan	PPO		80	80% of all negotiated rates	899	percent of total billed charges	899	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Optum Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	P3	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1349	percent of total billed charges	1349	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Select Health	HMO		41	41% of all negotiated rates	2653	percent of total billed charges	2653	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2991	percent of total billed charges	2991	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Sierra/HPN	HMO		60	60% of all negotiated rates	1799	percent of total billed charges	1799	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Silversummit Medicare	HMO		39	39% of all negotiated rates	2743	percent of total billed charges	2743	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	TriWest	PPO		30	30% of all negotiated rates	3148	percent of total billed charges	3148	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1349	percent of total billed charges	1349	4497	
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Aetna	PPO	650		case rate	650	case rate	650	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Cigna	PPO	827.7		case rate	828	case rate	828	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Humana-Commerical	PPO	618		case rate	618	case rate	618	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	One Health	PPO	912		case rate	912	case rate	912	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4283	Coinsurance and deductible may apply
MRI Spine Cervical w/o Cont	72141	CPT	4091415	LOCAL	612	RC		outpatient			4497	3823	United Healthcare	PPO	912		case rate	912	case rate	912	4283	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Aetna Medicare	HMO		26	26% of all negotiated rates	4650	percent of total billed charges	4650	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Alignment Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	2514	percent of total billed charges	2514	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	3142	percent of total billed charges	3142	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Coventry	PPO		75	75% of all negotiated rates	1571	percent of total billed charges	1571	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	1257	percent of total billed charges	1257	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Multiplan	PPO		80	80% of all negotiated rates	1257	percent of total billed charges	1257	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Optum Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	P3	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1885	percent of total billed charges	1885	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Select Health	HMO		41	41% of all negotiated rates	3708	percent of total billed charges	3708	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	4179	percent of total billed charges	4179	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Sierra/HPN	HMO		60	60% of all negotiated rates	2514	percent of total billed charges	2514	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Silversummit Medicare	HMO		39	39% of all negotiated rates	3833	percent of total billed charges	3833	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	TriWest	PPO		30	30% of all negotiated rates	4399	percent of total billed charges	4399	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1885	percent of total billed charges	1885	6284	
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Aetna	PPO	650		case rate	650	case rate	650	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Cigna	PPO	827.7		case rate	828	case rate	828	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Humana-Commerical	PPO	618		case rate	618	case rate	618	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	294	fee schedule	294	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	One Health	PPO	912		case rate	912	case rate	912	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ + w/o Cont	72158	CPT	4092158	LOCAL	612	RC		outpatient			6284	5342	United Healthcare	PPO	912		case rate	912	case rate	912	5985	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Aetna Medicare	HMO		26	26% of all negotiated rates	3584	percent of total billed charges	3584	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Alignment Medicare	HMO		39	39% of all negotiated rates	2954	percent of total billed charges	2954	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1937	percent of total billed charges	1937	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2421	percent of total billed charges	2421	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2954	percent of total billed charges	2954	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Coventry	PPO		75	75% of all negotiated rates	1211	percent of total billed charges	1211	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	969	percent of total billed charges	969	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2954	percent of total billed charges	2954	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Multiplan	PPO		80	80% of all negotiated rates	969	percent of total billed charges	969	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Optum Medicare	HMO		39	39% of all negotiated rates	2954	percent of total billed charges	2954	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	P3	HMO		39	39% of all negotiated rates	2954	percent of total billed charges	2954	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1453	percent of total billed charges	1453	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Select Health	HMO		41	41% of all negotiated rates	2857	percent of total billed charges	2857	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3220	percent of total billed charges	3220	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Sierra/HPN	HMO		60	60% of all negotiated rates	1937	percent of total billed charges	1937	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Silversummit Medicare	HMO		39	39% of all negotiated rates	2954	percent of total billed charges	2954	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	TriWest	PPO		30	30% of all negotiated rates	3390	percent of total billed charges	3390	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1453	percent of total billed charges	1453	4843	
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Aetna	PPO	650		case rate	650	case rate	650	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	256	fee schedule	256	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Cigna	PPO	827.7		case rate	828	case rate	828	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	256	fee schedule	256	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Humana-Commerical	PPO	618		case rate	618	case rate	618	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	256	fee schedule	256	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	One Health	PPO	912		case rate	912	case rate	912	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/ Cont	72149	CPT	4091498	LOCAL	612	RC		outpatient			4843	4116	United Healthcare	PPO	912		case rate	912	case rate	912	4612	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Aetna Medicare	HMO		26	26% of all negotiated rates	3352	percent of total billed charges	3352	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Alignment Medicare	HMO		39	39% of all negotiated rates	2763	percent of total billed charges	2763	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1812	percent of total billed charges	1812	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2265	percent of total billed charges	2265	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2763	percent of total billed charges	2763	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Coventry	PPO		75	75% of all negotiated rates	1132	percent of total billed charges	1132	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	906	percent of total billed charges	906	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2763	percent of total billed charges	2763	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Multiplan	PPO		80	80% of all negotiated rates	906	percent of total billed charges	906	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Optum Medicare	HMO		39	39% of all negotiated rates	2763	percent of total billed charges	2763	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	P3	HMO		39	39% of all negotiated rates	2763	percent of total billed charges	2763	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1359	percent of total billed charges	1359	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Select Health	HMO		41	41% of all negotiated rates	2673	percent of total billed charges	2673	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3012	percent of total billed charges	3012	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Sierra/HPN	HMO		60	60% of all negotiated rates	1812	percent of total billed charges	1812	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Silversummit Medicare	HMO		39	39% of all negotiated rates	2763	percent of total billed charges	2763	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	TriWest	PPO		30	30% of all negotiated rates	3171	percent of total billed charges	3171	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1359	percent of total billed charges	1359	4530	
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Aetna	PPO	650		case rate	650	case rate	650	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Cigna	PPO	827.7		case rate	828	case rate	828	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Humana-Commerical	PPO	618		case rate	618	case rate	618	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	One Health	PPO	912		case rate	912	case rate	912	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4314	Coinsurance and deductible may apply
MRI Spine Lumbar w/o Cont	72148	CPT	4091480	LOCAL	612	RC		outpatient			4530	3850	United Healthcare	PPO	912		case rate	912	case rate	912	4314	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Aetna Medicare	HMO		26	26% of all negotiated rates	3590	percent of total billed charges	3590	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Alignment Medicare	HMO		39	39% of all negotiated rates	2959	percent of total billed charges	2959	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2426	percent of total billed charges	2426	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2959	percent of total billed charges	2959	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Coventry	PPO		75	75% of all negotiated rates	1213	percent of total billed charges	1213	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2959	percent of total billed charges	2959	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Multiplan	PPO		80	80% of all negotiated rates	970	percent of total billed charges	970	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Optum Medicare	HMO		39	39% of all negotiated rates	2959	percent of total billed charges	2959	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	P3	HMO		39	39% of all negotiated rates	2959	percent of total billed charges	2959	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Select Health	HMO		41	41% of all negotiated rates	2862	percent of total billed charges	2862	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	3226	percent of total billed charges	3226	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Sierra/HPN	HMO		60	60% of all negotiated rates	1940	percent of total billed charges	1940	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Silversummit Medicare	HMO		39	39% of all negotiated rates	2959	percent of total billed charges	2959	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	TriWest	PPO		30	30% of all negotiated rates	3396	percent of total billed charges	3396	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1455	percent of total billed charges	1455	4851	
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Aetna	PPO	650		case rate	650	case rate	650	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	257	fee schedule	257	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Cigna	PPO	827.7		case rate	828	case rate	828	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	257	fee schedule	257	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Humana-Commerical	PPO	618		case rate	618	case rate	618	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	257	fee schedule	257	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	One Health	PPO	912		case rate	912	case rate	912	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/ Cont	72147	CPT	4091472	LOCAL	612	RC		outpatient			4851	4123	United Healthcare	PPO	912		case rate	912	case rate	912	4620	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Aetna Medicare	HMO		26	26% of all negotiated rates	2706	percent of total billed charges	2706	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Alignment Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1828	percent of total billed charges	1828	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Coventry	PPO		75	75% of all negotiated rates	914	percent of total billed charges	914	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Multiplan	PPO		80	80% of all negotiated rates	731	percent of total billed charges	731	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Optum Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	P3	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Select Health	HMO		41	41% of all negotiated rates	2157	percent of total billed charges	2157	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2431	percent of total billed charges	2431	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Sierra/HPN	HMO		60	60% of all negotiated rates	1462	percent of total billed charges	1462	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Silversummit Medicare	HMO		39	39% of all negotiated rates	2230	percent of total billed charges	2230	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	TriWest	PPO		30	30% of all negotiated rates	2559	percent of total billed charges	2559	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1097	percent of total billed charges	1097	3656	
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Aetna	PPO	650		case rate	650	case rate	650	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Cigna	PPO	827.7		case rate	828	case rate	828	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Humana-Commerical	PPO	618		case rate	618	case rate	618	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	179	fee schedule	179	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	One Health	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	3482	Coinsurance and deductible may apply
MRI Spine Thoracic w/o Cont	72146	CPT	4091464	LOCAL	612	RC		outpatient			3656	3108	United Healthcare	PPO	912		case rate	912	case rate	912	3482	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Aetna Medicare	HMO		26	26% of all negotiated rates	1800	percent of total billed charges	1800	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Alignment Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	973	percent of total billed charges	973	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1216	percent of total billed charges	1216	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Coventry	PPO		75	75% of all negotiated rates	608	percent of total billed charges	608	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	486	percent of total billed charges	486	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Multiplan	PPO		80	80% of all negotiated rates	486	percent of total billed charges	486	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Optum Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	P3	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	730	percent of total billed charges	730	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Select Health	HMO		41	41% of all negotiated rates	1435	percent of total billed charges	1435	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1617	percent of total billed charges	1617	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Sierra/HPN	HMO		60	60% of all negotiated rates	973	percent of total billed charges	973	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Silversummit Medicare	HMO		39	39% of all negotiated rates	1483	percent of total billed charges	1483	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	TriWest	PPO		30	30% of all negotiated rates	1702	percent of total billed charges	1702	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	730	percent of total billed charges	730	2432	
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Aetna	PPO	650		case rate	650	case rate	650	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	296	fee schedule	296	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Cigna	PPO	827.7		case rate	828	case rate	828	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	296	fee schedule	296	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Humana-Commerical	PPO	618		case rate	618	case rate	618	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	296	fee schedule	296	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	One Health	PPO	912		case rate	912	case rate	912	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Bil.	77049	CPT	4097237	LOCAL	614	RC		outpatient			2432	2067	United Healthcare	PPO	912		case rate	912	case rate	912	2316	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Aetna Medicare	HMO		26	26% of all negotiated rates	899	percent of total billed charges	899	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Alignment Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	486	percent of total billed charges	486	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	607	percent of total billed charges	607	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Coventry	PPO		75	75% of all negotiated rates	304	percent of total billed charges	304	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	243	percent of total billed charges	243	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Multiplan	PPO		80	80% of all negotiated rates	243	percent of total billed charges	243	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Optum Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	P3	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	364	percent of total billed charges	364	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Select Health	HMO		41	41% of all negotiated rates	717	percent of total billed charges	717	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	808	percent of total billed charges	808	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Sierra/HPN	HMO		60	60% of all negotiated rates	486	percent of total billed charges	486	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Silversummit Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	TriWest	PPO		30	30% of all negotiated rates	850	percent of total billed charges	850	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	364	percent of total billed charges	364	1215	
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Aetna	PPO	650		case rate	650	case rate	650	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Cigna	PPO	827.7		case rate	828	case rate	828	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Humana-Commerical	PPO	618		case rate	618	case rate	618	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	One Health	PPO	912		case rate	912	case rate	912	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Lt.	77048	CPT	4097242	LOCAL	614	RC		outpatient			1215	1033	United Healthcare	PPO	912		case rate	912	case rate	912	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Aetna Medicare	HMO		26	26% of all negotiated rates	899	percent of total billed charges	899	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Alignment Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	486	percent of total billed charges	486	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	607	percent of total billed charges	607	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Coventry	PPO		75	75% of all negotiated rates	304	percent of total billed charges	304	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	243	percent of total billed charges	243	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Multiplan	PPO		80	80% of all negotiated rates	243	percent of total billed charges	243	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Optum Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	P3	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	364	percent of total billed charges	364	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Select Health	HMO		41	41% of all negotiated rates	717	percent of total billed charges	717	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	808	percent of total billed charges	808	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Sierra/HPN	HMO		60	60% of all negotiated rates	486	percent of total billed charges	486	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Silversummit Medicare	HMO		39	39% of all negotiated rates	741	percent of total billed charges	741	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	TriWest	PPO		30	30% of all negotiated rates	850	percent of total billed charges	850	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	364	percent of total billed charges	364	1215	
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Aetna	PPO	650		case rate	650	case rate	650	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Cigna	PPO	827.7		case rate	828	case rate	828	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Coalition	PPO	1038		Coalition grouper rate	1038	case rate	1038	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Humana-Commerical	PPO	618		case rate	618	case rate	618	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	298	fee schedule	298	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	One Health	PPO	912		case rate	912	case rate	912	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Southpoint (Gaghan South)	PPO	978.09		case rate	978	case rate	978	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	Teachers Trust	PPO	1038		case rate	1038	case rate	1038	1157	Coinsurance and deductible may apply
MRI Breast w/ + w/o Cont Rt.	77048	CPT	4097247	LOCAL	614	RC		outpatient			1215	1033	United Healthcare	PPO	912		case rate	912	case rate	912	1157	Coinsurance and deductible may apply
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Aetna	PPO		38	38% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Aetna Medicare	HMO		26	26% of all negotiated rates	12	percent of total billed charges	12	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Alignment Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	8	percent of total billed charges	8	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Cigna	PPO		68	68% of all negotiated rates	5	percent of total billed charges	5	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Coalition	PPO		59	59% of all negotiated rates	6	percent of total billed charges	6	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Coventry	PPO		75	75% of all negotiated rates	4	percent of total billed charges	4	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Humana-Commerical	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Multiplan	PPO		80	80% of all negotiated rates	3	percent of total billed charges	3	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	One Health	PPO		55	55% of all negotiated rates	7	percent of total billed charges	7	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Optum Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	P3	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Select Health	HMO		41	41% of all negotiated rates	9	percent of total billed charges	9	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Sierra/HPN	HMO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Silversummit Medicare	HMO		39	39% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	10	percent of total billed charges	10	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Teachers Trust	PPO		65	65% of all negotiated rates	6	percent of total billed charges	6	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	TriWest	PPO		30	30% of all negotiated rates	11	percent of total billed charges	11	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	5	percent of total billed charges	5	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	United Healthcare	PPO		60	60% of all negotiated rates	6	percent of total billed charges	6	16	
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	15	Coinsurance and deductible may apply
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	15	Coinsurance and deductible may apply
ACE BANDAGE 2 IN			1500009	LOCAL	623	RC		outpatient			16	13	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	13	fee schedule	13	15	Coinsurance and deductible may apply
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Aetna	PPO		38	38% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Aetna Medicare	HMO		26	26% of all negotiated rates	15	percent of total billed charges	15	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Alignment Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	10	percent of total billed charges	10	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Cigna	PPO		68	68% of all negotiated rates	6	percent of total billed charges	6	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Coalition	PPO		59	49% of all negotiated rates	8	percent of total billed charges	8	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Optum Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	P3	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	13	percent of total billed charges	13	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Silversummit Medicare	HMO		39	39% of all negotiated rates	12	percent of total billed charges	12	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	13	percent of total billed charges	13	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	TriWest	PPO		30	30% of all negotiated rates	14	percent of total billed charges	14	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	20	
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	19	Coinsurance and deductible may apply
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	19	Coinsurance and deductible may apply
ACE BANDAGE 3 IN			1500010	LOCAL	623	RC		outpatient			20	17	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	16	fee schedule	16	19	Coinsurance and deductible may apply
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Aetna	PPO		38	38% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Coalition	PPO		59	49% of all negotiated rates	9	percent of total billed charges	9	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Coventry	PPO		75	75% of all negotiated rates	5	percent of total billed charges	5	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Humana-Commerical	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	One Health	PPO		55	55% of all negotiated rates	9	percent of total billed charges	9	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Select Health	HMO		41	41% of all negotiated rates	12	percent of total billed charges	12	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	14	percent of total billed charges	14	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Sierra/HPN	HMO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Teachers Trust	PPO		65	65% of all negotiated rates	7	percent of total billed charges	7	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	6	percent of total billed charges	6	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	United Healthcare	PPO		60	60% of all negotiated rates	8	percent of total billed charges	8	21	
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	20	Coinsurance and deductible may apply
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	20	Coinsurance and deductible may apply
ACE BANDAGE 4 IN			1500011	LOCAL	623	RC		outpatient			21	18	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	17	fee schedule	17	20	Coinsurance and deductible may apply
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Aetna	PPO		38	38% of all negotiated rates	14	percent of total billed charges	14	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Aetna Medicare	HMO		26	26% of all negotiated rates	16	percent of total billed charges	16	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Alignment Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	11	percent of total billed charges	11	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Cigna	PPO		68	68% of all negotiated rates	7	percent of total billed charges	7	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Coalition	PPO		59	49% of all negotiated rates	9	percent of total billed charges	9	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Coventry	PPO		75	75% of all negotiated rates	6	percent of total billed charges	6	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Humana-Commerical	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Multiplan	PPO		80	80% of all negotiated rates	4	percent of total billed charges	4	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	One Health	PPO		55	55% of all negotiated rates	10	percent of total billed charges	10	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Optum Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	P3	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Select Health	HMO		41	41% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	15	percent of total billed charges	15	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Sierra/HPN	HMO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Silversummit Medicare	HMO		39	39% of all negotiated rates	13	percent of total billed charges	13	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	14	percent of total billed charges	14	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Teachers Trust	PPO		65	65% of all negotiated rates	8	percent of total billed charges	8	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	TriWest	PPO		30	30% of all negotiated rates	15	percent of total billed charges	15	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	7	percent of total billed charges	7	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	United Healthcare	PPO		60	60% of all negotiated rates	9	percent of total billed charges	9	22	
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	21	Coinsurance and deductible may apply
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	21	Coinsurance and deductible may apply
ACE BANDAGE 6  IN			1500012	LOCAL	623	RC		outpatient			22	19	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	18	fee schedule	18	21	Coinsurance and deductible may apply
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Coalition	PPO		59	49% of all negotiated rates	15	percent of total billed charges	15	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	34	Coinsurance and deductible may apply
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	34	Coinsurance and deductible may apply
COVADERM DRESSING 2X2			1500100	LOCAL	623	RC		outpatient			36	30	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	34	Coinsurance and deductible may apply
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Aetna	PPO		38	38% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Aetna Medicare	HMO		26	26% of all negotiated rates	26	percent of total billed charges	26	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Alignment Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	18	percent of total billed charges	18	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Cigna	PPO		68	68% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Coalition	PPO		59	49% of all negotiated rates	15	percent of total billed charges	15	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Multiplan	PPO		80	80% of all negotiated rates	7	percent of total billed charges	7	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	One Health	PPO		55	55% of all negotiated rates	16	percent of total billed charges	16	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Optum Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	P3	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Select Health	HMO		41	41% of all negotiated rates	21	percent of total billed charges	21	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	24	percent of total billed charges	24	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Sierra/HPN	HMO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Silversummit Medicare	HMO		39	39% of all negotiated rates	22	percent of total billed charges	22	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	23	percent of total billed charges	23	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Teachers Trust	PPO		65	65% of all negotiated rates	12	percent of total billed charges	12	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	TriWest	PPO		30	30% of all negotiated rates	25	percent of total billed charges	25	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	United Healthcare	PPO		60	60% of all negotiated rates	14	percent of total billed charges	14	36	
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	34	Coinsurance and deductible may apply
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	34	Coinsurance and deductible may apply
COVADERM PLUS 4X4			1500102	LOCAL	623	RC		outpatient			36	30	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	29	fee schedule	29	34	Coinsurance and deductible may apply
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Aetna	PPO		38	38% of all negotiated rates	2640	percent of total billed charges	2640	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Aetna Medicare	HMO		26	26% of all negotiated rates	3151	percent of total billed charges	3151	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Alignment Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1703	percent of total billed charges	1703	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2129	percent of total billed charges	2129	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Cigna	PPO		68	68% of all negotiated rates	1362	percent of total billed charges	1362	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Coalition	PPO		59	49% of all negotiated rates	1746	percent of total billed charges	1746	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Coventry	PPO		75	75% of all negotiated rates	1064	percent of total billed charges	1064	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	852	percent of total billed charges	852	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Humana-Commerical	PPO		70	70% of all negotiated rates	1277	percent of total billed charges	1277	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Multiplan	PPO		80	80% of all negotiated rates	852	percent of total billed charges	852	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	One Health	PPO		55	55% of all negotiated rates	1916	percent of total billed charges	1916	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Optum Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	P3	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1277	percent of total billed charges	1277	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Select Health	HMO		41	41% of all negotiated rates	2512	percent of total billed charges	2512	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2831	percent of total billed charges	2831	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Sierra/HPN	HMO		60	60% of all negotiated rates	1703	percent of total billed charges	1703	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Silversummit Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2768	percent of total billed charges	2768	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	Teachers Trust	PPO		65	65% of all negotiated rates	1490	percent of total billed charges	1490	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	TriWest	PPO		30	30% of all negotiated rates	2980	percent of total billed charges	2980	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1277	percent of total billed charges	1277	4258	
BCH Cardiolito			4079500	LOCAL	636	RC		outpatient			4258	3619	United Healthcare	PPO		60	60% of all negotiated rates	1703	percent of total billed charges	1703	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Aetna	PPO		38	38% of all negotiated rates	2640	percent of total billed charges	2640	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Aetna Medicare	HMO		26	26% of all negotiated rates	3151	percent of total billed charges	3151	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Alignment Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1703	percent of total billed charges	1703	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2129	percent of total billed charges	2129	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Cigna	PPO		68	68% of all negotiated rates	1362	percent of total billed charges	1362	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Coalition	PPO		59	49% of all negotiated rates	1746	percent of total billed charges	1746	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Coventry	PPO		75	75% of all negotiated rates	1064	percent of total billed charges	1064	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	852	percent of total billed charges	852	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Humana-Commerical	PPO		70	70% of all negotiated rates	1277	percent of total billed charges	1277	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Multiplan	PPO		80	80% of all negotiated rates	852	percent of total billed charges	852	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	One Health	PPO		55	55% of all negotiated rates	1916	percent of total billed charges	1916	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Optum Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	P3	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1277	percent of total billed charges	1277	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Select Health	HMO		41	41% of all negotiated rates	2512	percent of total billed charges	2512	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2831	percent of total billed charges	2831	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Sierra/HPN	HMO		60	60% of all negotiated rates	1703	percent of total billed charges	1703	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Silversummit Medicare	HMO		39	39% of all negotiated rates	2597	percent of total billed charges	2597	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2768	percent of total billed charges	2768	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	Teachers Trust	PPO		65	65% of all negotiated rates	1490	percent of total billed charges	1490	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	TriWest	PPO		30	30% of all negotiated rates	2980	percent of total billed charges	2980	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1277	percent of total billed charges	1277	4258	
BCH Ceretec			4079723	LOCAL	636	RC		outpatient			4258	3619	United Healthcare	PPO		60	60% of all negotiated rates	1703	percent of total billed charges	1703	4258	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Aetna	PPO		38	38% of all negotiated rates	220	percent of total billed charges	220	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Aetna Medicare	HMO		26	26% of all negotiated rates	263	percent of total billed charges	263	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Alignment Medicare	HMO		39	39% of all negotiated rates	216	percent of total billed charges	216	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	142	percent of total billed charges	142	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	177	percent of total billed charges	177	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	216	percent of total billed charges	216	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Cigna	PPO		68	68% of all negotiated rates	114	percent of total billed charges	114	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Coalition	PPO		59	49% of all negotiated rates	146	percent of total billed charges	146	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Coventry	PPO		75	75% of all negotiated rates	89	percent of total billed charges	89	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Humana-Commerical	PPO		70	70% of all negotiated rates	106	percent of total billed charges	106	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	216	percent of total billed charges	216	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Multiplan	PPO		80	80% of all negotiated rates	71	percent of total billed charges	71	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	One Health	PPO		55	55% of all negotiated rates	160	percent of total billed charges	160	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Optum Medicare	HMO		39	39% of all negotiated rates	216	percent of total billed charges	216	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	P3	HMO		39	39% of all negotiated rates	216	percent of total billed charges	216	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	106	percent of total billed charges	106	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Select Health	HMO		41	41% of all negotiated rates	209	percent of total billed charges	209	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	236	percent of total billed charges	236	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Sierra/HPN	HMO		60	60% of all negotiated rates	142	percent of total billed charges	142	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Silversummit Medicare	HMO		39	39% of all negotiated rates	216	percent of total billed charges	216	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	231	percent of total billed charges	231	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Teachers Trust	PPO		65	65% of all negotiated rates	124	percent of total billed charges	124	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	TriWest	PPO		30	30% of all negotiated rates	248	percent of total billed charges	248	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	106	percent of total billed charges	106	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	United Healthcare	PPO		60	60% of all negotiated rates	142	percent of total billed charges	142	355	
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	287	fee schedule	287	338	Coinsurance and deductible may apply
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	287	fee schedule	287	338	Coinsurance and deductible may apply
BCH Choletec Dose			4078195	LOCAL	636	RC		outpatient			355	302	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	287	fee schedule	287	338	Coinsurance and deductible may apply
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Aetna	PPO		38	38% of all negotiated rates	149	percent of total billed charges	149	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Aetna Medicare	HMO		26	26% of all negotiated rates	178	percent of total billed charges	178	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Alignment Medicare	HMO		39	39% of all negotiated rates	147	percent of total billed charges	147	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	96	percent of total billed charges	96	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	120	percent of total billed charges	120	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	147	percent of total billed charges	147	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Cigna	PPO		68	68% of all negotiated rates	77	percent of total billed charges	77	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Coalition	PPO		59	49% of all negotiated rates	99	percent of total billed charges	99	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Coventry	PPO		75	75% of all negotiated rates	60	percent of total billed charges	60	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	48	percent of total billed charges	48	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Humana-Commerical	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	147	percent of total billed charges	147	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Multiplan	PPO		80	80% of all negotiated rates	48	percent of total billed charges	48	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	One Health	PPO		55	55% of all negotiated rates	108	percent of total billed charges	108	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Optum Medicare	HMO		39	39% of all negotiated rates	147	percent of total billed charges	147	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	P3	HMO		39	39% of all negotiated rates	147	percent of total billed charges	147	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Select Health	HMO		41	41% of all negotiated rates	142	percent of total billed charges	142	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	160	percent of total billed charges	160	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Sierra/HPN	HMO		60	60% of all negotiated rates	96	percent of total billed charges	96	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Silversummit Medicare	HMO		39	39% of all negotiated rates	147	percent of total billed charges	147	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	156	percent of total billed charges	156	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Teachers Trust	PPO		65	65% of all negotiated rates	84	percent of total billed charges	84	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	TriWest	PPO		30	30% of all negotiated rates	168	percent of total billed charges	168	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	United Healthcare	PPO		60	60% of all negotiated rates	96	percent of total billed charges	96	240	
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	195	fee schedule	195	229	Coinsurance and deductible may apply
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	195	fee schedule	195	229	Coinsurance and deductible may apply
BCH Cystagrafin			4050396	LOCAL	636	RC		outpatient			240	204	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	195	fee schedule	195	229	Coinsurance and deductible may apply
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Aetna	PPO		38	38% of all negotiated rates	57	percent of total billed charges	57	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Aetna Medicare	HMO		26	26% of all negotiated rates	68	percent of total billed charges	68	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Alignment Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	46	percent of total billed charges	46	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Cigna	PPO		68	68% of all negotiated rates	30	percent of total billed charges	30	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Coalition	PPO		59	49% of all negotiated rates	38	percent of total billed charges	38	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Coventry	PPO		75	75% of all negotiated rates	23	percent of total billed charges	23	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Humana-Commerical	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Multiplan	PPO		80	80% of all negotiated rates	18	percent of total billed charges	18	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	One Health	PPO		55	55% of all negotiated rates	42	percent of total billed charges	42	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Optum Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	P3	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Select Health	HMO		41	41% of all negotiated rates	55	percent of total billed charges	55	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	61	percent of total billed charges	61	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Sierra/HPN	HMO		60	60% of all negotiated rates	37	percent of total billed charges	37	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Silversummit Medicare	HMO		39	39% of all negotiated rates	56	percent of total billed charges	56	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	60	percent of total billed charges	60	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Teachers Trust	PPO		65	65% of all negotiated rates	32	percent of total billed charges	32	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	TriWest	PPO		30	30% of all negotiated rates	65	percent of total billed charges	65	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	28	percent of total billed charges	28	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	United Healthcare	PPO		60	60% of all negotiated rates	37	percent of total billed charges	37	92	
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	88	Coinsurance and deductible may apply
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	88	Coinsurance and deductible may apply
BCH Eovist			4091270	LOCAL	636	RC		outpatient			92	79	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	75	fee schedule	75	88	Coinsurance and deductible may apply
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Aetna	PPO		38	38% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Aetna Medicare	HMO		26	26% of all negotiated rates	28	percent of total billed charges	28	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Alignment Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	19	percent of total billed charges	19	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Cigna	PPO		68	68% of all negotiated rates	12	percent of total billed charges	12	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Coalition	PPO		59	49% of all negotiated rates	15	percent of total billed charges	15	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Coventry	PPO		75	75% of all negotiated rates	9	percent of total billed charges	9	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Humana-Commerical	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Multiplan	PPO		80	80% of all negotiated rates	8	percent of total billed charges	8	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	One Health	PPO		55	55% of all negotiated rates	17	percent of total billed charges	17	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Optum Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	P3	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Select Health	HMO		41	41% of all negotiated rates	22	percent of total billed charges	22	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	25	percent of total billed charges	25	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Sierra/HPN	HMO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Silversummit Medicare	HMO		39	39% of all negotiated rates	23	percent of total billed charges	23	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	25	percent of total billed charges	25	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Teachers Trust	PPO		65	65% of all negotiated rates	13	percent of total billed charges	13	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	TriWest	PPO		30	30% of all negotiated rates	26	percent of total billed charges	26	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	11	percent of total billed charges	11	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	United Healthcare	PPO		60	60% of all negotiated rates	15	percent of total billed charges	15	38	
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	36	Coinsurance and deductible may apply
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	36	Coinsurance and deductible may apply
BCH Gadolinum			4091268	LOCAL	636	RC		outpatient			38	32	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	31	fee schedule	31	36	Coinsurance and deductible may apply
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Aetna	PPO		38	38% of all negotiated rates	117	percent of total billed charges	117	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Aetna Medicare	HMO		26	26% of all negotiated rates	139	percent of total billed charges	139	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Alignment Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	94	percent of total billed charges	94	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Cigna	PPO		68	68% of all negotiated rates	60	percent of total billed charges	60	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Coalition	PPO		59	49% of all negotiated rates	77	percent of total billed charges	77	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Coventry	PPO		75	75% of all negotiated rates	47	percent of total billed charges	47	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Humana-Commerical	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Multiplan	PPO		80	80% of all negotiated rates	38	percent of total billed charges	38	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	One Health	PPO		55	55% of all negotiated rates	85	percent of total billed charges	85	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Optum Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	P3	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Select Health	HMO		41	41% of all negotiated rates	111	percent of total billed charges	111	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	125	percent of total billed charges	125	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Sierra/HPN	HMO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Silversummit Medicare	HMO		39	39% of all negotiated rates	115	percent of total billed charges	115	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	122	percent of total billed charges	122	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Teachers Trust	PPO		65	65% of all negotiated rates	66	percent of total billed charges	66	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	TriWest	PPO		30	30% of all negotiated rates	132	percent of total billed charges	132	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	56	percent of total billed charges	56	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	United Healthcare	PPO		60	60% of all negotiated rates	75	percent of total billed charges	75	188	
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	152	fee schedule	152	179	Coinsurance and deductible may apply
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	152	fee schedule	152	179	Coinsurance and deductible may apply
BCH Gastroview			4050048	LOCAL	636	RC		outpatient			188	160	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	152	fee schedule	152	179	Coinsurance and deductible may apply
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Aetna	PPO		38	38% of all negotiated rates	177	percent of total billed charges	177	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Aetna Medicare	HMO		26	26% of all negotiated rates	211	percent of total billed charges	211	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Alignment Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	114	percent of total billed charges	114	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	143	percent of total billed charges	143	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Cigna	PPO		68	68% of all negotiated rates	91	percent of total billed charges	91	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Coalition	PPO		59	49% of all negotiated rates	117	percent of total billed charges	117	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Coventry	PPO		75	75% of all negotiated rates	71	percent of total billed charges	71	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	57	percent of total billed charges	57	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Humana-Commerical	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Multiplan	PPO		80	80% of all negotiated rates	57	percent of total billed charges	57	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	One Health	PPO		55	55% of all negotiated rates	129	percent of total billed charges	129	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Optum Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	P3	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Select Health	HMO		41	41% of all negotiated rates	169	percent of total billed charges	169	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	190	percent of total billed charges	190	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Sierra/HPN	HMO		60	60% of all negotiated rates	114	percent of total billed charges	114	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Silversummit Medicare	HMO		39	39% of all negotiated rates	174	percent of total billed charges	174	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	186	percent of total billed charges	186	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Teachers Trust	PPO		65	65% of all negotiated rates	100	percent of total billed charges	100	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	TriWest	PPO		30	30% of all negotiated rates	200	percent of total billed charges	200	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	United Healthcare	PPO		60	60% of all negotiated rates	114	percent of total billed charges	114	286	
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	231	fee schedule	231	272	Coinsurance and deductible may apply
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	231	fee schedule	231	272	Coinsurance and deductible may apply
BCH I131 Sodium Iodine Capsul			4070025	LOCAL	636	RC		outpatient			286	243	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	231	fee schedule	231	272	Coinsurance and deductible may apply
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Aetna	PPO		38	38% of all negotiated rates	104	percent of total billed charges	104	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Aetna Medicare	HMO		26	26% of all negotiated rates	124	percent of total billed charges	124	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Alignment Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	67	percent of total billed charges	67	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	84	percent of total billed charges	84	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Cigna	PPO		68	68% of all negotiated rates	54	percent of total billed charges	54	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Coalition	PPO		59	49% of all negotiated rates	69	percent of total billed charges	69	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Coventry	PPO		75	75% of all negotiated rates	42	percent of total billed charges	42	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Humana-Commerical	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Multiplan	PPO		80	80% of all negotiated rates	34	percent of total billed charges	34	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	One Health	PPO		55	55% of all negotiated rates	76	percent of total billed charges	76	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Optum Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	P3	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Select Health	HMO		41	41% of all negotiated rates	99	percent of total billed charges	99	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	112	percent of total billed charges	112	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Sierra/HPN	HMO		60	60% of all negotiated rates	67	percent of total billed charges	67	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Silversummit Medicare	HMO		39	39% of all negotiated rates	102	percent of total billed charges	102	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	109	percent of total billed charges	109	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Teachers Trust	PPO		65	65% of all negotiated rates	59	percent of total billed charges	59	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	TriWest	PPO		30	30% of all negotiated rates	118	percent of total billed charges	118	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	50	percent of total billed charges	50	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	United Healthcare	PPO		60	60% of all negotiated rates	67	percent of total billed charges	67	168	
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	136	fee schedule	136	160	Coinsurance and deductible may apply
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	136	fee schedule	136	160	Coinsurance and deductible may apply
BCH I131 Theraputic Thyr			4070001	LOCAL	636	RC		outpatient			168	143	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	136	fee schedule	136	160	Coinsurance and deductible may apply
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Aetna	PPO		38	38% of all negotiated rates	2629	percent of total billed charges	2629	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Aetna Medicare	HMO		26	26% of all negotiated rates	3138	percent of total billed charges	3138	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Alignment Medicare	HMO		39	39% of all negotiated rates	2586	percent of total billed charges	2586	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	1696	percent of total billed charges	1696	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	2120	percent of total billed charges	2120	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	2586	percent of total billed charges	2586	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Cigna	PPO		68	68% of all negotiated rates	1357	percent of total billed charges	1357	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Coalition	PPO		59	49% of all negotiated rates	1738	percent of total billed charges	1738	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Coventry	PPO		75	75% of all negotiated rates	1060	percent of total billed charges	1060	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	848	percent of total billed charges	848	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Humana-Commerical	PPO		70	70% of all negotiated rates	1272	percent of total billed charges	1272	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	2586	percent of total billed charges	2586	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Multiplan	PPO		80	80% of all negotiated rates	848	percent of total billed charges	848	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	One Health	PPO		55	55% of all negotiated rates	1908	percent of total billed charges	1908	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Optum Medicare	HMO		39	39% of all negotiated rates	2586	percent of total billed charges	2586	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	P3	HMO		39	39% of all negotiated rates	2586	percent of total billed charges	2586	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	1272	percent of total billed charges	1272	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Select Health	HMO		41	41% of all negotiated rates	2502	percent of total billed charges	2502	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	2820	percent of total billed charges	2820	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Sierra/HPN	HMO		60	60% of all negotiated rates	1696	percent of total billed charges	1696	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Silversummit Medicare	HMO		39	39% of all negotiated rates	2586	percent of total billed charges	2586	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	2756	percent of total billed charges	2756	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Teachers Trust	PPO		65	65% of all negotiated rates	1484	percent of total billed charges	1484	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	TriWest	PPO		30	30% of all negotiated rates	2968	percent of total billed charges	2968	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	1272	percent of total billed charges	1272	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	United Healthcare	PPO		60	60% of all negotiated rates	1696	percent of total billed charges	1696	4240	
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3432	fee schedule	3432	4038	Coinsurance and deductible may apply
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3432	fee schedule	3432	4038	Coinsurance and deductible may apply
BCH Indium Radionuclide			4071948	LOCAL	636	RC		outpatient			4240	3604	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	3432	fee schedule	3432	4038	Coinsurance and deductible may apply
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Aetna	PPO		38	38% of all negotiated rates	312	percent of total billed charges	312	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Aetna Medicare	HMO		26	26% of all negotiated rates	373	percent of total billed charges	373	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Alignment Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	252	percent of total billed charges	252	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Cigna	PPO		68	68% of all negotiated rates	161	percent of total billed charges	161	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Coalition	PPO		59	49% of all negotiated rates	207	percent of total billed charges	207	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Coventry	PPO		75	75% of all negotiated rates	126	percent of total billed charges	126	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Humana-Commerical	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Multiplan	PPO		80	80% of all negotiated rates	101	percent of total billed charges	101	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	One Health	PPO		55	55% of all negotiated rates	227	percent of total billed charges	227	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Optum Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	P3	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Select Health	HMO		41	41% of all negotiated rates	297	percent of total billed charges	297	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	335	percent of total billed charges	335	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Sierra/HPN	HMO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Silversummit Medicare	HMO		39	39% of all negotiated rates	307	percent of total billed charges	307	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	328	percent of total billed charges	328	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Teachers Trust	PPO		65	65% of all negotiated rates	176	percent of total billed charges	176	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	TriWest	PPO		30	30% of all negotiated rates	353	percent of total billed charges	353	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	151	percent of total billed charges	151	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	United Healthcare	PPO		60	60% of all negotiated rates	202	percent of total billed charges	202	504	
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	408	fee schedule	408	480	Coinsurance and deductible may apply
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	408	fee schedule	408	480	Coinsurance and deductible may apply
BCH Inj Sincalide 5M			4079510	LOCAL	636	RC		outpatient			504	428	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	408	fee schedule	408	480	Coinsurance and deductible may apply
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Aetna	PPO		38	38% of all negotiated rates	298	percent of total billed charges	298	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Aetna Medicare	HMO		26	26% of all negotiated rates	355	percent of total billed charges	355	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Alignment Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	240	percent of total billed charges	240	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Cigna	PPO		68	68% of all negotiated rates	154	percent of total billed charges	154	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Coalition	PPO		59	49% of all negotiated rates	197	percent of total billed charges	197	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Coventry	PPO		75	75% of all negotiated rates	120	percent of total billed charges	120	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Humana-Commerical	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Multiplan	PPO		80	80% of all negotiated rates	96	percent of total billed charges	96	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	One Health	PPO		55	55% of all negotiated rates	216	percent of total billed charges	216	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Optum Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	P3	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Select Health	HMO		41	41% of all negotiated rates	283	percent of total billed charges	283	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	319	percent of total billed charges	319	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Sierra/HPN	HMO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Silversummit Medicare	HMO		39	39% of all negotiated rates	293	percent of total billed charges	293	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	312	percent of total billed charges	312	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Teachers Trust	PPO		65	65% of all negotiated rates	168	percent of total billed charges	168	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	TriWest	PPO		30	30% of all negotiated rates	336	percent of total billed charges	336	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	144	percent of total billed charges	144	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	United Healthcare	PPO		60	60% of all negotiated rates	192	percent of total billed charges	192	480	
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	388	fee schedule	388	457	Coinsurance and deductible may apply
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	388	fee schedule	388	457	Coinsurance and deductible may apply
BCH Isovue 300 100mL			4068991	LOCAL	636	RC		outpatient			480	408	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	388	fee schedule	388	457	Coinsurance and deductible may apply
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Aetna	PPO		38	38% of all negotiated rates	142	percent of total billed charges	142	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Aetna Medicare	HMO		26	26% of all negotiated rates	169	percent of total billed charges	169	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	114	percent of total billed charges	114	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Coalition	PPO		59	49% of all negotiated rates	94	percent of total billed charges	94	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	One Health	PPO		55	55% of all negotiated rates	103	percent of total billed charges	103	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Select Health	HMO		41	41% of all negotiated rates	135	percent of total billed charges	135	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	152	percent of total billed charges	152	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	TriWest	PPO		30	30% of all negotiated rates	160	percent of total billed charges	160	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	United Healthcare	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	185	fee schedule	185	218	Coinsurance and deductible may apply
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	185	fee schedule	185	218	Coinsurance and deductible may apply
BCH MAA Dose			4078192	LOCAL	636	RC		outpatient			229	195	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	185	fee schedule	185	218	Coinsurance and deductible may apply
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Aetna	PPO		38	38% of all negotiated rates	730	percent of total billed charges	730	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Aetna Medicare	HMO		26	26% of all negotiated rates	872	percent of total billed charges	872	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Alignment Medicare	HMO		39	39% of all negotiated rates	719	percent of total billed charges	719	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	471	percent of total billed charges	471	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	589	percent of total billed charges	589	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	719	percent of total billed charges	719	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Cigna	PPO		68	68% of all negotiated rates	377	percent of total billed charges	377	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Coalition	PPO		59	49% of all negotiated rates	483	percent of total billed charges	483	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Coventry	PPO		75	75% of all negotiated rates	295	percent of total billed charges	295	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	236	percent of total billed charges	236	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Humana-Commerical	PPO		70	70% of all negotiated rates	353	percent of total billed charges	353	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	719	percent of total billed charges	719	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Multiplan	PPO		80	80% of all negotiated rates	236	percent of total billed charges	236	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	One Health	PPO		55	55% of all negotiated rates	530	percent of total billed charges	530	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Optum Medicare	HMO		39	39% of all negotiated rates	719	percent of total billed charges	719	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	P3	HMO		39	39% of all negotiated rates	719	percent of total billed charges	719	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	353	percent of total billed charges	353	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Select Health	HMO		41	41% of all negotiated rates	695	percent of total billed charges	695	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	783	percent of total billed charges	783	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Sierra/HPN	HMO		60	60% of all negotiated rates	471	percent of total billed charges	471	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Silversummit Medicare	HMO		39	39% of all negotiated rates	719	percent of total billed charges	719	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	766	percent of total billed charges	766	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Teachers Trust	PPO		65	65% of all negotiated rates	412	percent of total billed charges	412	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	TriWest	PPO		30	30% of all negotiated rates	825	percent of total billed charges	825	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	353	percent of total billed charges	353	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	United Healthcare	PPO		60	60% of all negotiated rates	471	percent of total billed charges	471	1178	
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	954	fee schedule	954	1122	Coinsurance and deductible may apply
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	954	fee schedule	954	1122	Coinsurance and deductible may apply
BCH MAG III Dose			4074650	LOCAL	636	RC		outpatient			1178	1001	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	954	fee schedule	954	1122	Coinsurance and deductible may apply
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Aetna	PPO		38	38% of all negotiated rates	148	percent of total billed charges	148	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Aetna Medicare	HMO		26	26% of all negotiated rates	176	percent of total billed charges	176	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Alignment Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	119	percent of total billed charges	119	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Coalition	PPO		59	49% of all negotiated rates	98	percent of total billed charges	98	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Coventry	PPO		75	75% of all negotiated rates	60	percent of total billed charges	60	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	48	percent of total billed charges	48	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Humana-Commerical	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Multiplan	PPO		80	80% of all negotiated rates	48	percent of total billed charges	48	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	One Health	PPO		55	55% of all negotiated rates	107	percent of total billed charges	107	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Optum Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	P3	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Select Health	HMO		41	41% of all negotiated rates	141	percent of total billed charges	141	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	159	percent of total billed charges	159	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Silversummit Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	155	percent of total billed charges	155	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	TriWest	PPO		30	30% of all negotiated rates	167	percent of total billed charges	167	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	238	
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	193	fee schedule	193	227	Coinsurance and deductible may apply
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	193	fee schedule	193	227	Coinsurance and deductible may apply
BCH MDP Up To 30Mci			4079503	LOCAL	636	RC		outpatient			238	203	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	193	fee schedule	193	227	Coinsurance and deductible may apply
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Aetna	PPO		38	38% of all negotiated rates	427	percent of total billed charges	427	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Aetna Medicare	HMO		26	26% of all negotiated rates	510	percent of total billed charges	510	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Alignment Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	276	percent of total billed charges	276	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Cigna	PPO		68	68% of all negotiated rates	220	percent of total billed charges	220	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Coalition	PPO		59	49% of all negotiated rates	282	percent of total billed charges	282	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Coventry	PPO		75	75% of all negotiated rates	172	percent of total billed charges	172	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Humana-Commerical	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Multiplan	PPO		80	80% of all negotiated rates	138	percent of total billed charges	138	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	One Health	PPO		55	55% of all negotiated rates	310	percent of total billed charges	310	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Optum Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	P3	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Select Health	HMO		41	41% of all negotiated rates	406	percent of total billed charges	406	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	458	percent of total billed charges	458	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Sierra/HPN	HMO		60	60% of all negotiated rates	276	percent of total billed charges	276	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Silversummit Medicare	HMO		39	39% of all negotiated rates	420	percent of total billed charges	420	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	448	percent of total billed charges	448	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Teachers Trust	PPO		65	65% of all negotiated rates	241	percent of total billed charges	241	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	TriWest	PPO		30	30% of all negotiated rates	482	percent of total billed charges	482	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	207	percent of total billed charges	207	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	United Healthcare	PPO		60	60% of all negotiated rates	276	percent of total billed charges	276	689	
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	558	fee schedule	558	656	Coinsurance and deductible may apply
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	558	fee schedule	558	656	Coinsurance and deductible may apply
BCH Myoview			4079502	LOCAL	636	RC		outpatient			689	585	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	558	fee schedule	558	656	Coinsurance and deductible may apply
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Aetna	PPO		38	38% of all negotiated rates	146	percent of total billed charges	146	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Aetna Medicare	HMO		26	26% of all negotiated rates	175	percent of total billed charges	175	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Alignment Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	118	percent of total billed charges	118	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Coalition	PPO		59	49% of all negotiated rates	97	percent of total billed charges	97	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Coventry	PPO		75	75% of all negotiated rates	59	percent of total billed charges	59	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Humana-Commerical	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Multiplan	PPO		80	80% of all negotiated rates	47	percent of total billed charges	47	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	One Health	PPO		55	55% of all negotiated rates	106	percent of total billed charges	106	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Optum Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	P3	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Select Health	HMO		41	41% of all negotiated rates	139	percent of total billed charges	139	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	157	percent of total billed charges	157	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Silversummit Medicare	HMO		39	39% of all negotiated rates	144	percent of total billed charges	144	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	154	percent of total billed charges	154	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	TriWest	PPO		30	30% of all negotiated rates	165	percent of total billed charges	165	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	71	percent of total billed charges	71	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	236	
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	191	fee schedule	191	225	Coinsurance and deductible may apply
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	191	fee schedule	191	225	Coinsurance and deductible may apply
BCH Radionuclide			4079919	LOCAL	636	RC		outpatient			236	201	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	191	fee schedule	191	225	Coinsurance and deductible may apply
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Aetna	PPO		38	38% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Aetna Medicare	HMO		26	26% of all negotiated rates	9	percent of total billed charges	9	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Alignment Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	6	percent of total billed charges	6	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Cigna	PPO		68	68% of all negotiated rates	4	percent of total billed charges	4	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Coalition	PPO		59	49% of all negotiated rates	5	percent of total billed charges	5	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Coventry	PPO		75	75% of all negotiated rates	3	percent of total billed charges	3	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Humana-Commerical	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Multiplan	PPO		80	80% of all negotiated rates	2	percent of total billed charges	2	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	One Health	PPO		55	55% of all negotiated rates	5	percent of total billed charges	5	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Optum Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	P3	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Select Health	HMO		41	41% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	8	percent of total billed charges	8	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Sierra/HPN	HMO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Silversummit Medicare	HMO		39	39% of all negotiated rates	7	percent of total billed charges	7	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	8	percent of total billed charges	8	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Teachers Trust	PPO		65	65% of all negotiated rates	4	percent of total billed charges	4	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	TriWest	PPO		30	30% of all negotiated rates	8	percent of total billed charges	8	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	3	percent of total billed charges	3	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	United Healthcare	PPO		60	60% of all negotiated rates	5	percent of total billed charges	5	12	
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	11	Coinsurance and deductible may apply
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	11	Coinsurance and deductible may apply
BCH Sinografin			4053747	LOCAL	636	RC		outpatient			12	10	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	9	fee schedule	9	11	Coinsurance and deductible may apply
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Aetna	PPO		38	38% of all negotiated rates	260	percent of total billed charges	260	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Aetna Medicare	HMO		26	26% of all negotiated rates	310	percent of total billed charges	310	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Alignment Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	168	percent of total billed charges	168	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	209	percent of total billed charges	209	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Cigna	PPO		68	68% of all negotiated rates	134	percent of total billed charges	134	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Coalition	PPO		59	49% of all negotiated rates	172	percent of total billed charges	172	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Coventry	PPO		75	75% of all negotiated rates	105	percent of total billed charges	105	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	84	percent of total billed charges	84	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Humana-Commerical	PPO		70	70% of all negotiated rates	126	percent of total billed charges	126	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Multiplan	PPO		80	80% of all negotiated rates	84	percent of total billed charges	84	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	One Health	PPO		55	55% of all negotiated rates	189	percent of total billed charges	189	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Optum Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	P3	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	126	percent of total billed charges	126	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Select Health	HMO		41	41% of all negotiated rates	247	percent of total billed charges	247	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	279	percent of total billed charges	279	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Sierra/HPN	HMO		60	60% of all negotiated rates	168	percent of total billed charges	168	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Silversummit Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	272	percent of total billed charges	272	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Teachers Trust	PPO		65	65% of all negotiated rates	147	percent of total billed charges	147	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	TriWest	PPO		30	30% of all negotiated rates	293	percent of total billed charges	293	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	126	percent of total billed charges	126	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	United Healthcare	PPO		60	60% of all negotiated rates	168	percent of total billed charges	168	419	
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	339	fee schedule	339	399	Coinsurance and deductible may apply
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	339	fee schedule	339	399	Coinsurance and deductible may apply
BCH Sulfur Colloid Dose			4078190	LOCAL	636	RC		outpatient			419	356	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	339	fee schedule	339	399	Coinsurance and deductible may apply
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Aetna	PPO		38	38% of all negotiated rates	148	percent of total billed charges	148	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Aetna Medicare	HMO		26	26% of all negotiated rates	176	percent of total billed charges	176	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Alignment Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	119	percent of total billed charges	119	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Cigna	PPO		68	68% of all negotiated rates	76	percent of total billed charges	76	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Coalition	PPO		59	49% of all negotiated rates	98	percent of total billed charges	98	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Coventry	PPO		75	75% of all negotiated rates	60	percent of total billed charges	60	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	48	percent of total billed charges	48	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Humana-Commerical	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Multiplan	PPO		80	80% of all negotiated rates	48	percent of total billed charges	48	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	One Health	PPO		55	55% of all negotiated rates	107	percent of total billed charges	107	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Optum Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	P3	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Select Health	HMO		41	41% of all negotiated rates	141	percent of total billed charges	141	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	159	percent of total billed charges	159	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Sierra/HPN	HMO		60	60% of all negotiated rates	95	percent of total billed charges	95	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Silversummit Medicare	HMO		39	39% of all negotiated rates	145	percent of total billed charges	145	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	155	percent of total billed charges	155	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Teachers Trust	PPO		65	65% of all negotiated rates	83	percent of total billed charges	83	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	TriWest	PPO		30	30% of all negotiated rates	167	percent of total billed charges	167	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	72	percent of total billed charges	72	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	United Healthcare	PPO		60	60% of all negotiated rates	95	percent of total billed charges	95	238	
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	193	fee schedule	193	227	Coinsurance and deductible may apply
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	193	fee schedule	193	227	Coinsurance and deductible may apply
BCH TC 99M			4074641	LOCAL	636	RC		outpatient			238	203	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	193	fee schedule	193	227	Coinsurance and deductible may apply
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Aetna	PPO		38	38% of all negotiated rates	169	percent of total billed charges	169	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Aetna Medicare	HMO		26	26% of all negotiated rates	201	percent of total billed charges	201	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Alignment Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	109	percent of total billed charges	109	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	136	percent of total billed charges	136	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Cigna	PPO		68	68% of all negotiated rates	87	percent of total billed charges	87	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Coalition	PPO		59	49% of all negotiated rates	111	percent of total billed charges	111	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Coventry	PPO		75	75% of all negotiated rates	68	percent of total billed charges	68	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	54	percent of total billed charges	54	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Humana-Commerical	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Multiplan	PPO		80	80% of all negotiated rates	54	percent of total billed charges	54	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	One Health	PPO		55	55% of all negotiated rates	122	percent of total billed charges	122	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Optum Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	P3	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Select Health	HMO		41	41% of all negotiated rates	160	percent of total billed charges	160	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	181	percent of total billed charges	181	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Sierra/HPN	HMO		60	60% of all negotiated rates	109	percent of total billed charges	109	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Silversummit Medicare	HMO		39	39% of all negotiated rates	166	percent of total billed charges	166	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	177	percent of total billed charges	177	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Teachers Trust	PPO		65	65% of all negotiated rates	95	percent of total billed charges	95	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	TriWest	PPO		30	30% of all negotiated rates	190	percent of total billed charges	190	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	82	percent of total billed charges	82	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	United Healthcare	PPO		60	60% of all negotiated rates	109	percent of total billed charges	109	272	
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	220	fee schedule	220	259	Coinsurance and deductible may apply
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	220	fee schedule	220	259	Coinsurance and deductible may apply
BCH Thallium Per Mci			4079505	LOCAL	636	RC		outpatient			272	231	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	220	fee schedule	220	259	Coinsurance and deductible may apply
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Aetna	PPO		38	38% of all negotiated rates	399	percent of total billed charges	399	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Aetna Medicare	HMO		26	26% of all negotiated rates	476	percent of total billed charges	476	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Alignment Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	322	percent of total billed charges	322	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Cigna	PPO		68	68% of all negotiated rates	206	percent of total billed charges	206	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Coalition	PPO		59	49% of all negotiated rates	264	percent of total billed charges	264	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Coventry	PPO		75	75% of all negotiated rates	161	percent of total billed charges	161	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	129	percent of total billed charges	129	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Humana-Commerical	PPO		70	70% of all negotiated rates	193	percent of total billed charges	193	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Multiplan	PPO		80	80% of all negotiated rates	129	percent of total billed charges	129	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	One Health	PPO		55	55% of all negotiated rates	290	percent of total billed charges	290	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Optum Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	P3	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	193	percent of total billed charges	193	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Select Health	HMO		41	41% of all negotiated rates	380	percent of total billed charges	380	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	428	percent of total billed charges	428	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Sierra/HPN	HMO		60	60% of all negotiated rates	257	percent of total billed charges	257	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Silversummit Medicare	HMO		39	39% of all negotiated rates	393	percent of total billed charges	393	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	418	percent of total billed charges	418	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Teachers Trust	PPO		65	65% of all negotiated rates	225	percent of total billed charges	225	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	TriWest	PPO		30	30% of all negotiated rates	451	percent of total billed charges	451	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	193	percent of total billed charges	193	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	United Healthcare	PPO		60	60% of all negotiated rates	257	percent of total billed charges	257	644	
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	521	fee schedule	521	613	Coinsurance and deductible may apply
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	521	fee schedule	521	613	Coinsurance and deductible may apply
BCH Xenon			4077936	LOCAL	636	RC		outpatient			644	547	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	521	fee schedule	521	613	Coinsurance and deductible may apply
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Aetna	PPO		38	38% of all negotiated rates	488	percent of total billed charges	488	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Aetna Medicare	HMO		26	26% of all negotiated rates	582	percent of total billed charges	582	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Alignment Medicare	HMO		39	39% of all negotiated rates	480	percent of total billed charges	480	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	315	percent of total billed charges	315	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	393	percent of total billed charges	393	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	480	percent of total billed charges	480	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Cigna	PPO		68	68% of all negotiated rates	252	percent of total billed charges	252	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Coalition	PPO		59	49% of all negotiated rates	322	percent of total billed charges	322	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Coventry	PPO		75	75% of all negotiated rates	197	percent of total billed charges	197	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	157	percent of total billed charges	157	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Humana-Commerical	PPO		70	70% of all negotiated rates	236	percent of total billed charges	236	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	480	percent of total billed charges	480	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Multiplan	PPO		80	80% of all negotiated rates	157	percent of total billed charges	157	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	One Health	PPO		55	55% of all negotiated rates	354	percent of total billed charges	354	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Optum Medicare	HMO		39	39% of all negotiated rates	480	percent of total billed charges	480	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	P3	HMO		39	39% of all negotiated rates	480	percent of total billed charges	480	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	236	percent of total billed charges	236	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Select Health	HMO		41	41% of all negotiated rates	464	percent of total billed charges	464	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	523	percent of total billed charges	523	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Sierra/HPN	HMO		60	60% of all negotiated rates	315	percent of total billed charges	315	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Silversummit Medicare	HMO		39	39% of all negotiated rates	480	percent of total billed charges	480	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	511	percent of total billed charges	511	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Teachers Trust	PPO		65	65% of all negotiated rates	275	percent of total billed charges	275	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	TriWest	PPO		30	30% of all negotiated rates	551	percent of total billed charges	551	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	236	percent of total billed charges	236	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	United Healthcare	PPO		60	60% of all negotiated rates	315	percent of total billed charges	315	786	
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	637	fee schedule	637	749	Coinsurance and deductible may apply
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	637	fee schedule	637	749	Coinsurance and deductible may apply
Isovue 370 100 ml			4060220	LOCAL	636	RC		outpatient			786	668	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	637	fee schedule	637	749	Coinsurance and deductible may apply
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Aetna	PPO		38	38% of all negotiated rates	471	percent of total billed charges	471	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Aetna	PPO		38	38% of all negotiated rates	471	percent of total billed charges	471	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Aetna Medicare	HMO		26	26% of all negotiated rates	562	percent of total billed charges	562	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Aetna Medicare	HMO		26	26% of all negotiated rates	562	percent of total billed charges	562	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Alignment Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Alignment Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	380	percent of total billed charges	380	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	380	percent of total billed charges	380	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Cigna	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Cigna	PPO		68	68% of all negotiated rates	243	percent of total billed charges	243	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Coalition	PPO		59	49% of all negotiated rates	311	percent of total billed charges	311	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Coalition	PPO		59	49% of all negotiated rates	311	percent of total billed charges	311	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Coventry	PPO		75	75% of all negotiated rates	190	percent of total billed charges	190	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Coventry	PPO		75	75% of all negotiated rates	190	percent of total billed charges	190	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Humana-Commerical	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Humana-Commerical	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Multiplan	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Multiplan	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	One Health	PPO		55	55% of all negotiated rates	342	percent of total billed charges	342	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	One Health	PPO		55	55% of all negotiated rates	342	percent of total billed charges	342	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Optum Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Optum Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	P3	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	P3	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Select Health	HMO		41	41% of all negotiated rates	448	percent of total billed charges	448	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Select Health	HMO		41	41% of all negotiated rates	448	percent of total billed charges	448	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	505	percent of total billed charges	505	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	505	percent of total billed charges	505	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Sierra/HPN	HMO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Sierra/HPN	HMO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Silversummit Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Silversummit Medicare	HMO		39	39% of all negotiated rates	463	percent of total billed charges	463	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	493	percent of total billed charges	493	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	493	percent of total billed charges	493	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Teachers Trust	PPO		65	65% of all negotiated rates	266	percent of total billed charges	266	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Teachers Trust	PPO		65	65% of all negotiated rates	266	percent of total billed charges	266	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	TriWest	PPO		30	30% of all negotiated rates	531	percent of total billed charges	531	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	TriWest	PPO		30	30% of all negotiated rates	531	percent of total billed charges	531	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	United Healthcare	PPO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	United Healthcare	PPO		60	60% of all negotiated rates	304	percent of total billed charges	304	759	
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	615	fee schedule	7	723	Coinsurance and deductible may apply
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	723	Coinsurance and deductible may apply
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	615	fee schedule	7	723	Coinsurance and deductible may apply
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	723	Coinsurance and deductible may apply
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	615	fee schedule	7	723	Coinsurance and deductible may apply
93005 EKG TRACING ONLY CHARGE	93005	CPT	4180008	LOCAL	730	RC		outpatient			759	645	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	723	Coinsurance and deductible may apply
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Aetna	PPO		38	38% of all negotiated rates	260	percent of total billed charges	260	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Aetna Medicare	HMO		26	26% of all negotiated rates	310	percent of total billed charges	310	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Alignment Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	168	percent of total billed charges	168	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	209	percent of total billed charges	209	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Cigna	PPO		68	68% of all negotiated rates	134	percent of total billed charges	134	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Coalition	PPO		59	49% of all negotiated rates	172	percent of total billed charges	172	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Coventry	PPO		75	75% of all negotiated rates	105	percent of total billed charges	105	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	84	percent of total billed charges	84	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Humana-Commerical	PPO		70	70% of all negotiated rates	126	percent of total billed charges	126	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Multiplan	PPO		80	80% of all negotiated rates	84	percent of total billed charges	84	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	One Health	PPO		55	55% of all negotiated rates	189	percent of total billed charges	189	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Optum Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	P3	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	126	percent of total billed charges	126	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Select Health	HMO		41	41% of all negotiated rates	247	percent of total billed charges	247	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	279	percent of total billed charges	279	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Sierra/HPN	HMO		60	60% of all negotiated rates	168	percent of total billed charges	168	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Silversummit Medicare	HMO		39	39% of all negotiated rates	256	percent of total billed charges	256	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	272	percent of total billed charges	272	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Teachers Trust	PPO		65	65% of all negotiated rates	147	percent of total billed charges	147	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	TriWest	PPO		30	30% of all negotiated rates	293	percent of total billed charges	293	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	126	percent of total billed charges	126	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	United Healthcare	PPO		60	60% of all negotiated rates	168	percent of total billed charges	168	419	
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	399	Coinsurance and deductible may apply
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	399	Coinsurance and deductible may apply
93041 CARDIAC MONITOR CHARGE	93041	CPT	3030047	LOCAL	730	RC		outpatient			419	356	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	5	fee schedule	5	399	Coinsurance and deductible may apply
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Aetna	PPO		38	38% of all negotiated rates	472	percent of total billed charges	472	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Aetna Medicare	HMO		26	26% of all negotiated rates	563	percent of total billed charges	563	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Alignment Medicare	HMO		39	39% of all negotiated rates	464	percent of total billed charges	464	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	305	percent of total billed charges	305	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	381	percent of total billed charges	381	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	464	percent of total billed charges	464	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Cigna	PPO		68	68% of all negotiated rates	244	percent of total billed charges	244	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Coalition	PPO		59	49% of all negotiated rates	312	percent of total billed charges	312	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Coventry	PPO		75	75% of all negotiated rates	190	percent of total billed charges	190	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Humana-Commerical	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	464	percent of total billed charges	464	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Multiplan	PPO		80	80% of all negotiated rates	152	percent of total billed charges	152	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	One Health	PPO		55	55% of all negotiated rates	343	percent of total billed charges	343	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Optum Medicare	HMO		39	39% of all negotiated rates	464	percent of total billed charges	464	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	P3	HMO		39	39% of all negotiated rates	464	percent of total billed charges	464	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Select Health	HMO		41	41% of all negotiated rates	449	percent of total billed charges	449	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	506	percent of total billed charges	506	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Sierra/HPN	HMO		60	60% of all negotiated rates	305	percent of total billed charges	305	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Silversummit Medicare	HMO		39	39% of all negotiated rates	464	percent of total billed charges	464	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	495	percent of total billed charges	495	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Teachers Trust	PPO		65	65% of all negotiated rates	266	percent of total billed charges	266	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	TriWest	PPO		30	30% of all negotiated rates	533	percent of total billed charges	533	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	228	percent of total billed charges	228	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	United Healthcare	PPO		60	60% of all negotiated rates	305	percent of total billed charges	305	761	
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	725	Coinsurance and deductible may apply
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	725	Coinsurance and deductible may apply
"Noninvasive ear or pulse oximetry for oxygen saturation, sin"	93005	CPT	49045391	LOCAL	730	RC		outpatient			761	647	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	7	fee schedule	7	725	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			212	180	Aetna	PPO	100		case rate	100	case rate	100	202	1500.00 per day
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			212	180	Aetna Medicare	HMO	120		per diem	120	per diem	120	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			212	180	Anthem Medicaid	HMO	40		per diem	100	per diem	40	202	"40. per hour, minimu of 6hrs, max of 48hrs"
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			212	180	Coalition	PPO	112	59	case rate	112	per diem	112	202	112.00 per hour capped 2910.00
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			212	180	HPN Medicaid	HMO	40		per diem	40	per diem	40	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			212	180	Molina Medicaid	HMO		101	100% of NV Medicaid Fee Schedule	40	fee schedule	40	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Alignment Medicare	HMO		39	39% of all negotiated rates	79	per diem	79	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			223	189	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	101	percent of total billed charges	101	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	79	per diem	79	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Cigna	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	202	1500.00 per day
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			223	189	Coventry	PPO		75	75% of all negotiated rates	152	percent of total billed charges	152	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Great West Healthcare (Mediversal)	PPO		70	70% of all negotiated rates	162	percent of total billed charges	162	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Humana-Commerical	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			223	189	Multiplan	PPO		80	80% of all negotiated rates	162	percent of total billed charges	162	202	1500.00 per day
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	One Health	PPO		55	55% of all negotiated rates	111	percent of total billed charges	111	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Optum Medicare	HMO		39	39% of all negotiated rates	79	per diem	79	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	P3	HMO		39	39% of all negotiated rates	79	percent of total billed charges	79	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			223	189	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	141	percent of total billed charges	141	202	1500.00 per day
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Select Health	HMO		41	41% of all negotiated rates	79	per diem	83	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	68	percent of total billed charges	68	202	1500.00 per day
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Silversummit Medicare	HMO		39	39% of all negotiated rates	79	per diem	79	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			223	189	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	71	percent of total billed charges	71	202	1500.00 per day
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	Teachers Trust	PPO	100	65	65% of all negotiated rates	100	per diem	100	202	"100.00 per hour, capped at 2387.00 per day"
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		outpatient			223	189	TriWest	PPO		30	30% of all negotiated rates	61	percent of total billed charges	61	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	141	per diem	141	202	Hourly
ROOM/BED: MST Observation			3020100	LOCAL	762	RC		Inpatient			223	189	United Healthcare	PPO		60	60% of all negotiated rates	120	percent of total billed charges	121	202	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			229	195	Aetna	PPO	100		case rate	100	case rate	100	218	1500.00 per day
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			229	195	Aetna Medicare	HMO	120		per diem	120	per diem	120	218	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			229	195	Anthem Medicaid	HMO	40		per diem	100	per diem	40	218	"40. per hour, minimu of 6hrs, max of 48hrs"
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			229	195	Coalition	PPO	112	59	case rate	112	per diem	112	218	112.00 per hour capped 2910.00
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			229	195	HPN Medicaid	HMO	40		per diem	40	per diem	40	218	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			229	195	Molina Medicaid	HMO		102	100% of NV Medicaid Fee Schedule	40	fee schedule	40	218	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Alignment Medicare	HMO		39	39% of all negotiated rates	85	per diem	85	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			240	204	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	109	percent of total billed charges	109	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	85	per diem	85	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Cigna	PPO		60	60% of all negotiated rates	131	percent of total billed charges	131	218	"100.00 per hour, capped at 2387.00 per day"
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			240	204	Coventry	PPO		75	75% of all negotiated rates	164	percent of total billed charges	164	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Great West Healthcare (Mediversal)	PPO		70	70% of all negotiated rates	174	percent of total billed charges	174	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Humana-Commerical	PPO		70	70% of all negotiated rates	153	percent of total billed charges	153	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			240	204	Multiplan	PPO		80	80% of all negotiated rates	174	percent of total billed charges	174	218	1500.00 per day
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	One Health	PPO		55	55% of all negotiated rates	120	percent of total billed charges	120	218	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Optum Medicare	HMO		39	39% of all negotiated rates	85	per diem	85	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	P3	HMO		39	39% of all negotiated rates	85	percent of total billed charges	85	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			240	204	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	153	percent of total billed charges	153	218	1500.00 per day
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Select Health	HMO		41	41% of all negotiated rates	85	per diem	89	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	73	percent of total billed charges	73	218	"100.00 per hour, capped at 2387.00 per day"
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Sierra/HPN	HMO		60	60% of all negotiated rates	131	percent of total billed charges	131	218	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Silversummit Medicare	HMO		39	39% of all negotiated rates	85	per diem	85	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			240	204	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	76	percent of total billed charges	76	218	1500.00 per day
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	Teachers Trust	PPO	100	65	65% of all negotiated rates	100	per diem	100	218	"100.00 per hour, capped at 2387.00 per day"
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		outpatient			240	204	TriWest	PPO		30	30% of all negotiated rates	65	percent of total billed charges	65	218	Coinsurance and deductible may apply
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	153	per diem	153	218	0-999^per unit^Hours^1^218.00^^^^^^
ROOM/BED: MST Observation-Telemetry			1367559	LOCAL	762	RC		Inpatient			240	204	United Healthcare	PPO		60	60% of all negotiated rates	111	percent of total billed charges	131	218	Coinsurance and deductible may apply
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Aetna	PPO		38	38% of all negotiated rates	249	percent of total billed charges	249	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Aetna Medicare	HMO		26	26% of all negotiated rates	297	percent of total billed charges	297	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Alignment Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	160	percent of total billed charges	160	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	201	percent of total billed charges	201	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Cigna	PPO		68	68% of all negotiated rates	128	percent of total billed charges	128	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Coalition	PPO		59	59% of all negotiated rates	164	percent of total billed charges	164	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Coventry	PPO		75	75% of all negotiated rates	100	percent of total billed charges	100	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	80	percent of total billed charges	80	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Humana-Commerical	PPO		70	70% of all negotiated rates	120	percent of total billed charges	120	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Multiplan	PPO		80	80% of all negotiated rates	80	percent of total billed charges	80	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	One Health	PPO		55	55% of all negotiated rates	180	percent of total billed charges	180	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Optum Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	P3	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	120	percent of total billed charges	120	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Select Health	HMO		41	41% of all negotiated rates	237	percent of total billed charges	237	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	267	percent of total billed charges	267	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Sierra/HPN	HMO		60	60% of all negotiated rates	160	percent of total billed charges	160	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Silversummit Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	261	percent of total billed charges	261	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	Teachers Trust	PPO		65	65% of all negotiated rates	140	percent of total billed charges	140	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	TriWest	PPO		30	30% of all negotiated rates	281	percent of total billed charges	281	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	120	percent of total billed charges	120	401	
ADMIN OF INFLUENZA charge			3270900	LOCAL	771	RC		outpatient			401	341	United Healthcare	PPO		60	60% of all negotiated rates	160	percent of total billed charges	160	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Aetna	PPO		38	38% of all negotiated rates	249	percent of total billed charges	249	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Aetna Medicare	HMO		26	26% of all negotiated rates	297	percent of total billed charges	297	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Alignment Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	160	percent of total billed charges	160	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	201	percent of total billed charges	201	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Cigna	PPO		68	68% of all negotiated rates	128	percent of total billed charges	128	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Coalition	PPO		59	59% of all negotiated rates	164	percent of total billed charges	164	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Coventry	PPO		75	75% of all negotiated rates	100	percent of total billed charges	100	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	80	percent of total billed charges	80	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Humana-Commerical	PPO		70	70% of all negotiated rates	120	percent of total billed charges	120	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Multiplan	PPO		80	80% of all negotiated rates	80	percent of total billed charges	80	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	One Health	PPO		55	55% of all negotiated rates	180	percent of total billed charges	180	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Optum Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	P3	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	120	percent of total billed charges	120	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Select Health	HMO		41	41% of all negotiated rates	237	percent of total billed charges	237	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	267	percent of total billed charges	267	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Sierra/HPN	HMO		60	60% of all negotiated rates	160	percent of total billed charges	160	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Silversummit Medicare	HMO		39	39% of all negotiated rates	245	percent of total billed charges	245	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	261	percent of total billed charges	261	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	Teachers Trust	PPO		65	65% of all negotiated rates	140	percent of total billed charges	140	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	TriWest	PPO		30	30% of all negotiated rates	281	percent of total billed charges	281	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	120	percent of total billed charges	120	401	
ADMIN OF PNEUMOCOCCAL VAC CHARGE			3271000	LOCAL	771	RC		outpatient			401	341	United Healthcare	PPO		60	60% of all negotiated rates	160	percent of total billed charges	160	401	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Aetna	PPO		38	38% of all negotiated rates	33	percent of total billed charges	33	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Aetna Medicare	HMO		26	26% of all negotiated rates	39	percent of total billed charges	39	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Alignment Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	26	percent of total billed charges	26	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Cigna	PPO		68	68% of all negotiated rates	17	percent of total billed charges	17	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Coalition	PPO		59	59% of all negotiated rates	22	percent of total billed charges	22	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Coventry	PPO		75	75% of all negotiated rates	13	percent of total billed charges	13	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Humana-Commerical	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Multiplan	PPO		80	80% of all negotiated rates	11	percent of total billed charges	11	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	One Health	PPO		55	55% of all negotiated rates	24	percent of total billed charges	24	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Optum Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	P3	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Select Health	HMO		41	41% of all negotiated rates	31	percent of total billed charges	31	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	35	percent of total billed charges	35	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Sierra/HPN	HMO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Silversummit Medicare	HMO		39	39% of all negotiated rates	32	percent of total billed charges	32	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	34	percent of total billed charges	34	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Teachers Trust	PPO		65	65% of all negotiated rates	18	percent of total billed charges	18	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	TriWest	PPO		30	30% of all negotiated rates	37	percent of total billed charges	37	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	16	percent of total billed charges	16	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	United Healthcare	PPO		60	60% of all negotiated rates	21	percent of total billed charges	21	53	
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	50	Coinsurance and deductible may apply
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	50	Coinsurance and deductible may apply
Admin Spikevax Moderna SARS-COV-2	90480	CPT	3271100	LOCAL	771	RC		outpatient			53	45	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	42	fee schedule	42	50	Coinsurance and deductible may apply
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Aetna	PPO		38	38% of all negotiated rates	122	percent of total billed charges	122	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Aetna Medicare	HMO		26	26% of all negotiated rates	146	percent of total billed charges	146	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Alignment Medicare	HMO		39	39% of all negotiated rates	120	percent of total billed charges	120	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	99	percent of total billed charges	99	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	120	percent of total billed charges	120	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Cigna	PPO		68	68% of all negotiated rates	63	percent of total billed charges	63	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Coalition	PPO		59	59% of all negotiated rates	81	percent of total billed charges	81	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Coventry	PPO		75	75% of all negotiated rates	49	percent of total billed charges	49	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	39	percent of total billed charges	39	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Humana-Commerical	PPO		70	70% of all negotiated rates	59	percent of total billed charges	59	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	120	percent of total billed charges	120	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Multiplan	PPO		80	80% of all negotiated rates	39	percent of total billed charges	39	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	One Health	PPO		55	55% of all negotiated rates	89	percent of total billed charges	89	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Optum Medicare	HMO		39	39% of all negotiated rates	120	percent of total billed charges	120	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	P3	HMO		39	39% of all negotiated rates	120	percent of total billed charges	120	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	59	percent of total billed charges	59	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Select Health	HMO		41	41% of all negotiated rates	116	percent of total billed charges	116	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	131	percent of total billed charges	131	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Sierra/HPN	HMO		60	60% of all negotiated rates	79	percent of total billed charges	79	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Silversummit Medicare	HMO		39	39% of all negotiated rates	120	percent of total billed charges	120	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	128	percent of total billed charges	128	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Teachers Trust	PPO		65	65% of all negotiated rates	69	percent of total billed charges	69	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	TriWest	PPO		30	30% of all negotiated rates	138	percent of total billed charges	138	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	59	percent of total billed charges	59	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	United Healthcare	PPO		60	60% of all negotiated rates	79	percent of total billed charges	79	197	
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	188	Coinsurance and deductible may apply
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	188	Coinsurance and deductible may apply
IMMUN ADMIN THROUGH 18 YRS	90460	CPT	3230565	LOCAL	771	RC		outpatient			197	168	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	188	Coinsurance and deductible may apply
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Aetna	PPO		38	38% of all negotiated rates	126	percent of total billed charges	126	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Aetna Medicare	HMO		26	26% of all negotiated rates	150	percent of total billed charges	150	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Alignment Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	81	percent of total billed charges	81	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	101	percent of total billed charges	101	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Cigna	PPO		68	68% of all negotiated rates	65	percent of total billed charges	65	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Coalition	PPO		59	59% of all negotiated rates	83	percent of total billed charges	83	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Coventry	PPO		75	75% of all negotiated rates	51	percent of total billed charges	51	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Humana-Commerical	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Multiplan	PPO		80	80% of all negotiated rates	41	percent of total billed charges	41	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	One Health	PPO		55	55% of all negotiated rates	91	percent of total billed charges	91	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Optum Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	P3	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Select Health	HMO		41	41% of all negotiated rates	120	percent of total billed charges	120	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	135	percent of total billed charges	135	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Sierra/HPN	HMO		60	60% of all negotiated rates	81	percent of total billed charges	81	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Silversummit Medicare	HMO		39	39% of all negotiated rates	124	percent of total billed charges	124	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	132	percent of total billed charges	132	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Teachers Trust	PPO		65	65% of all negotiated rates	71	percent of total billed charges	71	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	TriWest	PPO		30	30% of all negotiated rates	142	percent of total billed charges	142	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	61	percent of total billed charges	61	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	United Healthcare	PPO		60	60% of all negotiated rates	81	percent of total billed charges	81	203	
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	193	Coinsurance and deductible may apply
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	193	Coinsurance and deductible may apply
IMMUNIZATION ADMIN EACH ADD VACCINE	90472	CPT	45090472	LOCAL	771	RC		outpatient			203	172	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	11	fee schedule	11	193	Coinsurance and deductible may apply
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Aetna	PPO		38	38% of all negotiated rates	111	percent of total billed charges	111	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Aetna Medicare	HMO		26	26% of all negotiated rates	133	percent of total billed charges	133	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Alignment Medicare	HMO		39	39% of all negotiated rates	110	percent of total billed charges	110	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	72	percent of total billed charges	72	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	90	percent of total billed charges	90	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	110	percent of total billed charges	110	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Cigna	PPO		68	68% of all negotiated rates	57	percent of total billed charges	57	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Coalition	PPO		59	59% of all negotiated rates	74	percent of total billed charges	74	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Coventry	PPO		75	75% of all negotiated rates	45	percent of total billed charges	45	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	36	percent of total billed charges	36	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Humana-Commerical	PPO		70	70% of all negotiated rates	54	percent of total billed charges	54	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	110	percent of total billed charges	110	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Multiplan	PPO		80	80% of all negotiated rates	36	percent of total billed charges	36	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	One Health	PPO		55	55% of all negotiated rates	81	percent of total billed charges	81	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Optum Medicare	HMO		39	39% of all negotiated rates	110	percent of total billed charges	110	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	P3	HMO		39	39% of all negotiated rates	110	percent of total billed charges	110	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	54	percent of total billed charges	54	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Select Health	HMO		41	41% of all negotiated rates	106	percent of total billed charges	106	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	119	percent of total billed charges	119	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Sierra/HPN	HMO		60	60% of all negotiated rates	72	percent of total billed charges	72	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Silversummit Medicare	HMO		39	39% of all negotiated rates	110	percent of total billed charges	110	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	117	percent of total billed charges	117	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Teachers Trust	PPO		65	65% of all negotiated rates	63	percent of total billed charges	63	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	TriWest	PPO		30	30% of all negotiated rates	126	percent of total billed charges	126	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	54	percent of total billed charges	54	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	United Healthcare	PPO		60	60% of all negotiated rates	72	percent of total billed charges	72	180	
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	171	Coinsurance and deductible may apply
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	171	Coinsurance and deductible may apply
IMMUNIZATION ADMIN ER	90471	CPT	3230560	LOCAL	771	RC		outpatient			180	153	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	171	Coinsurance and deductible may apply
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Aetna	PPO		38	38% of all negotiated rates	773	percent of total billed charges	773	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Aetna Medicare	HMO		26	26% of all negotiated rates	923	percent of total billed charges	923	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Alignment Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	499	percent of total billed charges	499	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	624	percent of total billed charges	624	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Cigna	PPO		68	68% of all negotiated rates	399	percent of total billed charges	399	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Coalition	PPO		59	59% of all negotiated rates	511	percent of total billed charges	511	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Coventry	PPO		75	75% of all negotiated rates	312	percent of total billed charges	312	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	249	percent of total billed charges	249	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Humana-Commerical	PPO		70	70% of all negotiated rates	374	percent of total billed charges	374	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Multiplan	PPO		80	80% of all negotiated rates	249	percent of total billed charges	249	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	One Health	PPO		55	55% of all negotiated rates	561	percent of total billed charges	561	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Optum Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	P3	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	374	percent of total billed charges	374	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Select Health	HMO		41	41% of all negotiated rates	736	percent of total billed charges	736	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	830	percent of total billed charges	830	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Sierra/HPN	HMO		60	60% of all negotiated rates	499	percent of total billed charges	499	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Silversummit Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	811	percent of total billed charges	811	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Teachers Trust	PPO		65	65% of all negotiated rates	437	percent of total billed charges	437	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	TriWest	PPO		30	30% of all negotiated rates	873	percent of total billed charges	873	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	374	percent of total billed charges	374	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	United Healthcare	PPO		60	60% of all negotiated rates	499	percent of total billed charges	499	1247	
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353.92	fee schedule	353.92	1188	Coinsurance and deductible may apply
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	353.92	fee schedule	353.92	1188	Coinsurance and deductible may apply
90867 THERAPEUTIC REPETITIVE TM CHARGE	90867	CPT	3070235	LOCAL	901	RC		outpatient			1247	1060	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	354	fee schedule	354	1188	Coinsurance and deductible may apply
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Aetna	PPO		38	38% of all negotiated rates	773	percent of total billed charges	773	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Aetna Medicare	HMO		26	26% of all negotiated rates	923	percent of total billed charges	923	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Alignment Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	499	percent of total billed charges	499	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	624	percent of total billed charges	624	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Cigna	PPO		68	68% of all negotiated rates	399	percent of total billed charges	399	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Coalition	PPO		59	59% of all negotiated rates	511	percent of total billed charges	511	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Coventry	PPO		75	75% of all negotiated rates	312	percent of total billed charges	312	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	249	percent of total billed charges	249	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Humana-Commerical	PPO		70	70% of all negotiated rates	374	percent of total billed charges	374	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Multiplan	PPO		80	80% of all negotiated rates	249	percent of total billed charges	249	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	One Health	PPO		55	55% of all negotiated rates	561	percent of total billed charges	561	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Optum Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	P3	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	374	percent of total billed charges	374	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Select Health	HMO		41	41% of all negotiated rates	736	percent of total billed charges	736	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	830	percent of total billed charges	830	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Sierra/HPN	HMO		60	60% of all negotiated rates	499	percent of total billed charges	499	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Silversummit Medicare	HMO		39	39% of all negotiated rates	761	percent of total billed charges	761	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	811	percent of total billed charges	811	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Teachers Trust	PPO		65	65% of all negotiated rates	437	percent of total billed charges	437	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	TriWest	PPO		30	30% of all negotiated rates	873	percent of total billed charges	873	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	374	percent of total billed charges	374	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	United Healthcare	PPO		60	60% of all negotiated rates	499	percent of total billed charges	499	1247	
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	122.76	fee schedule	122.76	1188	Coinsurance and deductible may apply
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	122.76	fee schedule	122.76	1188	Coinsurance and deductible may apply
90868 THERAPEUTIC REPRTITIVE TM CHARGE	90868	CPT	3070240	LOCAL	901	RC		outpatient			1247	1060	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	123	fee schedule	123	1188	Coinsurance and deductible may apply
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Aetna	PPO		38	38% of all negotiated rates	301	percent of total billed charges	301	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Aetna Medicare	HMO		26	26% of all negotiated rates	360	percent of total billed charges	360	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Alignment Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	243	percent of total billed charges	243	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Cigna	PPO		68	68% of all negotiated rates	156	percent of total billed charges	156	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Coalition	PPO		59	59% of all negotiated rates	199	percent of total billed charges	199	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Coventry	PPO		75	75% of all negotiated rates	122	percent of total billed charges	122	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	97	percent of total billed charges	97	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Humana-Commerical	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Multiplan	PPO		80	80% of all negotiated rates	97	percent of total billed charges	97	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	One Health	PPO		55	55% of all negotiated rates	219	percent of total billed charges	219	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Optum Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	P3	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Select Health	HMO		41	41% of all negotiated rates	287	percent of total billed charges	287	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	323	percent of total billed charges	323	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Sierra/HPN	HMO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Silversummit Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	316	percent of total billed charges	316	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Teachers Trust	PPO		65	65% of all negotiated rates	170	percent of total billed charges	170	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	TriWest	PPO		30	30% of all negotiated rates	340	percent of total billed charges	340	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	United Healthcare	PPO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	55.77	fee schedule	55.77	463	Coinsurance and deductible may apply
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	55.77	fee schedule	55.77	463	Coinsurance and deductible may apply
90832 INDIV/FAMILY 30 MIN THERA	90832	CPT	4142013	LOCAL	914	RC		outpatient			486	413	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	56	fee schedule	56	463	Coinsurance and deductible may apply
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Aetna	PPO		38	38% of all negotiated rates	301	percent of total billed charges	301	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Aetna Medicare	HMO		26	26% of all negotiated rates	360	percent of total billed charges	360	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Alignment Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	243	percent of total billed charges	243	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Cigna	PPO		68	68% of all negotiated rates	156	percent of total billed charges	156	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Coalition	PPO		59	59% of all negotiated rates	199	percent of total billed charges	199	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Coventry	PPO		75	75% of all negotiated rates	122	percent of total billed charges	122	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	97	percent of total billed charges	97	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Humana-Commerical	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Multiplan	PPO		80	80% of all negotiated rates	97	percent of total billed charges	97	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	One Health	PPO		55	55% of all negotiated rates	219	percent of total billed charges	219	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Optum Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	P3	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Select Health	HMO		41	41% of all negotiated rates	287	percent of total billed charges	287	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	323	percent of total billed charges	323	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Sierra/HPN	HMO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Silversummit Medicare	HMO		39	39% of all negotiated rates	297	percent of total billed charges	297	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	316	percent of total billed charges	316	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Teachers Trust	PPO		65	65% of all negotiated rates	170	percent of total billed charges	170	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	TriWest	PPO		30	30% of all negotiated rates	340	percent of total billed charges	340	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	146	percent of total billed charges	146	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	United Healthcare	PPO		60	60% of all negotiated rates	194	percent of total billed charges	194	486	
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	73.93	fee schedule	73.93	463	Coinsurance and deductible may apply
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	73.93	fee schedule	73.93	463	Coinsurance and deductible may apply
90834 INDIV/FAMILY 45 MIN THERA	90834	CPT	4142015	LOCAL	914	RC		outpatient			486	413	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	74	fee schedule	74	463	Coinsurance and deductible may apply
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Aetna	PPO		38	38% of all negotiated rates	1050	percent of total billed charges	1050	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Aetna Medicare	HMO		26	26% of all negotiated rates	1253	percent of total billed charges	1253	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Alignment Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	677	percent of total billed charges	677	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	847	percent of total billed charges	847	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Cigna	PPO		68	68% of all negotiated rates	542	percent of total billed charges	542	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Coalition	PPO		59	59% of all negotiated rates	694	percent of total billed charges	694	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Coventry	PPO		75	75% of all negotiated rates	423	percent of total billed charges	423	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	339	percent of total billed charges	339	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Humana-Commerical	PPO		70	70% of all negotiated rates	508	percent of total billed charges	508	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Multiplan	PPO		80	80% of all negotiated rates	339	percent of total billed charges	339	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	One Health	PPO		55	55% of all negotiated rates	762	percent of total billed charges	762	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Optum Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	P3	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	508	percent of total billed charges	508	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Select Health	HMO		41	41% of all negotiated rates	999	percent of total billed charges	999	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1126	percent of total billed charges	1126	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Sierra/HPN	HMO		60	60% of all negotiated rates	677	percent of total billed charges	677	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Silversummit Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1101	percent of total billed charges	1101	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Teachers Trust	PPO		65	65% of all negotiated rates	593	percent of total billed charges	593	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	TriWest	PPO		30	30% of all negotiated rates	1186	percent of total billed charges	1186	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	508	percent of total billed charges	508	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	United Healthcare	PPO		60	60% of all negotiated rates	677	percent of total billed charges	677	1694	
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	79	fee schedule	79	1613	Coinsurance and deductible may apply
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	79	fee schedule	79	1613	Coinsurance and deductible may apply
90845 PSYCHOANALYSIS CHARGE	90845	CPT	3070200	LOCAL	914	RC		outpatient			1694	1440	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	79	fee schedule	79	1613	Coinsurance and deductible may apply
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Aetna	PPO		38	38% of all negotiated rates	1050	percent of total billed charges	1050	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Aetna Medicare	HMO		26	26% of all negotiated rates	1253	percent of total billed charges	1253	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Alignment Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	677	percent of total billed charges	677	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	847	percent of total billed charges	847	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Cigna	PPO		68	68% of all negotiated rates	542	percent of total billed charges	542	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Coalition	PPO		59	59% of all negotiated rates	694	percent of total billed charges	694	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Coventry	PPO		75	75% of all negotiated rates	423	percent of total billed charges	423	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	339	percent of total billed charges	339	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Humana-Commerical	PPO		70	70% of all negotiated rates	508	percent of total billed charges	508	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Multiplan	PPO		80	80% of all negotiated rates	339	percent of total billed charges	339	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	One Health	PPO		55	55% of all negotiated rates	762	percent of total billed charges	762	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Optum Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	P3	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	508	percent of total billed charges	508	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Select Health	HMO		41	41% of all negotiated rates	999	percent of total billed charges	999	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1126	percent of total billed charges	1126	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Sierra/HPN	HMO		60	60% of all negotiated rates	677	percent of total billed charges	677	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Silversummit Medicare	HMO		39	39% of all negotiated rates	1033	percent of total billed charges	1033	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1101	percent of total billed charges	1101	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	Teachers Trust	PPO		65	65% of all negotiated rates	593	percent of total billed charges	593	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	TriWest	PPO		30	30% of all negotiated rates	1186	percent of total billed charges	1186	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	508	percent of total billed charges	508	1694	
90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE	90865	CPT	3070230	LOCAL	914	RC		outpatient			1694	1440	United Healthcare	PPO		60	60% of all negotiated rates	677	percent of total billed charges	677	1694	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Aetna	PPO		38	38% of all negotiated rates	579	percent of total billed charges	579	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Aetna Medicare	HMO		26	26% of all negotiated rates	691	percent of total billed charges	691	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Alignment Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	467	percent of total billed charges	467	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Cigna	PPO		68	68% of all negotiated rates	299	percent of total billed charges	299	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Coalition	PPO		59	59% of all negotiated rates	383	percent of total billed charges	383	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Coventry	PPO		75	75% of all negotiated rates	233	percent of total billed charges	233	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	187	percent of total billed charges	187	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Humana-Commerical	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Multiplan	PPO		80	80% of all negotiated rates	187	percent of total billed charges	187	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	One Health	PPO		55	55% of all negotiated rates	420	percent of total billed charges	420	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Optum Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	P3	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Select Health	HMO		41	41% of all negotiated rates	551	percent of total billed charges	551	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	621	percent of total billed charges	621	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Sierra/HPN	HMO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Silversummit Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	607	percent of total billed charges	607	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	Teachers Trust	PPO		65	65% of all negotiated rates	327	percent of total billed charges	327	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	TriWest	PPO		30	30% of all negotiated rates	653	percent of total billed charges	653	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
90849 MULTI-FAMILY GROUP PSYCH CHARGE	90849	CPT	3070220	LOCAL	915	RC		outpatient			933	793	United Healthcare	PPO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Aetna	PPO		38	38% of all negotiated rates	579	percent of total billed charges	579	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Aetna Medicare	HMO		26	26% of all negotiated rates	691	percent of total billed charges	691	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Alignment Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	467	percent of total billed charges	467	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Cigna	PPO		68	68% of all negotiated rates	299	percent of total billed charges	299	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Coalition	PPO		59	59% of all negotiated rates	383	percent of total billed charges	383	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Coventry	PPO		75	75% of all negotiated rates	233	percent of total billed charges	233	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	187	percent of total billed charges	187	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Humana-Commerical	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Multiplan	PPO		80	80% of all negotiated rates	187	percent of total billed charges	187	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	One Health	PPO		55	55% of all negotiated rates	420	percent of total billed charges	420	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Optum Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	P3	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Select Health	HMO		41	41% of all negotiated rates	551	percent of total billed charges	551	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	621	percent of total billed charges	621	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Sierra/HPN	HMO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Silversummit Medicare	HMO		39	39% of all negotiated rates	569	percent of total billed charges	569	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	607	percent of total billed charges	607	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Teachers Trust	PPO		65	65% of all negotiated rates	327	percent of total billed charges	327	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	TriWest	PPO		30	30% of all negotiated rates	653	percent of total billed charges	653	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	280	percent of total billed charges	280	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	United Healthcare	PPO		60	60% of all negotiated rates	373	percent of total billed charges	373	933	
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	889	Coinsurance and deductible may apply
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	889	Coinsurance and deductible may apply
90853 GROUP PSYCHTX CHARGE	90853	CPT	3070225	LOCAL	915	RC		outpatient			933	793	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	889	Coinsurance and deductible may apply
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Aetna	PPO		38	38% of all negotiated rates	188	percent of total billed charges	188	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Aetna Medicare	HMO		26	26% of all negotiated rates	225	percent of total billed charges	225	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Alignment Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	152	percent of total billed charges	152	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Cigna	PPO		68	68% of all negotiated rates	97	percent of total billed charges	97	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Coalition	PPO		59	59% of all negotiated rates	124	percent of total billed charges	124	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Humana-Commerical	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	One Health	PPO		55	55% of all negotiated rates	137	percent of total billed charges	137	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Optum Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	P3	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Select Health	HMO		41	41% of all negotiated rates	179	percent of total billed charges	179	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	202	percent of total billed charges	202	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Sierra/HPN	HMO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Silversummit Medicare	HMO		39	39% of all negotiated rates	185	percent of total billed charges	185	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	197	percent of total billed charges	197	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Teachers Trust	PPO		65	65% of all negotiated rates	106	percent of total billed charges	106	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	TriWest	PPO		30	30% of all negotiated rates	212	percent of total billed charges	212	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	91	percent of total billed charges	91	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	United Healthcare	PPO		60	60% of all negotiated rates	121	percent of total billed charges	121	303	
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	289	Coinsurance and deductible may apply
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	289	Coinsurance and deductible may apply
90853 GROUP THERAPY	90853	CPT	4148531	LOCAL	915	RC		outpatient			303	258	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	289	Coinsurance and deductible may apply
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Coalition	PPO		59	59% of all negotiated rates	106	percent of total billed charges	106	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	247	Coinsurance and deductible may apply
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	247	Coinsurance and deductible may apply
INTERACTIVE GROUP THERAPY HOULRY	90853	CPT	4148533	LOCAL	915	RC		outpatient			259	220	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	247	Coinsurance and deductible may apply
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Aetna	PPO		38	38% of all negotiated rates	161	percent of total billed charges	161	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Aetna Medicare	HMO		26	26% of all negotiated rates	192	percent of total billed charges	192	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Alignment Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	130	percent of total billed charges	130	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Cigna	PPO		68	68% of all negotiated rates	83	percent of total billed charges	83	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Coalition	PPO		59	59% of all negotiated rates	106	percent of total billed charges	106	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Coventry	PPO		75	75% of all negotiated rates	65	percent of total billed charges	65	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Humana-Commerical	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Multiplan	PPO		80	80% of all negotiated rates	52	percent of total billed charges	52	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	One Health	PPO		55	55% of all negotiated rates	117	percent of total billed charges	117	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Optum Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	P3	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Select Health	HMO		41	41% of all negotiated rates	153	percent of total billed charges	153	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	172	percent of total billed charges	172	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Sierra/HPN	HMO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Silversummit Medicare	HMO		39	39% of all negotiated rates	158	percent of total billed charges	158	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	169	percent of total billed charges	169	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Teachers Trust	PPO		65	65% of all negotiated rates	91	percent of total billed charges	91	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	TriWest	PPO		30	30% of all negotiated rates	182	percent of total billed charges	182	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	78	percent of total billed charges	78	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	United Healthcare	PPO		60	60% of all negotiated rates	104	percent of total billed charges	104	259	
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	247	Coinsurance and deductible may apply
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	247	Coinsurance and deductible may apply
INTERACTIVE GROUP THERAPY HOURLY			4148533	LOCAL	915	RC		outpatient			259	220	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	22	fee schedule	22	247	Coinsurance and deductible may apply
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Aetna	PPO		38	38% of all negotiated rates	1215	percent of total billed charges	1215	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Aetna Medicare	HMO		26	26% of all negotiated rates	1451	percent of total billed charges	1451	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Alignment Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	784	percent of total billed charges	784	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	980	percent of total billed charges	980	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Cigna	PPO		68	68% of all negotiated rates	627	percent of total billed charges	627	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Coalition	PPO		59	59% of all negotiated rates	804	percent of total billed charges	804	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Coventry	PPO		75	75% of all negotiated rates	490	percent of total billed charges	490	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	392	percent of total billed charges	392	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Humana-Commerical	PPO		70	70% of all negotiated rates	588	percent of total billed charges	588	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Multiplan	PPO		80	80% of all negotiated rates	392	percent of total billed charges	392	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	One Health	PPO		55	55% of all negotiated rates	882	percent of total billed charges	882	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Optum Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	P3	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	588	percent of total billed charges	588	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Select Health	HMO		41	41% of all negotiated rates	1157	percent of total billed charges	1157	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1304	percent of total billed charges	1304	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Sierra/HPN	HMO		60	60% of all negotiated rates	784	percent of total billed charges	784	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Silversummit Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1274	percent of total billed charges	1274	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	Teachers Trust	PPO		65	65% of all negotiated rates	686	percent of total billed charges	686	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	TriWest	PPO		30	30% of all negotiated rates	1372	percent of total billed charges	1372	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	588	percent of total billed charges	588	1960	
90846 FAMILY PSYCHOTHERAPY W/O CHARGE	90846	CPT	3070210	LOCAL	916	RC		outpatient			1960	1666	United Healthcare	PPO		60	60% of all negotiated rates	784	percent of total billed charges	784	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Aetna	PPO		38	38% of all negotiated rates	1215	percent of total billed charges	1215	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Aetna Medicare	HMO		26	26% of all negotiated rates	1451	percent of total billed charges	1451	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Alignment Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	784	percent of total billed charges	784	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	980	percent of total billed charges	980	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Cigna	PPO		68	68% of all negotiated rates	627	percent of total billed charges	627	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Coalition	PPO		59	59% of all negotiated rates	804	percent of total billed charges	804	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Coventry	PPO		75	75% of all negotiated rates	490	percent of total billed charges	490	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	392	percent of total billed charges	392	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Humana-Commerical	PPO		70	70% of all negotiated rates	588	percent of total billed charges	588	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Multiplan	PPO		80	80% of all negotiated rates	392	percent of total billed charges	392	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	One Health	PPO		55	55% of all negotiated rates	882	percent of total billed charges	882	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Optum Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	P3	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	588	percent of total billed charges	588	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Select Health	HMO		41	41% of all negotiated rates	1157	percent of total billed charges	1157	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1304	percent of total billed charges	1304	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Sierra/HPN	HMO		60	60% of all negotiated rates	784	percent of total billed charges	784	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Silversummit Medicare	HMO		39	39% of all negotiated rates	1196	percent of total billed charges	1196	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1274	percent of total billed charges	1274	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Teachers Trust	PPO		65	65% of all negotiated rates	686	percent of total billed charges	686	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	TriWest	PPO		30	30% of all negotiated rates	1372	percent of total billed charges	1372	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	588	percent of total billed charges	588	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	United Healthcare	PPO		60	60% of all negotiated rates	784	percent of total billed charges	784	1960	
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	1867	Coinsurance and deductible may apply
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	1867	Coinsurance and deductible may apply
90847 FAMILY PSYCHOTHERAPY CONJ CHARGE	90847	CPT	3070215	LOCAL	916	RC		outpatient			1960	1666	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	92	fee schedule	92	1867	Coinsurance and deductible may apply
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	289	fee schedule	289	1388	Coinsurance and deductible may apply
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	1388	Coinsurance and deductible may apply
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	1388	Coinsurance and deductible may apply
US Abdomen Comp w/ Doppler	93975	CPT	4083975	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	243	fee schedule	243	1388	Coinsurance and deductible may apply
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Aetna Medicare	HMO		26	26% of all negotiated rates	1659	percent of total billed charges	1659	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Alignment Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1121	percent of total billed charges	1121	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Cigna	PPO		68	68% of all negotiated rates	717	percent of total billed charges	717	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Coalition	PPO		57	57% of all negotiated rates	964	percent of total billed charges	964	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Coventry	PPO		75	75% of all negotiated rates	560	percent of total billed charges	560	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	448	percent of total billed charges	448	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Humana-Commerical	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Multiplan	PPO		80	80% of all negotiated rates	448	percent of total billed charges	448	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	One Health	PPO		55	55% of all negotiated rates	1009	percent of total billed charges	1009	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Optum Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	P3	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Select Health	HMO		41	41% of all negotiated rates	1323	percent of total billed charges	1323	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1491	percent of total billed charges	1491	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Sierra/HPN	HMO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Silversummit Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1457	percent of total billed charges	1457	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Teachers Trust	PPO		65	65% of all negotiated rates	785	percent of total billed charges	785	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	TriWest	PPO		30	30% of all negotiated rates	1569	percent of total billed charges	1569	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	United Healthcare	PPO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Aetna	PPO		120	120% of Aetna market fee schedule	221	fee schedule	221	2135	Coinsurance and deductible may apply
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	145	fee schedule	145	2135	Coinsurance and deductible may apply
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	145	fee schedule	145	2135	Coinsurance and deductible may apply
US Carotid Duplex Bil	93880	CPT	4088704	LOCAL	921	RC		outpatient			2242	1905	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	145	fee schedule	145	2135	Coinsurance and deductible may apply
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Aetna Medicare	HMO		26	26% of all negotiated rates	1159	percent of total billed charges	1159	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Alignment Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	627	percent of total billed charges	627	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	783	percent of total billed charges	783	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Cigna	PPO		68	68% of all negotiated rates	501	percent of total billed charges	501	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Coalition	PPO		57	57% of all negotiated rates	674	percent of total billed charges	674	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Coventry	PPO		75	75% of all negotiated rates	392	percent of total billed charges	392	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	313	percent of total billed charges	313	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Humana-Commerical	PPO		70	70% of all negotiated rates	470	percent of total billed charges	470	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Multiplan	PPO		80	80% of all negotiated rates	313	percent of total billed charges	313	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	One Health	PPO		55	55% of all negotiated rates	705	percent of total billed charges	705	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Optum Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	P3	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	470	percent of total billed charges	470	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Select Health	HMO		41	41% of all negotiated rates	924	percent of total billed charges	924	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1042	percent of total billed charges	1042	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Sierra/HPN	HMO		60	60% of all negotiated rates	627	percent of total billed charges	627	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Silversummit Medicare	HMO		39	39% of all negotiated rates	956	percent of total billed charges	956	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1018	percent of total billed charges	1018	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Teachers Trust	PPO		65	65% of all negotiated rates	548	percent of total billed charges	548	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	TriWest	PPO		30	30% of all negotiated rates	1097	percent of total billed charges	1097	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	470	percent of total billed charges	470	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	United Healthcare	PPO		60	60% of all negotiated rates	627	percent of total billed charges	627	1567	
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Aetna	PPO		120	120% of Aetna market fee schedule	232	fee schedule	232	1492	Coinsurance and deductible may apply
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	1492	Coinsurance and deductible may apply
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	1492	Coinsurance and deductible may apply
US LE Art Duplex Bil	93925	CPT	4089108	LOCAL	921	RC		outpatient			1567	1332	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	186	fee schedule	186	1492	Coinsurance and deductible may apply
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	149	fee schedule	149	1388	Coinsurance and deductible may apply
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1388	Coinsurance and deductible may apply
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1388	Coinsurance and deductible may apply
US LE Art Duplex Lt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1388	Coinsurance and deductible may apply
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	149	fee schedule	149	1388	Coinsurance and deductible may apply
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1388	Coinsurance and deductible may apply
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1388	Coinsurance and deductible may apply
US LE Art Duplex Rt	93926	CPT	4089261	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	105	fee schedule	105	1388	Coinsurance and deductible may apply
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Aetna Medicare	HMO		26	26% of all negotiated rates	1659	percent of total billed charges	1659	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Alignment Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1121	percent of total billed charges	1121	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Cigna	PPO		68	68% of all negotiated rates	717	percent of total billed charges	717	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Coalition	PPO		57	57% of all negotiated rates	964	percent of total billed charges	964	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Coventry	PPO		75	75% of all negotiated rates	560	percent of total billed charges	560	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	448	percent of total billed charges	448	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Humana-Commerical	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Multiplan	PPO		80	80% of all negotiated rates	448	percent of total billed charges	448	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	One Health	PPO		55	55% of all negotiated rates	1009	percent of total billed charges	1009	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Optum Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	P3	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Select Health	HMO		41	41% of all negotiated rates	1323	percent of total billed charges	1323	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1491	percent of total billed charges	1491	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Sierra/HPN	HMO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Silversummit Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1457	percent of total billed charges	1457	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Teachers Trust	PPO		65	65% of all negotiated rates	785	percent of total billed charges	785	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	TriWest	PPO		30	30% of all negotiated rates	1569	percent of total billed charges	1569	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	United Healthcare	PPO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Aetna	PPO		120	120% of Aetna market fee schedule	227	fee schedule	227	2135	Coinsurance and deductible may apply
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	2135	Coinsurance and deductible may apply
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	2135	Coinsurance and deductible may apply
US LE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	2135	Coinsurance and deductible may apply
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	140	fee schedule	140	1388	Coinsurance and deductible may apply
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US LE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	140	fee schedule	140	1388	Coinsurance and deductible may apply
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US LE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Aetna Medicare	HMO		26	26% of all negotiated rates	1659	percent of total billed charges	1659	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Alignment Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	1121	percent of total billed charges	1121	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Cigna	PPO		68	68% of all negotiated rates	717	percent of total billed charges	717	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Coalition	PPO		57	57% of all negotiated rates	964	percent of total billed charges	964	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Coventry	PPO		75	75% of all negotiated rates	560	percent of total billed charges	560	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	448	percent of total billed charges	448	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Humana-Commerical	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Multiplan	PPO		80	80% of all negotiated rates	448	percent of total billed charges	448	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	One Health	PPO		55	55% of all negotiated rates	1009	percent of total billed charges	1009	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Optum Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	P3	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Select Health	HMO		41	41% of all negotiated rates	1323	percent of total billed charges	1323	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1491	percent of total billed charges	1491	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Sierra/HPN	HMO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Silversummit Medicare	HMO		39	39% of all negotiated rates	1367	percent of total billed charges	1367	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1457	percent of total billed charges	1457	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Teachers Trust	PPO		65	65% of all negotiated rates	785	percent of total billed charges	785	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	TriWest	PPO		30	30% of all negotiated rates	1569	percent of total billed charges	1569	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	673	percent of total billed charges	673	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	United Healthcare	PPO		60	60% of all negotiated rates	897	percent of total billed charges	897	2242	
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Aetna	PPO		120	120% of Aetna market fee schedule	227	fee schedule	227	2135	Coinsurance and deductible may apply
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	2135	Coinsurance and deductible may apply
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	2135	Coinsurance and deductible may apply
US UE Veins Duplex Bil	93970	CPT	4089257	LOCAL	921	RC		outpatient			2242	1905	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	137	fee schedule	137	2135	Coinsurance and deductible may apply
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coalition	PPO		57	57% of all negotiated rates	627	percent of total billed charges	627	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	One Health	PPO		55	55% of all negotiated rates	656	percent of total billed charges	656	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	United Healthcare	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	140	fee schedule	140	1388	Coinsurance and deductible may apply
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US UE Veins Duplex Lt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna Medicare	HMO		26	26% of all negotiated rates	1078	percent of total billed charges	1078	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Alignment Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	729	percent of total billed charges	729	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Cigna	PPO		68	68% of all negotiated rates	466	percent of total billed charges	466	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Coventry	PPO		75	75% of all negotiated rates	364	percent of total billed charges	364	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Commerical	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Multiplan	PPO		80	80% of all negotiated rates	291	percent of total billed charges	291	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Optum Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	P3	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Select Health	HMO		41	41% of all negotiated rates	860	percent of total billed charges	860	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	969	percent of total billed charges	969	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Sierra/HPN	HMO		60	60% of all negotiated rates	583	percent of total billed charges	583	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Silversummit Medicare	HMO		39	39% of all negotiated rates	889	percent of total billed charges	889	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	947	percent of total billed charges	947	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Teachers Trust	PPO		65	65% of all negotiated rates	510	percent of total billed charges	510	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	TriWest	PPO		30	30% of all negotiated rates	1020	percent of total billed charges	1020	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	437	percent of total billed charges	437	1457	
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Aetna	PPO		120	120% of Aetna market fee schedule	140	fee schedule	140	1388	Coinsurance and deductible may apply
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
US UE Veins Duplex Rt	93971	CPT	4089711	LOCAL	921	RC		outpatient			1457	1239	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	1388	Coinsurance and deductible may apply
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Aetna	PPO		38	38% of all negotiated rates	1115	percent of total billed charges	1115	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Aetna Medicare	HMO		26	26% of all negotiated rates	1331	percent of total billed charges	1331	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Alignment Medicare	HMO		39	39% of all negotiated rates	1097	percent of total billed charges	1097	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	719	percent of total billed charges	719	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	899	percent of total billed charges	899	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	1097	percent of total billed charges	1097	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Cigna	PPO		68	68% of all negotiated rates	576	percent of total billed charges	576	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Coventry	PPO		75	75% of all negotiated rates	450	percent of total billed charges	450	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	360	percent of total billed charges	360	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Humana-Commerical	PPO		70	70% of all negotiated rates	540	percent of total billed charges	540	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	1097	percent of total billed charges	1097	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Multiplan	PPO		80	80% of all negotiated rates	360	percent of total billed charges	360	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Optum Medicare	HMO		39	39% of all negotiated rates	1097	percent of total billed charges	1097	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	P3	HMO		39	39% of all negotiated rates	1097	percent of total billed charges	1097	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	540	percent of total billed charges	540	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Select Health	HMO		41	41% of all negotiated rates	1061	percent of total billed charges	1061	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	1196	percent of total billed charges	1196	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Sierra/HPN	HMO		60	60% of all negotiated rates	719	percent of total billed charges	719	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Silversummit Medicare	HMO		39	39% of all negotiated rates	1097	percent of total billed charges	1097	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	1169	percent of total billed charges	1169	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Teachers Trust	PPO		65	65% of all negotiated rates	630	percent of total billed charges	630	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	TriWest	PPO		30	30% of all negotiated rates	1259	percent of total billed charges	1259	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	540	percent of total billed charges	540	1799	
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	1713	Coinsurance and deductible may apply
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	1713	Coinsurance and deductible may apply
92960 CARDIOVERSION ELECTIVE CHARGE	92960	CPT	3270200	LOCAL	940	RC		outpatient			1799	1529	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	107	fee schedule	107	1713	Coinsurance and deductible may apply
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Aetna	PPO		38	38% of all negotiated rates	178	percent of total billed charges	178	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Aetna Medicare	HMO		26	26% of all negotiated rates	213	percent of total billed charges	213	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Alignment Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	115	percent of total billed charges	115	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	144	percent of total billed charges	144	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Cigna	PPO		68	68% of all negotiated rates	92	percent of total billed charges	92	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Coventry	PPO		75	75% of all negotiated rates	72	percent of total billed charges	72	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Humana-Commerical	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Multiplan	PPO		80	80% of all negotiated rates	58	percent of total billed charges	58	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Optum Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	P3	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Select Health	HMO		41	41% of all negotiated rates	170	percent of total billed charges	170	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	191	percent of total billed charges	191	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Sierra/HPN	HMO		60	60% of all negotiated rates	115	percent of total billed charges	115	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Silversummit Medicare	HMO		39	39% of all negotiated rates	175	percent of total billed charges	175	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	187	percent of total billed charges	187	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Teachers Trust	PPO		65	65% of all negotiated rates	101	percent of total billed charges	101	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	TriWest	PPO		30	30% of all negotiated rates	201	percent of total billed charges	201	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	86	percent of total billed charges	86	288	
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	89	fee schedule	89	274	Coinsurance and deductible may apply
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	89	fee schedule	89	274	Coinsurance and deductible may apply
99195 PHLEBOTOMY CHARGE	99195	CPT	3275999	LOCAL	940	RC		outpatient			288	245	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	89	fee schedule	89	274	Coinsurance and deductible may apply
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Aetna	PPO		38	38% of all negotiated rates	171	percent of total billed charges	171	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Aetna Medicare	HMO		26	26% of all negotiated rates	204	percent of total billed charges	204	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Alignment Medicare	HMO		39	39% of all negotiated rates	168	percent of total billed charges	168	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	110	percent of total billed charges	110	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	138	percent of total billed charges	138	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	168	percent of total billed charges	168	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Cigna	PPO		68	68% of all negotiated rates	88	percent of total billed charges	88	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Coventry	PPO		75	75% of all negotiated rates	69	percent of total billed charges	69	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Humana-Commerical	PPO		70	70% of all negotiated rates	83	percent of total billed charges	83	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	168	percent of total billed charges	168	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Multiplan	PPO		80	80% of all negotiated rates	55	percent of total billed charges	55	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Optum Medicare	HMO		39	39% of all negotiated rates	168	percent of total billed charges	168	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	P3	HMO		39	39% of all negotiated rates	168	percent of total billed charges	168	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	83	percent of total billed charges	83	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Select Health	HMO		41	41% of all negotiated rates	163	percent of total billed charges	163	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	184	percent of total billed charges	184	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Sierra/HPN	HMO		60	60% of all negotiated rates	110	percent of total billed charges	110	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Silversummit Medicare	HMO		39	39% of all negotiated rates	168	percent of total billed charges	168	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	179	percent of total billed charges	179	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Teachers Trust	PPO		65	65% of all negotiated rates	97	percent of total billed charges	97	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	TriWest	PPO		30	30% of all negotiated rates	193	percent of total billed charges	193	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	83	percent of total billed charges	83	276	
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	234	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	263	Coinsurance and deductible may apply
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	234	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	263	Coinsurance and deductible may apply
93971 Unilateral Venous Reflux	93971	CPT	9.61E+11	LOCAL	960	RC		outpatient			276	235	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	82	fee schedule	82	263	Coinsurance and deductible may apply
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Aetna	PPO		38	38% of all negotiated rates	142	percent of total billed charges	142	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Aetna Medicare	HMO		26	26% of all negotiated rates	169	percent of total billed charges	169	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	114	percent of total billed charges	114	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Cigna	PPO		68	68% of all negotiated rates	73	percent of total billed charges	73	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Select Health	HMO		41	41% of all negotiated rates	135	percent of total billed charges	135	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	152	percent of total billed charges	152	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	TriWest	PPO		30	30% of all negotiated rates	160	percent of total billed charges	160	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	229	
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	218	Coinsurance and deductible may apply
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	218	Coinsurance and deductible may apply
INITIAL HOSP CARE - 99221	99221	CPT	9.61E+11	LOCAL	960	RC		outpatient			229	195	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	94	fee schedule	94	218	Coinsurance and deductible may apply
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Aetna	PPO		38	38% of all negotiated rates	189	percent of total billed charges	189	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Aetna Medicare	HMO		26	26% of all negotiated rates	226	percent of total billed charges	226	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Alignment Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	122	percent of total billed charges	122	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	153	percent of total billed charges	153	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Cigna	PPO		68	68% of all negotiated rates	98	percent of total billed charges	98	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Coventry	PPO		75	75% of all negotiated rates	76	percent of total billed charges	76	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Humana-Commerical	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Multiplan	PPO		80	80% of all negotiated rates	61	percent of total billed charges	61	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Optum Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	P3	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Select Health	HMO		41	41% of all negotiated rates	180	percent of total billed charges	180	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	203	percent of total billed charges	203	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Sierra/HPN	HMO		60	60% of all negotiated rates	122	percent of total billed charges	122	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Silversummit Medicare	HMO		39	39% of all negotiated rates	186	percent of total billed charges	186	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	199	percent of total billed charges	199	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Teachers Trust	PPO		65	65% of all negotiated rates	107	percent of total billed charges	107	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	TriWest	PPO		30	30% of all negotiated rates	214	percent of total billed charges	214	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	92	percent of total billed charges	92	306	
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	291	Coinsurance and deductible may apply
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	291	Coinsurance and deductible may apply
INITIAL HOSP CARE LEVEL 2 - 99222	99222	CPT	9.61E+11	LOCAL	960	RC		outpatient			306	260	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	127	fee schedule	127	291	Coinsurance and deductible may apply
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Aetna	PPO		38	38% of all negotiated rates	277	percent of total billed charges	277	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Aetna Medicare	HMO		26	26% of all negotiated rates	330	percent of total billed charges	330	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Alignment Medicare	HMO		39	39% of all negotiated rates	272	percent of total billed charges	272	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	179	percent of total billed charges	179	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	223	percent of total billed charges	223	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	272	percent of total billed charges	272	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Cigna	PPO		68	68% of all negotiated rates	143	percent of total billed charges	143	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Coventry	PPO		75	75% of all negotiated rates	112	percent of total billed charges	112	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	89	percent of total billed charges	89	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Humana-Commerical	PPO		70	70% of all negotiated rates	134	percent of total billed charges	134	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	272	percent of total billed charges	272	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Multiplan	PPO		80	80% of all negotiated rates	89	percent of total billed charges	89	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Optum Medicare	HMO		39	39% of all negotiated rates	272	percent of total billed charges	272	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	P3	HMO		39	39% of all negotiated rates	272	percent of total billed charges	272	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	134	percent of total billed charges	134	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Select Health	HMO		41	41% of all negotiated rates	263	percent of total billed charges	263	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	297	percent of total billed charges	297	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Sierra/HPN	HMO		60	60% of all negotiated rates	179	percent of total billed charges	179	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Silversummit Medicare	HMO		39	39% of all negotiated rates	272	percent of total billed charges	272	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	290	percent of total billed charges	290	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Teachers Trust	PPO		65	65% of all negotiated rates	156	percent of total billed charges	156	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	TriWest	PPO		30	30% of all negotiated rates	312	percent of total billed charges	312	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	134	percent of total billed charges	134	446	
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	425	Coinsurance and deductible may apply
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	425	Coinsurance and deductible may apply
INITIAL HOSPITAL CARE - 99223	99223	CPT	9.61E+11	LOCAL	960	RC		outpatient			446	379	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	188	fee schedule	188	425	Coinsurance and deductible may apply
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Aetna	PPO		38	38% of all negotiated rates	60	percent of total billed charges	60	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Aetna Medicare	HMO		26	26% of all negotiated rates	71	percent of total billed charges	71	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Alignment Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	48	percent of total billed charges	48	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Cigna	PPO		68	68% of all negotiated rates	31	percent of total billed charges	31	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Coventry	PPO		75	75% of all negotiated rates	24	percent of total billed charges	24	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Humana-Commerical	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Multiplan	PPO		80	80% of all negotiated rates	19	percent of total billed charges	19	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Optum Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	P3	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Select Health	HMO		41	41% of all negotiated rates	57	percent of total billed charges	57	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	64	percent of total billed charges	64	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Sierra/HPN	HMO		60	60% of all negotiated rates	39	percent of total billed charges	39	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Silversummit Medicare	HMO		39	39% of all negotiated rates	59	percent of total billed charges	59	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	63	percent of total billed charges	63	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Teachers Trust	PPO		65	65% of all negotiated rates	34	percent of total billed charges	34	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	TriWest	PPO		30	30% of all negotiated rates	68	percent of total billed charges	68	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	29	percent of total billed charges	29	97	
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			96	82	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	92	Coinsurance and deductible may apply
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			96	82	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	92	Coinsurance and deductible may apply
Negative pressure wound therapy (e.g. vacuum-assisted drainage collection)<50 sq cm	97605	CPT	9.61E+11	LOCAL	960	RC		outpatient			97	82	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	24	fee schedule	24	92	Coinsurance and deductible may apply
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Aetna	PPO		38	38% of all negotiated rates	100	percent of total billed charges	100	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Aetna Medicare	HMO		26	26% of all negotiated rates	119	percent of total billed charges	119	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Alignment Medicare	HMO		39	39% of all negotiated rates	98	percent of total billed charges	98	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	64	percent of total billed charges	64	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	80	percent of total billed charges	80	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	98	percent of total billed charges	98	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Cigna	PPO		68	68% of all negotiated rates	51	percent of total billed charges	51	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Coventry	PPO		75	75% of all negotiated rates	40	percent of total billed charges	40	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	32	percent of total billed charges	32	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Humana-Commerical	PPO		70	70% of all negotiated rates	48	percent of total billed charges	48	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	98	percent of total billed charges	98	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Multiplan	PPO		80	80% of all negotiated rates	32	percent of total billed charges	32	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Optum Medicare	HMO		39	39% of all negotiated rates	98	percent of total billed charges	98	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	P3	HMO		39	39% of all negotiated rates	98	percent of total billed charges	98	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	48	percent of total billed charges	48	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Select Health	HMO		41	41% of all negotiated rates	95	percent of total billed charges	95	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	107	percent of total billed charges	107	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Sierra/HPN	HMO		60	60% of all negotiated rates	64	percent of total billed charges	64	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Silversummit Medicare	HMO		39	39% of all negotiated rates	98	percent of total billed charges	98	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	104	percent of total billed charges	104	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Teachers Trust	PPO		65	65% of all negotiated rates	56	percent of total billed charges	56	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	TriWest	PPO		30	30% of all negotiated rates	112	percent of total billed charges	112	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	48	percent of total billed charges	48	161	
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	66	fee schedule	66	153	Coinsurance and deductible may apply
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	66	fee schedule	66	153	Coinsurance and deductible may apply
SUBSEQ HOSP CARE LEVEL 2 - 99232	99232	CPT	9.61E+11	LOCAL	960	RC		outpatient			161	137	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	66	fee schedule	66	153	Coinsurance and deductible may apply
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Aetna	PPO		38	38% of all negotiated rates	54	percent of total billed charges	54	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Aetna Medicare	HMO		26	26% of all negotiated rates	64	percent of total billed charges	64	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Alignment Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	35	percent of total billed charges	35	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	44	percent of total billed charges	44	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Cigna	PPO		68	68% of all negotiated rates	28	percent of total billed charges	28	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Coventry	PPO		75	75% of all negotiated rates	22	percent of total billed charges	22	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Humana-Commerical	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Multiplan	PPO		80	80% of all negotiated rates	17	percent of total billed charges	17	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Optum Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	P3	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Select Health	HMO		41	41% of all negotiated rates	51	percent of total billed charges	51	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	58	percent of total billed charges	58	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Sierra/HPN	HMO		60	60% of all negotiated rates	35	percent of total billed charges	35	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Silversummit Medicare	HMO		39	39% of all negotiated rates	53	percent of total billed charges	53	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	57	percent of total billed charges	57	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Teachers Trust	PPO		65	65% of all negotiated rates	31	percent of total billed charges	31	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	TriWest	PPO		30	30% of all negotiated rates	61	percent of total billed charges	61	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	26	percent of total billed charges	26	87	
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	83	Coinsurance and deductible may apply
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	83	Coinsurance and deductible may apply
SUBSEQ HOSPITAL CARE - 99231	99231	CPT	9.61E+11	LOCAL	960	RC		outpatient			87	74	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	36	fee schedule	36	83	Coinsurance and deductible may apply
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Aetna	PPO		38	38% of all negotiated rates	143	percent of total billed charges	143	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Aetna Medicare	HMO		26	26% of all negotiated rates	170	percent of total billed charges	170	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Alignment Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Indeminity	PPO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	115	percent of total billed charges	115	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Blue Cross Blue Shield Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Cigna	PPO		68	68% of all negotiated rates	74	percent of total billed charges	74	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Coventry	PPO		75	75% of all negotiated rates	57	percent of total billed charges	57	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Great West Healthcare (Mediversal)	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Humana-Commerical	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Humana-Medicare Advantage	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Multiplan	PPO		80	80% of all negotiated rates	46	percent of total billed charges	46	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Optum Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	P3	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Saint Mary's Health Plan	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Select Health	HMO		41	41% of all negotiated rates	136	percent of total billed charges	136	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Sierra Healthcare Options	PPO		33.5	33.5% of all negotiated rates	153	percent of total billed charges	153	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Sierra/HPN	HMO		60	60% of all negotiated rates	92	percent of total billed charges	92	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Silversummit Medicare	HMO		39	39% of all negotiated rates	140	percent of total billed charges	140	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Southpoint (Gaghan South)	PPO		35	35% of all negotiated rates	149	percent of total billed charges	149	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Teachers Trust	PPO		65	65% of all negotiated rates	80	percent of total billed charges	80	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	UHN-Universal Health Network	PPO		70	70% of all negotiated rates	69	percent of total billed charges	69	230	
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Anthem Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	96	fee schedule	96	219	Coinsurance and deductible may apply
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	HPN Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	96	fee schedule	96	219	Coinsurance and deductible may apply
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	Molina Medicaid	HMO		100	100% of NV Medicaid Fee Schedule	96	fee schedule	96	219	Coinsurance and deductible may apply
SUBSEQUENT HOSP CARE - 99233	99233	CPT	9.61E+11	LOCAL	960	RC		outpatient			230	195	TriWest	PPO	249		case rate	66	case rate	66	219	Coinsurance and deductible may apply
Office/Established Patient-Comprehensive/High Complexity (40)	99215	CPT	99215	LOCAL	983	RC		outpatient			565	480	Aetna Medicare	HMO		26	26% of all negotiated rates	418	percent of total billed charges	418	565	
Office/Established Patient-Comprehensive/High Complexity (40)	99215	CPT	99215	LOCAL	983	RC		outpatient			565	480	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	282	percent of total billed charges	282	565	
Office/Established Patient-Comprehensive/High Complexity (40)	99215	CPT	99215	LOCAL	983	RC		outpatient			565	480	Silversummit Medicare	HMO	252		case rate	252	case rate	252	538	Coinsurance and deductible may apply
Office/Established Patient-Detailed (30)	99214	CPT	99214	LOCAL	983	RC		outpatient			401	341	Aetna Medicare	HMO		26	26% of all negotiated rates	297	percent of total billed charges	297	401	
Office/Established Patient-Detailed (30)	99214	CPT	99214	LOCAL	983	RC		outpatient			401	341	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	201	percent of total billed charges	201	401	
Office/Established Patient-Detailed (30)	99214	CPT	99214	LOCAL	983	RC		outpatient			401	341	Silversummit Medicare	HMO	252		case rate	252	case rate	252	382	Coinsurance and deductible may apply
Office/Established Patient-Expanded (20)	99213	CPT	99213	LOCAL	983	RC		outpatient			285	242	Aetna Medicare	HMO		26	26% of all negotiated rates	211	percent of total billed charges	211	285	
Office/Established Patient-Expanded (20)	99213	CPT	99213	LOCAL	983	RC		outpatient			285	242	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	142	percent of total billed charges	142	285	
Office/Established Patient-Expanded (20)	99213	CPT	99213	LOCAL	983	RC		outpatient			285	242	Silversummit Medicare	HMO	252		case rate	252	case rate	252	271	Coinsurance and deductible may apply
Office/Established Patient-Focused (10)	99212	CPT	99212	LOCAL	983	RC		outpatient			177	151	Aetna Medicare	HMO		26	26% of all negotiated rates	131	percent of total billed charges	131	177	
Office/Established Patient-Focused (10)	99212	CPT	99212	LOCAL	983	RC		outpatient			177	151	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	89	percent of total billed charges	89	177	
Office/Established Patient-Focused (10)	99212	CPT	99212	LOCAL	983	RC		outpatient			177	151	Silversummit Medicare	HMO	252		case rate	252	case rate	252	169	Coinsurance and deductible may apply
Office/Established Patient-Non Provider (5)	99211	CPT	99211	LOCAL	983	RC		outpatient			74	62	Aetna Medicare	HMO		26	26% of all negotiated rates	54	percent of total billed charges	54	74	
Office/Established Patient-Non Provider (5)	99211	CPT	99211	LOCAL	983	RC		outpatient			74	62	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	37	percent of total billed charges	37	74	
Office/Established Patient-Non Provider (5)	99211	CPT	99211	LOCAL	983	RC		outpatient			74	62	Silversummit Medicare	HMO	252		case rate	252	case rate	252	70	Coinsurance and deductible may apply
Office/New Patient-Comprehensive (45)	99204	CPT	99204	LOCAL	983	RC		outpatient			523	444	Aetna Medicare	HMO		26	26% of all negotiated rates	387	percent of total billed charges	387	523	
Office/New Patient-Comprehensive (45)	99204	CPT	99204	LOCAL	983	RC		outpatient			523	444	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	261	percent of total billed charges	261	523	
Office/New Patient-Comprehensive (45)	99204	CPT	99204	LOCAL	983	RC		outpatient			523	444	Silversummit Medicare	HMO	252		case rate	252	case rate	252	498	Coinsurance and deductible may apply
Office/New Patient-Comprehensive/High Complexity (60)	99205	CPT	99205	LOCAL	983	RC		outpatient			689	585	Aetna Medicare	HMO		26	26% of all negotiated rates	510	percent of total billed charges	510	689	
Office/New Patient-Comprehensive/High Complexity (60)	99205	CPT	99205	LOCAL	983	RC		outpatient			689	585	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	344	percent of total billed charges	344	689	
Office/New Patient-Comprehensive/High Complexity (60)	99205	CPT	99205	LOCAL	983	RC		outpatient			689	585	Silversummit Medicare	HMO	252		case rate	252	case rate	252	656	Coinsurance and deductible may apply
Office/New Patient-Detailed (30)	99203	CPT	99203	LOCAL	983	RC		outpatient			345	294	Aetna Medicare	HMO		26	26% of all negotiated rates	256	percent of total billed charges	256	345	
Office/New Patient-Detailed (30)	99203	CPT	99203	LOCAL	983	RC		outpatient			345	294	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	173	percent of total billed charges	173	345	
Office/New Patient-Detailed (30)	99203	CPT	99203	LOCAL	983	RC		outpatient			345	294	Silversummit Medicare	HMO	252		case rate	252	case rate	252	329	Coinsurance and deductible may apply
Office/New Patient-Expanded (15)	99202	CPT	99202	LOCAL	983	RC		outpatient			349	296	Aetna Medicare	HMO		26	26% of all negotiated rates	258	percent of total billed charges	258	349	
Office/New Patient-Expanded (15)	99202	CPT	99202	LOCAL	983	RC		outpatient			349	296	Anthem Blue Cross Blue Shield Pathway X	HMO		50	50% of all negotiated rates	174	percent of total billed charges	174	349	
Office/New Patient-Expanded (15)	99202	CPT	99202	LOCAL	983	RC		outpatient			349	296	Silversummit Medicare	HMO	252		case rate	252	case rate	252	332	Coinsurance and deductible may apply